Nursing Elites

1. Edema, characterized by swelling due to fluid buildup, can be a sign of:

• A. Heart failure
• B. Liver disease
• C. Lymphatic system dysfunction
• D. All of the above

Correct answer: D

Rationale: Edema is the swelling caused by fluid retention in the body tissues. It can indicate various underlying conditions. Heart failure can lead to fluid buildup due to the heart's ineffective pumping. Liver disease can cause edema by reducing protein production, leading to fluid leakage into tissues. Dysfunction of the lymphatic system can impair fluid drainage, contributing to edema. Therefore, all of the above conditions can manifest with edema, making the correct answer 'All of the above.' Choices A, B, and C are all valid causes of edema, making them incorrect when considered individually. Selecting 'All of the above' encompasses all the possible causes of edema.

2. Which hormone is responsible for milk production in the breasts after childbirth?

• A. Estrogen
• B. Prolactin
• C. Oxytocin
• D. Relaxin

Correct answer: B

Rationale: Prolactin is the hormone responsible for milk production in the breasts after childbirth. It is produced by the pituitary gland and stimulates the mammary glands to produce milk. Estrogen aids in the development of breast tissue during pregnancy but is not directly involved in milk production. Oxytocin is responsible for milk ejection during breastfeeding, while Relaxin helps relax uterine muscles during pregnancy but is not directly linked to milk production.

3. Which of the following functions is NOT performed by the integumentary system, the skin?

• A. Protect internal tissues from injury
• B. Waterproof the body
• C. Help regulate body temperature
• D. Return fluid to the blood vessels

Correct answer: D

Rationale: The integumentary system, which includes the skin, performs various functions like protecting internal tissues from injury, waterproofing the body, and helping regulate body temperature. The function of returning fluid to the blood vessels is primarily associated with the lymphatic system, not the integumentary system. The skin contributes to fluid balance by regulating sweating and preventing excessive water loss, but it does not directly return fluid to the blood vessels, making this the correct answer. Choices A, B, and C are functions directly related to the integumentary system and are essential for maintaining the body's overall health and well-being.

4. What potential consequences can chromosomal nondisjunction have on offspring?

• A. Down syndrome, caused by an extra copy of chromosome 21.
• B. Turner syndrome, characterized by the absence of one X chromosome in females.
• C. Klinefelter syndrome, featuring one or more extra X chromosomes in males.
• D. All of the above.

Correct answer: D

Rationale: - Chromosomal nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division, leading to an abnormal number of chromosomes in the resulting cells. - Down syndrome is caused by an extra copy of chromosome 21, resulting from nondisjunction during meiosis. Individuals with Down syndrome have three copies of chromosome 21 instead of the usual two. - Turner syndrome is characterized by the absence of one X chromosome in females, leading to a variety of physical and developmental features. - Klinefelter syndrome features one or more extra X chromosomes in males, typically resulting in infertility and other physical characteristics. Therefore, chromosomal nondisjunction can lead to various genetic disorders such as Down syndrome, Turner syndrome, and Klinefelter syndrome, making option D the correct answer.

5. Which neuromuscular system controls voluntary movement?

• A. Autonomic
• B. Somatic
• C. Sympathetic
• D. Parasympathetic

Correct answer: B

Rationale: The correct answer is B, Somatic. The somatic nervous system controls voluntary movements of skeletal muscles. It is responsible for carrying sensory and motor information to and from the central nervous system. Choices A, C, and D are incorrect. The autonomic nervous system (choice A) controls involuntary functions such as heart rate and digestion. The sympathetic (choice C) and parasympathetic (choice D) nervous systems are subdivisions of the autonomic nervous system and are responsible for the body's fight-or-flight response and rest-and-digest functions, respectively.

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