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

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

Correct answer: A

Rationale: The parathyroid gland is not a location where hormones are typically released during stress. It primarily regulates calcium levels in the blood through the release of parathyroid hormone (PTH). On the other hand, the adrenal cortex releases hormones like cortisol in response to stress, the posterior pituitary releases oxytocin and antidiuretic hormone, and the hypothalamus plays a crucial role in coordinating stress responses through the release of corticotropin-releasing hormone (CRH). Therefore, the parathyroid gland is the correct answer as it is not directly involved in the stress response pathway.

3. The anterior chamber of the eye lies between the ___________.

• A. iris and lens
• B. lens and retina
• C. cornea and iris
• D. retina and optic nerve

Correct answer: A

Rationale: The anterior chamber of the eye is the fluid-filled space located between the cornea and the iris in the front part of the eye. It contains aqueous humor and helps maintain intraocular pressure. The space between the iris and the lens is known as the anterior chamber, making option A, 'iris and lens,' the correct choice. Options B, C, and D are incorrect because they do not describe the correct anatomical location of the anterior chamber.

4. What is the primary function of the immune system?

• A. To transport oxygen
• B. To fight infections
• C. To produce energy
• D. To regulate body temperature

Correct answer: B

Rationale: The primary function of the immune system is to fight infections. It identifies and destroys pathogens like bacteria and viruses, protecting the body from harmful substances. While oxygen transportation is carried out by the respiratory system, energy production is mainly the role of the metabolic system, and body temperature regulation is managed by the thermoregulatory system. These functions are separate from the immune system's primary role of defending the body against infections.

5. Which hormone regulates the sleep-wake cycle?

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

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. Its secretion is influenced by light exposure, with levels typically rising in the evening to promote sleep and falling in the morning to encourage wakefulness. Insulin is involved in regulating blood sugar levels, not the sleep-wake cycle. Cortisol plays a role in the body's stress response and circadian rhythm but is not the primary hormone regulating sleep-wake cycles. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle.

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