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 normal pH of human arterial blood?

• A. 6.8
• B. 7.4
• C. 7.9
• D. 8.2

Correct answer: B

Rationale: The normal pH of human arterial blood is approximately 7.4. This slightly alkaline pH is crucial for the proper functioning of enzymes and biochemical processes in the body. Any significant deviation from this pH level can result in serious health issues such as acidosis or alkalosis. Choice A (6.8) is incorrect as it is lower than the normal pH of arterial blood, indicating acidity. Choice C (7.9) and Choice D (8.2) are incorrect as they are higher than the normal pH of arterial blood, indicating alkalinity.

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 produces melatonin?

• A. Pineal gland
• B. Thyroid gland
• C. Adrenal gland
• D. Pituitary gland

Correct answer: A

Rationale: The correct answer is the Pineal gland. This gland is responsible for producing melatonin, a hormone that helps regulate the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels typically rising in the evening to promote sleep and falling in the morning to aid wakefulness. The Thyroid gland (choice B) produces hormones that regulate metabolism, the Adrenal gland (choice C) produces hormones like adrenaline and cortisol, and the Pituitary gland (choice D) controls several other glands in the endocrine system.

5. Which type of blood vessel carries oxygenated blood away from the heart?

• A. Veins
• B. Arteries
• C. Capillaries
• D. Lymphatic vessels

Correct answer: B

Rationale: Arteries are blood vessels that carry oxygenated blood away from the heart to supply tissues and organs with oxygen and nutrients. Veins carry deoxygenated blood back to the heart. Capillaries facilitate the exchange of nutrients and gases between the blood and tissues. Lymphatic vessels are part of the lymphatic system responsible for returning interstitial fluid to the bloodstream. Therefore, the correct answer is arteries as they carry oxygenated blood away from the heart.

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