Nursing Elites

1. Which type of muscles are involved in peristalsis?

• A. Smooth muscles
• B. Cardiac muscles
• C. Skeletal muscles
• D. Epaxial muscles

Correct answer: A

Rationale: Peristalsis is a coordinated, wave-like muscular contraction that propels food and other materials through the digestive tract. Smooth muscles are responsible for this movement in the gastrointestinal tract, providing the involuntary contractions needed for peristalsis to occur. Skeletal muscles, cardiac muscles, and epaxial muscles are not directly involved in peristalsis. Cardiac muscles are found in the heart and are responsible for its contraction. Skeletal muscles are attached to bones and control voluntary movements. Epaxial muscles are located along the vertebral column and are involved in the movement and stabilization of the spine.

2. What is the primary function of the kidneys in the urinary system?

• A. Regulating blood pressure
• B. Filtering blood to remove waste
• C. Producing red blood cells
• D. Regulating electrolyte balance

Correct answer: B

Rationale: The primary function of the kidneys in the urinary system is to filter blood to remove waste products and excess fluids, which are then excreted as urine. Kidneys act as a filtration system, removing waste like urea, excess salts, and toxins. While the kidneys do play a role in regulating blood pressure by secreting renin and maintaining electrolyte balance by adjusting the levels of sodium, potassium, and other ions in the blood, their main and essential function is filtration and waste removal, making choice B the correct answer.

3. Which gland produces hormones that regulate sleep?

• A. Thyroid gland
• B. Pineal gland
• C. Adrenal gland
• D. Pituitary gland

Correct answer: B

Rationale: The pineal gland secretes melatonin, a hormone that plays a crucial role in regulating the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels increasing in the evening to promote sleep and decreasing in the morning to signal wakefulness. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism, the adrenal gland produces hormones like adrenaline and cortisol related to stress response, and the pituitary gland controls various functions by releasing different hormones but not specifically related to regulating sleep.

4. What is the primary function of the alveoli in the lungs?

• A. Removing carbon dioxide from the blood
• B. Exchanging oxygen and carbon dioxide
• C. Transporting oxygen to the bloodstream
• D. Filtering blood

Correct answer: B

Rationale: The primary function of the alveoli in the lungs is to exchange oxygen and carbon dioxide. The alveoli are tiny air sacs in the lungs responsible for this gas exchange during breathing. Oxygen diffuses from the inhaled air into the blood in the capillaries surrounding the alveoli, while carbon dioxide diffuses from the blood into the alveoli to be exhaled out of the body. Choice A is incorrect because the alveoli primarily facilitate the exchange of gases, not just the removal of carbon dioxide. Choice C is incorrect as the alveoli do not transport oxygen to the bloodstream but rather facilitate the exchange of gases. Choice D is incorrect as the alveoli are not involved in filtering blood but in gas exchange to ensure proper oxygenation and removal of carbon dioxide in the respiratory process.

5. 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.

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