Nursing Elites

1. Which of the following chambers of the heart receives blood returning from the lungs during pulmonary circulation?

• A. left atrium
• B. right atrium
• C. left ventricle
• D. right ventricle

Correct answer: A

Rationale: The correct answer is A, the left atrium. During pulmonary circulation, oxygenated blood returns from the lungs to the heart and enters the left atrium through the pulmonary veins. The left atrium then contracts, pushing this oxygen-rich blood into the left ventricle. The left ventricle subsequently pumps this oxygenated blood out to the rest of the body through the aorta. Choices B, C, and D are incorrect because the right atrium receives deoxygenated blood from the body, the left ventricle receives oxygenated blood from the left atrium, and the right ventricle pumps deoxygenated blood to the lungs for oxygenation, respectively.

2. The pancreas releases a number of digestive enzymes into the small intestine. Which of the following enzymes is NOT produced by the pancreas?

• A. Trypsin (protein digestion)
• B. Amylase (carbohydrate digestion)
• C. Lipase (fat digestion)
• D. Lactase (sugar digestion)

Correct answer: D

Rationale: Lactase is an enzyme responsible for breaking down lactose, a sugar found in dairy products, and it is produced by the small intestine, not the pancreas. The pancreas produces enzymes like trypsin for protein digestion, amylase for carbohydrate digestion, and lipase for fat digestion. Therefore, the correct answer is D. Choices A, B, and C are incorrect because trypsin, amylase, and lipase are indeed enzymes produced by the pancreas for the digestion of proteins, carbohydrates, and fats, respectively.

3. Melatonin is a hormone produced by the pineal gland. What is its primary function?

• A. Regulate blood pressure
• B. Stimulate the digestive system
• C. Control sleep-wake cycles
• D. Maintain bone density

Correct answer: C

Rationale: Melatonin is primarily known for its role in controlling sleep-wake cycles. It is produced by the pineal gland in response to darkness, helping signal the body that it is time to sleep. Melatonin levels typically rise in the evening and stay elevated throughout the night, promoting sleep. Choices A, B, and D are incorrect as melatonin's primary function is not to regulate blood pressure, stimulate the digestive system, or maintain bone density. While melatonin may have some indirect effects on these functions, its main role lies in regulating the circadian rhythm and promoting a restful sleep cycle.

4. Which organ stores and concentrates bile?

• A. Liver
• B. Gallbladder
• C. Pancreas
• D. Stomach

Correct answer: B

Rationale: The correct answer is B: Gallbladder. The gallbladder is the organ that stores and concentrates bile produced by the liver. Bile is essential for the digestion of fats in the small intestine. The liver produces bile, which is then stored and concentrated in the gallbladder until it is released into the small intestine when needed. Choices A, C, and D are incorrect because the liver produces bile, the pancreas produces digestive enzymes, and the stomach is primarily involved in the digestion of food through acid secretion and mechanical processes, not in storing bile.

5. Which of the following is an example of the location and function of cartilage in the body?

• A. The dense connective tissue that makes up the majority of the structural skeleton
• B. The supportive pads that provide cushioning at joints, such as between the vertebrae of the spinal cord
• C. The connective structure made of fibrous collagen that connects muscles and bones
• D. The layer beneath the skin and on the outside of internal organs that provides cushioning and protection

Correct answer: B

Rationale: Cartilage is a type of flexible connective tissue that acts as supportive pads providing cushioning at joints, like those found between the vertebrae of the spine. This specific function of cartilage helps in reducing friction and absorbing shock in these areas, contributing to joint flexibility and protection. Choices A, C, and D do not accurately describe the function and location of cartilage in the body. Option A incorrectly refers to dense connective tissue, which is different from cartilage. Option C describes tendons or ligaments, which are not cartilage. Option D refers to adipose tissue, which is a type of connective tissue that stores fat and provides insulation, but it is not cartilage.

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