Nursing Elites

1. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath.
• D. Numbness or tingling in the extremities.

Correct answer: B

Rationale: Chest pain or discomfort is the most common symptom of angina pectoris. This pain is often described as squeezing, pressure, heaviness, tightness, or pain in the chest. Fever and chills, sudden onset of severe shortness of breath, and numbness or tingling in the extremities are not typical symptoms of angina pectoris. The pain associated with angina is usually triggered by physical or emotional stress and typically subsides with rest or medication, distinguishing it from other conditions.

2. If an organism is AB, which of the following combinations in the gametes is NOT possible?

• A. AB
• B. AA
• C. BB
• D. AB

Correct answer: B

Rationale: The correct answer is B. If an organism is AB, it indicates that it carries two different alleles. During gamete formation, each gamete receives only one allele from the pair present in the organism. Therefore, in this case, the possible gametes would be 'A' and 'B,' making 'AA' impossible. Choice A, 'AB,' is possible as each gamete can carry one of the alleles from the genotype. Similarly, 'BB' is also possible if one of the alleles separates into a gamete. Choice D, 'AB,' is essentially the same genotype as the organism and is a possible combination in the gametes.

3. The 'fight-or-flight' response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

4. Why is an extensive network of blood vessels necessary to supply the endocrine glands?

• A. To filter waste from the blood
• B. Because the glands empty directly into the blood
• C. To allow blood to empty into the endocrine system
• D. To filter waste from the endocrine glands

Correct answer: B

Rationale: The correct answer is B. Endocrine glands release hormones directly into the blood, which is why they require a rich blood supply to ensure effective hormone distribution throughout the body. The extensive network of blood vessels allows hormones to be quickly transported to target tissues and organs, regulating various physiological functions. Choices A, C, and D are incorrect because endocrine glands do not filter waste from the blood or the glands themselves. They release hormones into the bloodstream to regulate bodily functions, making a direct connection to the blood supply crucial for their function.

5. Which neurotransmitter is involved in muscle movement?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. GABA

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for muscle movement. It is released from motor neurons at the neuromuscular junction and binds to receptors on muscle fibers, initiating muscle contraction. Dopamine, serotonin, and GABA serve different functions in the brain and body, such as regulating mood, sleep, and inhibitory signaling, respectively. Therefore, choices A, C, and D are incorrect in the context of muscle movement.

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