Nursing Elites

1. Which of the following touch receptors respond to light touch and slower vibrations?

• A. Merkel's discs
• B. Pacinian corpuscles
• C. Meissner's corpuscles
• D. Ruffini endings

Correct answer: A

Rationale: The correct answer is A, Merkel's discs. Merkel's discs are touch receptors that respond to light touch and slower vibrations, making them ideal for detecting subtle tactile stimuli. Pacinian corpuscles are specialized in detecting deep pressure and high-frequency vibrations, not light touch or slower vibrations. Meissner's corpuscles, on the other hand, are sensitive to light touch and low-frequency vibrations, but they do not specifically respond to slower vibrations. Ruffini endings are responsible for detecting skin stretch and continuous touch pressure, differentiating them from Merkel's discs, which are specifically attuned to light touch and slower vibrations.

2. Which hormone plays a key role in stimulating the release of milk from breast tissue after childbirth?

• A. Follicle-stimulating hormone (FSH)
• B. Luteinizing hormone (LH)
• C. Prolactin
• D. Estrogen

Correct answer: C

Rationale: Prolactin is the hormone responsible for stimulating the release of milk from breast tissue after childbirth. It is produced by the pituitary gland and plays a crucial role in lactation. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are involved in the menstrual cycle and reproductive processes, not milk production. Estrogen is a female sex hormone with various functions but is not directly involved in milk production.

3. Bile, stored in the gallbladder, aids in the digestion of which nutrient?

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: C

Rationale: Bile, produced by the liver and stored in the gallbladder, aids in the digestion of fats. Bile emulsifies fats, breaking them down into smaller droplets to increase the efficiency of fat digestion by enzymes like lipase. This process enhances the absorption of fats in the small intestine, facilitating the body's utilization of essential fatty acids and fat-soluble vitamins. Carbohydrates are primarily broken down by enzymes like amylase, proteins by pepsin and other proteases, and vitamins have varying digestion and absorption processes, which do not involve bile. Therefore, the correct answer is fats as they are directly influenced by bile in the digestion process.

4. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

5. Which valve prevents blood from entering the left atrium when the ventricles contract?

• A. Pulmonary valve
• B. Tricuspid valve
• C. Mitral valve
• D. Aortic valve

Correct answer: C

Rationale: The correct answer is the mitral valve, also known as the bicuspid valve. The mitral valve prevents blood from flowing back into the left atrium during ventricular contraction. The tricuspid valve is located between the right atrium and right ventricle, the pulmonary valve is between the right ventricle and the pulmonary artery, and the aortic valve is situated between the left ventricle and the aorta. Therefore, choices A, B, and D are incorrect as they are not related to preventing blood from entering the left atrium during ventricular contraction.

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