Nursing Elites

1. Which structure in the kidney is responsible for filtering blood?

• A. Glomerulus
• B. Bowman's capsule
• C. Loop of Henle
• D. Collecting duct

Correct answer: A

Rationale: The glomerulus is the correct answer. It is a vital structure in the kidney responsible for filtering blood. The glomerulus is a network of capillaries that filters waste products and excess substances from the blood to form urine. While the Bowman's capsule, Loop of Henle, and Collecting duct are also essential components of the nephron, the primary site of blood filtration occurs at the glomerulus. The Bowman's capsule surrounds the glomerulus and collects the filtered fluid, the Loop of Henle reabsorbs water and important ions, and the Collecting duct further concentrates the urine, but none of these structures are primarily responsible for filtering blood as the glomerulus is.

2. A tissue examined under the microscope exhibits the following characteristics: cells found on the internal surface of the stomach, no extracellular matrix, cells tall and thin, and no blood vessels in the tissue. What type of tissue is this?

• A. Epithelial
• B. Connective
• C. Muscle
• D. Cartilage

Correct answer: A

Rationale: The correct answer is 'Epithelial.' Epithelial tissue is characterized by cells that cover internal and external surfaces, such as the lining of the stomach. It lacks an extracellular matrix, has tall and thin cells, and does not contain blood vessels. The other choices are incorrect because connective tissue typically has an extracellular matrix, muscle tissue is composed of contractile cells, and cartilage is a type of connective tissue with a specific extracellular matrix and cell arrangement.

3. What is the primary function of the kidneys in the urinary system?

• A. To filter waste from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To maintain fluid balance

Correct answer: A

Rationale: The correct answer is A: 'To filter waste from the blood.' The primary function of the kidneys in the urinary system is to filter waste products and excess substances from the blood, forming urine, which is then excreted from the body. This process helps maintain the body's internal environment by regulating the balance of electrolytes, fluid levels, and eliminating metabolic waste products. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and maintain fluid balance, their primary function within the urinary system is the filtration of waste from the blood.

4. Which gland is located superior to the kidney?

• A. Pituitary
• B. Adrenal
• C. Hypothalamus
• D. Pancreas

Correct answer: B

Rationale: The adrenal gland is located superior to the kidney. Each kidney is surrounded by an adrenal gland, also known as the suprarenal gland, situated on top of the kidneys. The pituitary gland (A) is located in the brain, while the hypothalamus (C) is also in the brain, above the pituitary gland. The pancreas (D) is located in the abdomen, near the stomach and small intestine, not superior to the kidney.

5. Which hormone is produced by the adrenal medulla?

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

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is the correct hormone produced by the adrenal medulla. It plays a crucial role in the body's fight-or-flight response, increasing heart rate, dilating airways, and mobilizing energy stores to prepare the body for perceived threats. Insulin (Choice A) is produced by the pancreas and regulates blood sugar levels, not by the adrenal medulla. Cortisol (Choice C) is produced by the adrenal cortex and is involved in regulating metabolism, immune response, and stress. Melatonin (Choice D) is produced by the pineal gland and regulates the sleep-wake cycle.

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