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. Where does primary peristalsis occur?

• A. Esophagus
• B. Stomach
• C. Nervous system
• D. Small intestine

Correct answer: A

Rationale: Primary peristalsis occurs in the esophagus. Peristalsis is the coordinated muscular contractions that propel food through the digestive tract. In the esophagus, primary peristalsis is the involuntary wave-like contractions that push food from the mouth to the stomach. It is the natural and automatic process that occurs to facilitate the movement of food during digestion. The stomach (choice B), nervous system (choice C), and small intestine (choice D) are not the primary sites where peristalsis occurs in the digestive system.

3. Which part of the brain is involved in the regulation of heart rate and breathing?

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

Correct answer: C

Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata, situated in the brainstem, plays a crucial role in regulating vital functions such as heart rate, breathing, and blood pressure. It serves as the control center for involuntary actions, ensuring the body's automatic functions work properly. Choices A, B, and D are incorrect because the cerebrum is primarily responsible for functions such as thinking, voluntary movements, and sensory processing; the cerebellum is involved in coordination, balance, and muscle control; and the hypothalamus regulates body temperature, thirst, hunger, and some aspects of the autonomic nervous system but not specifically heart rate and breathing.

4. Which of the following structures has the lowest blood pressure?

• A. arteries
• B. arterioles
• C. venules
• D. veins

Correct answer: D

Rationale: Veins have the lowest blood pressure among the listed structures. This is because veins carry blood back to the heart at a slower rate compared to arteries, arterioles, and venules. The lower blood pressure in veins allows for the efficient return of blood to the heart despite the decreased pressure. Arteries have high blood pressure as they transport blood away from the heart at a rapid rate. Arterioles are smaller branches of arteries and contribute to resistance in the circulatory system, leading to a pressure drop. Venules are small blood vessels that collect blood from capillaries and gradually converge into veins, having slightly higher pressure than veins.

5. Which gland produces the hormone melatonin?

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

Correct answer: A

Rationale: The correct answer is the Pineal gland. The pineal gland is responsible for producing melatonin, a hormone that helps regulate the sleep-wake cycle. Melatonin secretion is influenced by light exposure. Higher levels are observed at night to promote sleep, while lower levels during the day encourage wakefulness. Choices B, C, and D are incorrect as they are not associated with the production of melatonin. The thyroid gland produces hormones like thyroxine and triiodothyronine, the pituitary gland controls various other glands, and the adrenal gland produces hormones like adrenaline and cortisol.

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