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 part of the brain is responsible for processing emotions?

• A. Frontal lobe
• B. Amygdala
• C. Parietal lobe
• D. Occipital lobe

Correct answer: B

Rationale: The correct answer is the amygdala. It is a small, almond-shaped structure located within the temporal lobe of the brain. The amygdala plays a crucial role in processing emotions such as fear, anger, pleasure, and other emotional responses. It is involved in the formation of emotional memories and helps regulate emotional responses to various stimuli. The frontal lobe is mainly responsible for higher cognitive functions such as decision-making and problem-solving, not processing emotions. The parietal lobe is involved in processing sensory information and spatial awareness, while the occipital lobe is primarily responsible for processing visual information.

3. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

4. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

5. What is true about caloric intake for the average person?

• A. It should increase with age.
• B. It should decline and then increase with age.
• C. It should decline with age.
• D. It should remain constant over a lifetime.

Correct answer: C

Rationale: Caloric intake for the average person typically declines with age due to factors such as changes in metabolism, muscle mass, and physical activity levels. As people age, their metabolism tends to slow down, and they may also experience a decrease in muscle mass and physical activity, leading to a reduced need for calories. Option A is incorrect because caloric intake generally decreases rather than increases with age. Option B is incorrect as it suggests a fluctuation in caloric intake that is not typically seen. Option D is incorrect as caloric needs usually change over a person's lifetime due to various factors.

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