Nursing Elites

1. Which organ is responsible for filtering and cleaning the blood?

• A. Lungs
• B. Heart
• C. Kidneys
• D. Liver

Correct answer: C

Rationale: The correct answer is C: Kidneys. The kidneys are the organs responsible for filtering and cleaning the blood. They remove waste products, regulate electrolyte levels, and help maintain fluid balance in the body through the production of urine. The other choices are incorrect because: A) Lungs are primarily responsible for gas exchange, not blood filtration. B) The heart is responsible for pumping blood, not filtering it. D) The liver plays a role in detoxification and metabolism, but it is not primarily responsible for filtering and cleaning the blood.

2. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

3. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

4. What substance makes up the pads that provide support between the vertebrae?

• A. bone
• B. cartilage
• C. tendon
• D. fat

Correct answer: B

Rationale: Cartilage is the correct answer as it is the substance that makes up the pads between the vertebrae. Cartilage provides cushioning and support between the bones of the spine, allowing for flexibility and preventing friction between the vertebrae. Bone (choice A) is incorrect as it forms the structure of the vertebrae, not the intervertebral discs. Tendon (choice C) is incorrect as it connects muscle to bone and is not found between the vertebrae. Fat (choice D) is incorrect as it is not the substance that makes up the pads between the vertebrae.

5. Which hormone is released by the adrenal medulla?

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

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

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