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. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

3. What is the main function of the adrenal glands?

• A. Regulation of metabolism
• B. Production of bile
• C. Regulation of blood pressure
• D. Production of insulin

Correct answer: C

Rationale: The main function of the adrenal glands is to produce hormones like adrenaline and cortisol. These hormones play a crucial role in regulating blood pressure, metabolism, and the body's stress response. While the adrenal glands do have some impact on metabolism, their primary function is not the direct regulation of metabolism. They are not involved in the production of bile or insulin. Therefore, the correct answer is the regulation of blood pressure.

4. What is the main function of the urinary bladder?

• A. To filter blood
• B. To store and concentrate bile
• C. To store urine
• D. To absorb nutrients

Correct answer: C

Rationale: The correct answer is C: To store urine. The main function of the urinary bladder is to store urine produced by the kidneys before it is excreted from the body. It acts as a reservoir for urine until it is expelled during urination. Choices A, B, and D are incorrect because the urinary bladder does not filter blood, store or concentrate bile, or absorb nutrients. It is solely responsible for storing and releasing urine.

5. Which enzyme functions to break down lactose, a specific sugar found in milk and dairy products?

• A. Catalase
• B. Lipase
• C. Protease
• D. Lactase

Correct answer: D

Rationale: Lactase is the enzyme responsible for breaking down lactose, a sugar present in milk and dairy products. When lactase breaks down lactose, it splits it into two simpler sugars, glucose, and galactose, which can then be absorbed and used by the body. Catalase is involved in breaking down hydrogen peroxide into water and oxygen. Lipase breaks down fats into fatty acids and glycerol. Protease breaks down proteins into amino acids. Therefore, choices A, B, and C are incorrect for the specific breakdown of lactose.

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