Nursing Elites

1. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

• A. Pleura
• B. Trachea
• C. Bronchioles
• D. Alveoli

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

2. Which of the following endocrine system glands releases the thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormones?

• A. Thymus
• B. Pituitary gland
• C. Pineal gland
• D. Hypothalamus

Correct answer: D

Rationale: The correct answer is D, the Hypothalamus. The hypothalamus is responsible for releasing various essential hormones, including thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormones. These hormones play crucial roles in regulating the functions of other endocrine glands by stimulating or inhibiting their hormone production. The Thymus (choice A) is primarily involved in the immune system, the Pituitary gland (choice B) secretes various hormones but not the ones specified in the question, and the Pineal gland (choice C) mainly produces melatonin, which regulates sleep-wake cycles, and is not related to the hormones mentioned in the question.

3. Which hormone is not produced by the pituitary gland?

• A. FSH
• B. TRH
• C. LH
• D. ADH

Correct answer: B

Rationale: Thyrotropin-releasing hormone (TRH) is not produced by the pituitary gland. TRH is actually produced by the hypothalamus and acts on the pituitary gland to stimulate the release of thyroid-stimulating hormone (TSH). On the other hand, FSH (follicle-stimulating hormone), LH (luteinizing hormone), and ADH (antidiuretic hormone) are all hormones directly produced by the pituitary gland.

4. What condition might result from a lack of vitamin C?

• A. Kwashiorkor
• B. Pellagra
• C. Rickets
• D. Scurvy

Correct answer: D

Rationale: Scurvy is the correct answer. Scurvy is a condition caused by a deficiency of vitamin C in the diet. Vitamin C is essential for collagen synthesis, and its deficiency leads to symptoms such as weakness, swollen and bleeding gums, joint pain, fatigue, and easy bruising. If left untreated, scurvy can lead to more severe complications. Choices A, B, and C are incorrect. Kwashiorkor is a severe form of malnutrition due to insufficient protein intake, pellagra is caused by a deficiency of niacin (vitamin B3), and rickets results from a deficiency of vitamin D, calcium, or phosphate.

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

• A. Veins
• B. Arteries
• C. Capillaries
• D. Nerves

Correct answer: B

Rationale: Arteries are blood vessels that carry oxygenated blood away from the heart to the rest of the body. They have thick, muscular walls to withstand the high pressure generated by the heart's contractions, ensuring efficient transport of blood throughout the body. Veins, on the other hand, carry deoxygenated blood back to the heart, while capillaries facilitate the exchange of nutrients, oxygen, and waste products between the blood and tissues. Nerves are not involved in the transport of blood.

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