Nursing Elites

1. Which hormone is released by the adrenal glands in response to stress?

• A. Insulin
• B. Cortisol
• C. Adrenaline
• D. Glucagon

Correct answer: C

Rationale: Adrenaline is the correct answer. It is released by the adrenal glands in response to stress to prepare the body for the 'fight or flight' response. Adrenaline increases heart rate, dilates airways, and mobilizes energy stores to help the body deal with the perceived threat. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not in response to stress. Cortisol (Choice B) is another hormone released by the adrenal glands in response to stress, but it primarily helps regulate metabolism and immune response. Glucagon (Choice D) is also produced by the pancreas to increase blood sugar levels when they are low, not by the adrenal glands in response to stress.

2. Which of the following terms refers to a muscle twitch, a single forceful contraction of a muscle fiber?

• A. Tetanus
• B. Tremor
• C. Fasciculation
• D. Rigidity

Correct answer: C

Rationale: The correct term for a muscle twitch, a single forceful contraction of a muscle fiber, is 'Fasciculation' (choice C). Fasciculation specifically describes this phenomenon. 'Tetanus' (choice A) refers to sustained muscle contraction, 'Tremor' (choice B) indicates a shaky or quivering movement, and 'Rigidity' (choice D) denotes stiffness or inflexibility in muscles. Therefore, choices A, B, and D are incorrect in the context of a single forceful contraction of a muscle fiber.

3. Which hormone stimulates the release of pancreatic enzymes and bile?

• A. Gastrin
• B. Insulin
• C. Cholecystokinin (CCK)
• D. Glucagon

Correct answer: C

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone that stimulates the release of pancreatic enzymes and bile. CCK is released by the small intestine in response to the presence of fats and proteins in the duodenum, triggering the release of digestive enzymes and bile to aid in the digestion of fats and proteins. Gastrin (Choice A) primarily stimulates gastric acid secretion, not the release of pancreatic enzymes and bile. Insulin (Choice B) regulates blood sugar levels by promoting glucose uptake. Glucagon (Choice D) raises blood glucose levels by stimulating the breakdown of glycogen in the liver.

4. Find the lowest coefficients that will balance the following combustion equation: __C H + __O2 → __CO2 + __H2O

• A. 1:5:5:2
• B. 4:10:20:8
• C. 2:9:10:4
• D. 2:5:10:4

Correct answer: C

Rationale: To balance the combustion equation CxHy + O2 → xCO2 + y/2 H2O, we need to balance the carbon and hydrogen atoms. The balanced equation for the given combustion is: 2C H4 + 9O2 → 2CO2 + 4H2O. This means that the correct coefficients are 2:9:10:4, which corresponds to choice C. Choice A (1:5:5:2) does not balance the equation correctly, choice B (4:10:20:8) has excessive oxygen and does not balance the equation, and choice D (2:5:10:4) does not provide the correct ratio of oxygen to balance the equation.

5. What is the main component of bile, a substance that aids in fat digestion?

• A. Proteins
• B. Carbohydrates
• C. Bile salts
• D. Vitamins

Correct answer: C

Rationale: Bile is a digestive fluid produced by the liver and stored in the gallbladder. Bile salts are the main component of bile that aid in the digestion and absorption of fats in the small intestine. Bile salts help emulsify fats, breaking them down into smaller droplets that can be more easily digested by enzymes. Proteins, carbohydrates, and vitamins are not the main components of bile and do not play a significant role in fat digestion. Therefore, the correct answer is 'Bile salts.' Choices A, B, and D are incorrect as they are not the main components of bile and do not contribute to fat digestion.

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