Nursing Elites

1. Which chamber of the heart is the strongest and largest?

• A. Left atrium
• B. Right atrium
• C. Right ventricle
• D. Left ventricle

Correct answer: D

Rationale: The left ventricle is the largest and most powerful chamber of the heart. It receives oxygenated blood from the left atrium and pumps it out to the body through the aorta, providing the body's tissues with vital oxygen and nutrients. The left atrium primarily acts as a receiving chamber for oxygenated blood from the lungs. The right atrium receives deoxygenated blood from the body, while the right ventricle pumps this blood to the lungs for oxygenation. Therefore, the correct answer is the left ventricle, as it is responsible for pumping oxygenated blood to the body.

2. Which structure is responsible for carrying oxygen to the cells?

• A. Hemoglobin
• B. Plasma
• C. Platelets
• D. Red blood cells

Correct answer: A

Rationale: Hemoglobin, located in red blood cells, is responsible for binding to oxygen in the lungs and transporting it to tissues throughout the body. Red blood cells contain hemoglobin, making them the primary carrier of oxygen to cells. Hemoglobin is the correct answer because it is the protein within red blood cells that directly binds to oxygen for transport. Plasma is the liquid component of blood and does not carry oxygen. Platelets are responsible for blood clotting and have no role in oxygen transport. While red blood cells do carry oxygen, it is specifically the hemoglobin within them that performs this function.

3. Which of the following structures has the lowest blood pressure?

• A. arteries
• B. arterioles
• C. venules
• D. veins

Correct answer: D

Rationale: Veins have the lowest blood pressure among the listed structures. This is because veins carry blood back to the heart at a slower rate compared to arteries, arterioles, and venules. The lower blood pressure in veins allows for the efficient return of blood to the heart despite the decreased pressure. Arteries have high blood pressure as they transport blood away from the heart at a rapid rate. Arterioles are smaller branches of arteries and contribute to resistance in the circulatory system, leading to a pressure drop. Venules are small blood vessels that collect blood from capillaries and gradually converge into veins, having slightly higher pressure than veins.

4. Which hormone is released in response to low blood glucose levels?

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

Correct answer: B

Rationale: Glucagon is the hormone released in response to low blood glucose levels. When blood glucose levels drop, the pancreas secretes glucagon to stimulate the liver to break down glycogen into glucose, increasing blood sugar levels. This helps to restore the body's glucose balance. Insulin, on the other hand, is released in response to high blood glucose levels to lower blood sugar by promoting glucose uptake by cells. Cortisol is a stress hormone, and adrenaline is released in response to stress or danger, not specifically to regulate blood glucose levels.

5. 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.

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