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 large intestine?

• A. Absorption of nutrients
• B. Absorption of water
• C. Secretion of digestive enzymes
• D. Breaking down fats

Correct answer: B

Rationale: The main function of the large intestine is the absorption of water and electrolytes from indigestible food residues, helping to form solid waste (feces) for elimination. It mainly reabsorbs water and compacts the remaining material into feces, playing a crucial role in maintaining fluid balance in the body. Choices A, C, and D are incorrect because absorption of nutrients primarily occurs in the small intestine, secretion of digestive enzymes mainly occurs in the stomach and small intestine, and breaking down fats primarily occurs in the small intestine with the help of bile from the liver and enzymes.

4. Which type of muscle tissue is voluntary?

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

Correct answer: B

Rationale: The correct answer is B, Skeletal muscle. Skeletal muscle is a type of voluntary muscle tissue, allowing conscious control over its movement. Unlike smooth and cardiac muscle, which are involuntary, skeletal muscle is under direct voluntary control. Cardiac muscle (choice A) is involuntary and found in the heart. Smooth muscle (choice C) is also involuntary and found in the walls of internal organs. While skeletal muscle is striated (contains stripes), choice D is not the best answer as it does not specifically address the voluntary nature of skeletal muscle.

5. 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.

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