Nursing Elites

1. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

2. What is the main function of the endoplasmic reticulum (ER) in the cell?

• A. To synthesize and transport proteins and lipids
• B. To package and transport proteins
• C. To break down macromolecules
• D. To store genetic material

Correct answer: A

Rationale: The endoplasmic reticulum (ER) is a network of membranes within the cell that plays a crucial role in protein and lipid synthesis. It consists of two types: rough ER, which is studded with ribosomes and involved in protein synthesis, and smooth ER, which is involved in lipid synthesis and detoxification. The ER's main function is to synthesize proteins and lipids, not just package and transport them. While the ER is involved in transporting these synthesized proteins and lipids to other parts of the cell or outside the cell, its primary role is in their synthesis. Breaking down macromolecules is primarily the function of lysosomes, which are membrane-bound organelles containing enzymes for digestion. Storing genetic material is the function of the nucleus, which houses the cell's DNA. The ER is not involved in storing genetic material.

3. The adrenal cortex produces a group of steroid hormones called corticosteroids. What is a MAJOR function of corticosteroids?

• A. Regulate insulin sensitivity and blood sugar levels
• B. Control blood pressure and electrolyte balance
• C. Stimulate the immune system and inflammatory response
• D. Promote growth and development during puberty

Correct answer: B

Rationale: Corticosteroids, produced by the adrenal cortex, primarily function to control blood pressure and electrolyte balance. One of the key corticosteroids, aldosterone, plays a crucial role in regulating sodium and potassium levels in the body. This regulation is essential for maintaining blood pressure and electrolyte balance. Choices A, C, and D are incorrect because corticosteroids do not primarily regulate insulin sensitivity and blood sugar levels, stimulate the immune system and inflammatory response, or promote growth and development during puberty. While corticosteroids can have effects on insulin sensitivity, immune response, and growth, their major role is in maintaining blood pressure and electrolyte balance.

4. Which of the following is an example of a chemical change?

• A. Dissolving sugar in water
• B. Boiling water
• C. Rusting iron
• D. Crushing ice

Correct answer: C

Rationale: Rusting iron is an example of a chemical change because it involves a chemical reaction where iron reacts with oxygen in the presence of water to form iron oxide (rust). This reaction results in a change in the chemical composition of the iron, unlike dissolving sugar in water, boiling water, or crushing ice, which are physical changes. Dissolving sugar in water is a physical change as sugar molecules remain unchanged but disperse in water. Boiling water is also a physical change as water changes its state from liquid to gas due to heat. Crushing ice is a physical change as the solid ice changes its physical form without altering its chemical composition.

5. Which of the following is NOT a common location for lymph nodes?

• A. Groin
• B. Armpit
• C. Neck
• D. Liver

Correct answer: D

Rationale: The correct answer is 'D: Liver.' The liver is not a common location for lymph nodes. Lymph nodes are small, bean-shaped structures distributed throughout the body, including common sites like the groin, armpit, and neck. They play a crucial role in the immune system by filtering lymph fluid and trapping harmful substances, aiding the body in defending against infections and diseases. The liver, on the other hand, is an organ responsible for various functions like detoxification, metabolism, and storage, but it does not house lymph nodes.

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