Nursing Elites

1. 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.

2. Which part of the brain controls involuntary actions such as breathing and heart rate?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Hypothalamus

Correct answer: C

Rationale: The medulla oblongata, located at the base of the brainstem, controls essential involuntary actions such as breathing, heart rate, and blood pressure. It plays a crucial role in maintaining vital functions necessary for survival. The cerebrum is responsible for voluntary actions, conscious thought, and sensory processing, making it an incorrect choice. The cerebellum primarily coordinates movement, balance, and posture, not involuntary actions like breathing and heart rate. The hypothalamus regulates body temperature, thirst, hunger, and controls the endocrine system, but it is not directly responsible for controlling breathing and heart rate.

3. Which type of muscle tissue is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Cardiac muscle

Correct answer: C

Rationale: Skeletal muscle is under voluntary control, allowing conscious regulation for activities like walking and lifting. This type of muscle is attached to bones and is responsible for movement in the body. Smooth muscle (Choice A) is involuntary and found in organs like the stomach and intestines. Cardiac muscle (Choice B and D) is also involuntary and specific to the heart, contracting rhythmically to pump blood, but it is not under conscious control.

4. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

5. Which hormone regulates blood sugar levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Thyroxine

Correct answer: A

Rationale: Insulin is the hormone that regulates blood sugar levels by promoting the uptake of glucose into cells. It is produced by the pancreas and helps to lower blood sugar levels when they are too high. Glucagon, on the other hand, works in opposition to insulin by raising blood sugar levels when they are too low. Cortisol and thyroxine play different roles in the body and are not primarily responsible for regulating blood sugar levels.

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