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 type of muscle tissue is under voluntary control?

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

Correct answer: C

Rationale: Skeletal muscle is under voluntary control, allowing conscious regulation for activities like walking and lifting. This type of muscle is attached to bones and is responsible for movement in the body. Smooth muscle (Choice A) is involuntary and found in organs like the stomach and intestines. Cardiac muscle (Choice B and D) is also involuntary and specific to the heart, contracting rhythmically to pump blood, but it is not under conscious control.

3. Which organ system is primarily responsible for storing minerals?

• A. The skeletal system
• B. The endocrine system
• C. The lymphatic system
• D. The cardiovascular system

Correct answer: A

Rationale: The skeletal system is primarily responsible for storing minerals in the body. Bones serve as a storage site for essential minerals such as calcium and phosphorus, which are important for various bodily functions including bone strength, muscle contraction, and nerve signaling. The minerals stored in bones can be released into the bloodstream as needed to maintain optimal mineral levels in the body. The endocrine system is responsible for hormone regulation, not mineral storage. The lymphatic system is involved in immune function and fluid balance, not mineral storage. The cardiovascular system is responsible for circulating blood throughout the body, not storing minerals.

4. Which hormone is responsible for the regulation of calcium levels in the blood?

• A. Insulin
• B. Parathyroid hormone
• C. Cortisol
• D. Melatonin

Correct answer: B

Rationale: Parathyroid hormone, produced by the parathyroid glands, is responsible for regulating calcium levels in the blood. It achieves this by increasing calcium absorption in the intestines and kidneys, thus maintaining appropriate calcium levels in the bloodstream. Insulin is involved in glucose metabolism, not calcium regulation. Cortisol is a stress hormone that affects various body functions but not calcium levels. Melatonin is responsible for regulating the sleep-wake cycle, not calcium levels.

5. What is the function of the stomach in digestion?

• A. To absorb nutrients
• B. To break down food
• C. To secrete digestive enzymes
• D. To store glucose

Correct answer: B

Rationale: The correct answer is B: 'To break down food.' The stomach's primary function in digestion is to break down food mechanically and chemically. It accomplishes this by mixing food with gastric acid and digestive enzymes, resulting in the formation of chyme, a semi-liquid mixture that moves on to further digestion in the small intestine. Choice A is incorrect because the absorption of nutrients occurs mainly in the small intestine, not in the stomach. Choice C is incorrect because while the stomach does secrete digestive enzymes like pepsin, its primary role is not just limited to enzyme secretion. Choice D is incorrect because the storage of glucose primarily occurs in the liver and muscles, not in the stomach.

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