Nursing Elites

1. Which hormone stimulates milk production in the breasts during lactation?

• A. norepinephrine
• B. antidiuretic hormone
• C. prolactin
• D. oxytocin

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

2. Which of the following endocrine system glands releases the thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormone?

• A. Thymus
• B. Pituitary gland
• C. Pineal gland
• D. Hypothalamus

Correct answer: D

Rationale: The correct answer is D, the Hypothalamus. The hypothalamus is responsible for releasing key hormones like thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormone. These hormones play essential roles in regulating various body functions by influencing the activities of other endocrine glands. Choices A, B, and C are incorrect because the thymus is involved in immune function, the pituitary gland releases different hormones, and the pineal gland primarily produces melatonin, not the hormones mentioned in the question.

3. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

4. Which of the following epithelial types is correctly matched with its major function?

• A. Simple squamous epithelium – diffusion
• B. Stratified squamous epithelium – protection
• C. Stratified squamous epithelium – diffusion
• D. Simple columnar epithelium – secretion or absorption

Correct answer: D

Rationale: The correct answer is D. Simple columnar epithelium is indeed primarily responsible for secretion and absorption due to its tall shape and presence of microvilli, which increase surface area for these functions. Simple squamous epithelium is mainly involved in diffusion, allowing for the exchange of gases or nutrients. Stratified squamous epithelium functions more for protection against mechanical stress and pathogens, as it forms a tough, protective barrier due to its many layers.

5. Which part of the brain controls voluntary movement?

• A. Cerebellum
• B. Cerebrum
• C. Brainstem
• D. Medulla oblongata

Correct answer: B

Rationale: The cerebrum, specifically the motor cortex located within it, is responsible for controlling voluntary movements such as walking, writing, and speaking. This region of the brain plays a crucial role in coordinating and executing voluntary muscle actions, making it the correct answer in this context. The cerebellum (Choice A) primarily coordinates balance, posture, and coordination of voluntary movements but does not control voluntary movement itself. The brainstem (Choice C) is responsible for basic life functions like breathing and heart rate, not voluntary movements. The medulla oblongata (Choice D) controls vital functions like blood pressure and breathing, not voluntary movement.

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