Nursing Elites

1. Which of the following functions is not controlled by the autonomic nervous system?

• A. Digestion
• B. Walking
• C. Heartbeat
• D. Temperature regulation

Correct answer: B

Rationale: The correct answer is B: Walking. Walking is not directly controlled by the autonomic nervous system. Walking is a voluntary action governed by the somatic nervous system, which controls voluntary skeletal muscle movement. The autonomic nervous system, on the other hand, regulates functions that are involuntary, such as digestion, heartbeat, and temperature regulation. Choices A, C, and D are all functions controlled by the autonomic nervous system. Digestion involves processes like peristalsis and secretion of digestive enzymes, heartbeat is regulated by the autonomic nervous system to maintain blood pressure and circulation, and temperature regulation includes responses like sweating or shivering to maintain body temperature within a narrow range.

2. What is the waste product of protein digestion?

• A. Glucose
• B. Amino acids
• C. Fatty acids
• D. Ammonia

Correct answer: D

Rationale: The waste product of protein digestion is ammonia. Protein digestion breaks down proteins into amino acids, and during this process, ammonia is produced. Ammonia is toxic and needs to be converted into urea in the liver for excretion via urine. Glucose is a product of carbohydrate digestion, amino acids are building blocks of proteins, and fatty acids are the end products of fat digestion. Therefore, the correct answer is ammonia.

3. Which layer of the skin, containing connective tissue, blood vessels, and nerve endings, is located beneath the epidermis?

• A. Epidermis
• B. Dermis
• C. Hypodermis
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is the dermis. The dermis is the deeper layer of the skin that contains connective tissue, blood vessels, and nerve endings. It is located beneath the epidermis and provides structural support, nourishment, and sensitivity to the skin. The epidermis is the outermost layer of the skin responsible for protection. The hypodermis, also known as the subcutaneous layer, is the deepest layer that contains fat cells and plays a role in insulation and energy storage. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells that are continually shed and replaced.

4. Which hormone stimulates the release of calcium from bones and increases blood calcium levels?

• A. Parathyroid hormone (PTH)
• B. Calcitonin
• C. Growth hormone
• D. Testosterone

Correct answer: A

Rationale: Parathyroid hormone (PTH) is the correct answer. PTH stimulates the release of calcium from bones, leading to increased blood calcium levels. It acts on the bones to release calcium into the bloodstream, facilitates the kidneys' reabsorption of calcium, and triggers vitamin D activation to boost calcium absorption from the intestines. Choice B, Calcitonin, is incorrect as it works in opposition to PTH by decreasing blood calcium levels through inhibiting calcium release from bones. Choices C and D, Growth hormone and Testosterone, are not directly involved in calcium homeostasis and do not regulate blood calcium levels through bone calcium release mechanisms.

5. Which of the following correctly orders the layers of the epidermis from most superficial to deepest?

• A. S. spinosum, S. basale, S. corneum, S. granulosum, S. lucidum
• B. S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale
• C. S. corneum, S. spinosum, S. basale, S. granulosum, S. lucidum
• D. S. basale, S. spinosum, S. granulosum, S. lucidum, S. corneum

Correct answer: B

Rationale: The correct order of the layers of the epidermis from most superficial to deepest is: Stratum corneum, Stratum lucidum, Stratum granulosum, Stratum spinosum, Stratum basale. Choice B, 'S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale,' provides the accurate layering from the outermost to the innermost layer of the epidermis. Choice A is incorrect as it starts with Stratum spinosum, which is not the most superficial layer. Choice C is incorrect as it places Stratum spinosum before Stratum basale. Choice D is incorrect as it starts with Stratum basale, which is the deepest layer of the epidermis.

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