Nursing Elites

1. Which might be a result of stenosis, or narrowing of a heart valve?

• A. Abdominal pain
• B. Blood clots
• C. Edema (swelling) in organs
• D. Irregular heartbeat

Correct answer: D

Rationale: Stenosis, or narrowing of a heart valve, restricts blood flow through the valve, leading to changes in the heart's normal rhythm. This alteration can result in an irregular heartbeat, making it a common consequence of heart valve stenosis. Abdominal pain, blood clots, and organ swelling are not typically associated with stenosis of a heart valve.

2. To which two systems does the urethra belong?

• A. Reproductive and endocrine
• B. Urinary and reproductive
• C. Endocrine and urinary
• D. Digestive and cardiovascular

Correct answer: B

Rationale: The urethra belongs to both the urinary and reproductive systems. In the urinary system, it functions as a passage for urine from the bladder to exit the body. In the reproductive system, it serves as a conduit for the expulsion of semen during ejaculation. Choice A is incorrect because the urethra is not part of the endocrine system. Choice C is also incorrect because the urethra is not primarily associated with the endocrine system. Choice D is incorrect as the urethra is not part of the digestive or cardiovascular systems.

3. Which gland is located on top of the kidneys?

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

Correct answer: A

Rationale: The correct answer is the Adrenal gland. The adrenal glands are located on top of the kidneys. They produce hormones such as adrenaline and cortisol, which play essential roles in regulating metabolism, immune response, and stress in the body. The Thyroid gland, Pineal gland, and Pancreas are not located on top of the kidneys. The Thyroid gland is located in the neck, the Pineal gland in the brain, and the Pancreas behind the stomach.

4. Which hormone is released by the adrenal glands during stress?

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

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is released by the adrenal glands during stress to prepare the body for rapid action. It helps in triggering the body's fight-or-flight response, increasing heart rate, and providing a burst of energy when faced with stressful situations. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not by the adrenal glands. Melatonin (Choice C) is a hormone that regulates sleep-wake cycles and is produced by the pineal gland, not the adrenal glands. Cortisol (Choice D) is another hormone produced by the adrenal glands, but it is not the primary hormone released during immediate stress responses; it is more involved in long-term stress regulation.

5. Where is a herniated lumbar disc most likely to cause pain?

• A. Along the radial nerve
• B. Within the spinal cord
• C. Along the sciatic nerve
• D. Along the tibial nerve

Correct answer: C

Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.

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