Nursing Elites

1. Which hormone, produced by the pancreas, acts in opposition to insulin by increasing blood sugar levels?

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

Correct answer: B

Rationale: Glucagon is the correct answer. Produced by the pancreas, glucagon acts in opposition to insulin by increasing blood sugar levels. Glucagon promotes the breakdown of glycogen into glucose in the liver, leading to the release of glucose into the bloodstream. Insulin, on the other hand, lowers blood sugar levels by facilitating the uptake of glucose into cells. Cortisol is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and metabolism. Thyroxine is a hormone produced by the thyroid gland and is primarily responsible for regulating metabolism.

2. Which types of glial cells are found in the CNS?

• A. Schwann cells, satellite cells
• B. Astrocytes, microglia, ependymal cells, oligodendrocytes
• C. Satellite cells, microglia, oligodendrocytes
• D. Astrocytes, Schwann cells, satellite cells

Correct answer: B

Rationale: The correct answer is B. Glial cells in the CNS include astrocytes, microglia, ependymal cells, and oligodendrocytes. Schwann cells and satellite cells are found in the PNS. Astrocytes are the most abundant type of glial cells and are involved in nutrient support, repair, and maintenance of the extracellular environment. Microglia are the resident immune cells of the CNS, playing a role in immune defense. Ependymal cells line the ventricles of the brain and the central canal of the spinal cord, contributing to the production and circulation of cerebrospinal fluid. Oligodendrocytes are responsible for producing myelin, which insulates axons in the CNS. Understanding the specific functions of each type of glial cell is essential in grasping the complexity of the central nervous system's support and protective mechanisms.

3. Which of the following is NOT a recognized mode of natural selection?

• A. Directional selection (favoring one extreme trait value on a spectrum)
• B. Disruptive selection (favoring both extreme trait values on a spectrum)
• C. Stabilizing selection (favoring the average trait value on a spectrum)
• D. Sexual selection (selection based on mate choice that influences reproductive success)

Correct answer: D

Rationale: A) Directional selection is a recognized mode of natural selection where one extreme trait value on a spectrum is favored over others, leading to a shift in the average trait value over time. B) Disruptive selection is a recognized mode of natural selection where both extreme trait values on a spectrum are favored over the average trait value, potentially causing the population to split into distinct groups. C) Stabilizing selection is a recognized mode of natural selection favoring the average trait value on a spectrum over extreme values, resulting in reduced genetic diversity. D) Sexual selection differs from traditional natural selection modes as it involves mate choice and competition for mates, not direct selection pressure on traits affecting survival and reproduction in the environment. Sexual selection can drive the evolution of traits enhancing an individual's attractiveness for mating purposes.

4. Which part of the nervous system controls the 'fight or flight' response?

• A. Central nervous system
• B. Peripheral nervous system
• C. Autonomic nervous system
• D. Sympathetic nervous system

Correct answer: D

Rationale: The correct answer is the sympathetic nervous system. It controls the 'fight or flight' response by preparing the body for stressful situations. The central nervous system (Choice A) consists of the brain and spinal cord but does not directly control the 'fight or flight' response. The peripheral nervous system (Choice B) includes nerves outside the brain and spinal cord, while the autonomic nervous system (Choice C) regulates involuntary bodily functions but is not specific to the 'fight or flight' response.

5. What is the pathway of oxygenated blood from the lungs?

• A. Lungs to the left atrium, through the mitral valve into the left ventricle, pumped into the aorta upon contraction, then dispersed to tissues via a network of arteries and capillaries
• B. Lungs to the right atrium, through the mitral valve into the right ventricle, pumped into the aorta upon contraction, then dispersed to tissues via a network of arteries and veins
• C. Lungs to the left atrium, directly to the right aorta, then dispersed to tissues via a network of arteries and capillaries
• D. Lungs to the left atrium, through the septal valve, stored in the left ventricles, then dispersed to tissues via a network of arteries and capillaries

Correct answer: A

Rationale: The correct pathway of oxygenated blood from the lungs is as follows: Oxygenated blood travels from the lungs to the left atrium, then passes through the mitral valve into the left ventricle. From there, it is pumped into the aorta upon contraction of the heart and is then dispersed to various tissues throughout the body via a network of arteries and capillaries. Choice B is incorrect as it incorrectly mentions the right atrium and ventricle, which are associated with deoxygenated blood. Choice C is incorrect as it mentions a direct connection to the right aorta, which does not exist in the circulatory system. Choice D is incorrect as it refers to the septal valve (which is not anatomically correct) and storing blood in the left ventricle, which does not occur in the normal circulation of blood.

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