Nursing Elites

1. Which hormone regulates the sleep-wake cycle?

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

Correct answer: B

Rationale: The correct answer is B: Melatonin. Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. It helps signal to the body when it's time to sleep and wake up, playing a crucial role in maintaining a healthy sleep pattern. Choice A, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, not specifically in regulating the sleep-wake cycle. Choice C, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle. Choice D, Insulin, is a hormone produced by the pancreas that regulates blood sugar levels, not the sleep-wake cycle.

2. Which of the following is NOT a function of progesterone in the female reproductive system?

• A. expression of secondary sexual characteristics, such as enlarged breasts
• B. stimulation of milk production in the breasts
• C. regulation and preparation of the endometrial lining of the uterus for potential pregnancy
• D. inhibition of contractions of the uterus as the ovum is released

Correct answer: A

Rationale: Progesterone plays a key role in the regulation and preparation of the endometrial lining of the uterus for potential pregnancy. It also inhibits contractions of the uterus as the ovum is released and stimulates milk production in the breasts. However, the expression of secondary sexual characteristics, such as enlarged breasts, is primarily influenced by estrogen, not progesterone. Therefore, choice A is the correct answer as it is not a function directly attributed to progesterone in the female reproductive system.

3. What is the name of the sheath of connective tissue that surrounds a skeletal muscle?

• A. Epimysium
• B. Perimysium
• C. Endomysium
• D. Myofibril

Correct answer: A

Rationale: The correct answer is Epimysium. The epimysium is the outermost layer of connective tissue that surrounds a skeletal muscle, providing protection and support to the muscle as a whole. Perimysium, which surrounds bundles of muscle fibers known as fascicles, is not the sheath that surrounds the entire muscle. Endomysium surrounds individual muscle fibers, not the entire muscle. Myofibril is a structure within muscle fibers that contains the contractile proteins responsible for muscle contraction, but it is not the sheath of connective tissue surrounding the muscle.

4. Which part of the digestive system is responsible for absorbing nutrients?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: C

Rationale: The small intestine is the correct answer because it is the primary site for nutrient absorption in the digestive system. It contains specialized structures such as villi and microvilli that maximize the absorption of nutrients from digested food. The esophagus is responsible for transporting food from the mouth to the stomach; the stomach primarily aids in digestion by secreting enzymes and acids; and the large intestine mainly absorbs water and electrolytes from the remaining indigestible food matter. Therefore, the small intestine plays a crucial role in absorbing essential nutrients for the body's functions, making it the correct choice in this context.

5. A person wakes up with a fever. The body begins its response to locate the origin of the problem and fix it. What type of feedback mechanism is this?

• A. Equal
• B. Negative
• C. Neutral
• D. Positive

Correct answer: B

Rationale: This scenario describes a negative feedback mechanism. When the body detects a fever, it initiates responses to lower the temperature back to normal levels. Negative feedback mechanisms work to counteract changes and maintain homeostasis in the body. Choice A ('Equal') is incorrect as feedback mechanisms aim to restore balance, not maintain an equal state. Choice C ('Neutral') is incorrect as it does not describe the corrective nature of negative feedback. Choice D ('Positive') is incorrect as it would amplify the fever rather than regulate it.

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