Nursing Elites

1. What is the first step in pulmonary circulation?

• A. Blood moves toward the heart through the pulmonary veins.
• B. The pulmonary artery carries blood from the heart to the lungs.
• C. Carbon dioxide is exchanged for oxygen.
• D. Oxygenated blood moves through the aorta.

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

2. What is the main function of the digestive system?

• A. To break down food and absorb nutrients
• B. To regulate body temperature
• C. To transport nutrients
• D. To produce hormones

Correct answer: A

Rationale: The main function of the digestive system is to break down food into nutrients through the process of digestion. Once the food is broken down, the nutrients are absorbed into the bloodstream and utilized by the body for various functions. Choice B, regulating body temperature, is incorrect as it is the function of the body's thermoregulatory system, not the digestive system. Choice C, transporting nutrients, is incorrect as the digestive system primarily focuses on breaking down and absorbing nutrients rather than transporting them. Choice D, producing hormones, is also incorrect as hormone production is mainly carried out by endocrine glands and not the digestive system.

3. When an individual is under stress, hormones are released. Which of the following is not one of the locations in which hormones are released when under stress?

• A. Posterior pituitary
• B. Hypothalamus
• C. Adrenal cortex
• D. Parathyroid

Correct answer: D

Rationale: During stress, hormones are released from the adrenal cortex, posterior pituitary, and hypothalamus to help the body respond. The parathyroid gland, however, is not typically involved in the stress response by releasing hormones. The posterior pituitary releases hormones like oxytocin and vasopressin, the hypothalamus secretes corticotropin-releasing hormone (CRH) and vasopressin, while the adrenal cortex releases cortisol and aldosterone in response to stress. Therefore, the correct answer is 'Parathyroid.'

4. Which hormone is responsible for regulating the sleep-wake cycle?

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

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, regulates the sleep-wake cycle by responding to light and darkness in the environment. It plays a crucial role in signaling the body when it's time to sleep and wake up, helping to establish and maintain a healthy circadian rhythm. Thyroxine, Insulin, and Cortisol do not directly regulate the sleep-wake cycle, making them incorrect choices for this question.

5. What is the primary function of the liver in the digestive system?

• A. To produce bile
• B. To secrete digestive enzymes
• C. To store glucose
• D. To store bile

Correct answer: A

Rationale: The correct answer is A: 'To produce bile.' The liver's primary role in the digestive system is to produce bile. Bile is essential for emulsifying fats, aiding in their digestion and absorption in the small intestine. Choice B is incorrect because while the liver does secrete some digestive enzymes, its primary function is bile production. Choice C is incorrect because while the liver does store glucose, it is not its primary function in the digestive system. Choice D is incorrect because the liver produces bile, but it does not store it.

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