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. Which hormone is produced by the adrenal medulla?

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

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is the correct hormone produced by the adrenal medulla. It plays a crucial role in the body's fight-or-flight response, increasing heart rate, dilating airways, and mobilizing energy stores to prepare the body for perceived threats. Insulin (Choice A) is produced by the pancreas and regulates blood sugar levels, not by the adrenal medulla. Cortisol (Choice C) is produced by the adrenal cortex and is involved in regulating metabolism, immune response, and stress. Melatonin (Choice D) is produced by the pineal gland and regulates the sleep-wake cycle.

3. Which structure in the kidney filters blood?

• A. Nephron
• B. Glomerulus
• C. Bowman's capsule
• D. Loop of Henle

Correct answer: B

Rationale: The correct answer is the Glomerulus. The glomerulus is a network of tiny blood vessels located within the Bowman's capsule. It acts as the initial filtering component in the nephron, filtering blood and allowing waste products and excess substances to pass through to form urine. Choice A, Nephron, is incorrect as the nephron is the structural and functional unit of the kidney composed of several parts, including the glomerulus. Choice C, Bowman's capsule, is where the glomerulus is located, but it is not the structure responsible for filtering blood. Choice D, Loop of Henle, plays a role in reabsorption of water and electrolytes but is not the primary structure for blood filtration in the kidney.

4. What is the primary function of the heart?

• A. To filter blood
• B. To transport oxygen and nutrients
• C. To remove waste
• D. To regulate temperature

Correct answer: B

Rationale: The primary function of the heart is to pump oxygenated blood and nutrients throughout the body, supplying cells with vital substances. Choice A is incorrect as the kidneys are responsible for filtering blood. Choice C is incorrect as waste removal is primarily handled by organs like the kidneys and liver. Choice D is incorrect as regulating body temperature is mainly controlled by mechanisms such as sweating and shivering, not the heart.

5. What is the role of the pancreas in digestion?

• A. To secrete digestive enzymes
• B. To store bile
• C. To absorb nutrients
• D. To transport glucose

Correct answer: A

Rationale: The correct answer is A: To secrete digestive enzymes. The pancreas is responsible for secreting digestive enzymes that aid in breaking down carbohydrates, fats, and proteins in the small intestine, facilitating the process of digestion. Choice B is incorrect because the pancreas does not store bile; that is primarily the function of the gallbladder. Choice C is incorrect as the absorption of nutrients mainly occurs in the small intestine, not the pancreas. Choice D is incorrect as the transport of glucose is primarily regulated by insulin produced in the pancreas, but this is not the main role of the pancreas in digestion.

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