Nursing Elites

1. 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.

2. What is the function of the medulla oblongata in the brain?

• A. To control breathing and heart rate
• B. To regulate body temperature
• C. To coordinate voluntary movements
• D. To process sensory information

Correct answer: A

Rationale: The correct answer is A: To control breathing and heart rate. The medulla oblongata is a vital part of the brainstem responsible for regulating essential functions such as breathing, heart rate, and blood pressure. These functions are crucial for maintaining life, and the medulla oblongata plays a key role in ensuring the body's survival. Choices B, C, and D are incorrect because regulating body temperature is primarily controlled by the hypothalamus, coordinating voluntary movements is associated with the cerebellum and motor cortex, and processing sensory information is related to the thalamus and sensory cortex, not the medulla oblongata.

3. When an individual is under stress, hormones are released. Which of the following is not one of the locations where hormones are released when under stress?

• A. Parathyroid gland
• B. Adrenal cortex
• C. Posterior pituitary
• D. Hypothalamus

Correct answer: A

Rationale: The parathyroid gland is not a location where hormones are typically released during stress. It primarily regulates calcium levels in the blood through the release of parathyroid hormone (PTH). On the other hand, the adrenal cortex releases hormones like cortisol in response to stress, the posterior pituitary releases oxytocin and antidiuretic hormone, and the hypothalamus plays a crucial role in coordinating stress responses through the release of corticotropin-releasing hormone (CRH). Therefore, the parathyroid gland is the correct answer as it is not directly involved in the stress response pathway.

4. What is a common finding in a whiplash injury?

• A. Cardiopulmonary issues
• B. Side-to-side spinal curvature
• C. Eventual herniation of discs
• D. Traumatic injury to ligaments

Correct answer: D

Rationale: A common finding in a whiplash injury is a traumatic injury to ligaments. Whiplash occurs due to sudden hyperextension and hyperflexion of the neck, leading to strain or tearing of ligaments in the neck. This can manifest as neck pain, stiffness, and limited range of motion. While other complications like cardiopulmonary problems, side-to-side spinal curvature, or eventual herniation of discs are not typically associated with whiplash injuries.

5. The cheekbones are positioned ___________ to the nose.

• A. anterior
• B. proximal
• C. deep
• D. lateral

Correct answer: D

Rationale: The term 'lateral' refers to the direction away from the midline of the body. In this case, the cheekbones are situated to the sides of the nose, making them lateral to the nose. Therefore, 'lateral' correctly describes the position of the cheekbones in relation to the nose. Choices A, B, and C are incorrect: A. 'Anterior' means situated at or towards the front, which is not the correct description of the cheekbones in relation to the nose. B. 'Proximal' means situated nearer to the center of the body, which is not the correct description of the cheekbones' position in relation to the nose. C. 'Deep' refers to being situated further away from the surface, which is not the appropriate term to describe the cheekbones' position in relation to the nose.

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