Nursing Elites

1. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

2. Which of the following describes the general function of cytokines in the immune system?

• A. They communicate between cells to instigate an immune response.
• B. They inhibit blood clotting during inflammation responses.
• C. They bind to specific pathogens to increase pathogen mass.
• D. They transport pathogens trapped in mucus to be destroyed in the stomach.

Correct answer: A

Rationale: The correct answer is A: 'They communicate between cells to instigate an immune response.' Cytokines are signaling molecules that act as messengers between cells in the immune system, playing a vital role in coordinating and regulating immune responses. They communicate with various immune cells to initiate appropriate responses against pathogens. Choice B is incorrect because cytokines do not inhibit blood clotting but rather regulate immune responses. Choice C is incorrect as cytokines do not bind to specific pathogens to increase their mass; instead, they regulate the immune response. Choice D is also incorrect because cytokines do not transport pathogens trapped in mucus to the stomach for destruction; they primarily function as signaling molecules within the immune system.

3. Which type of epithelium lines the inner surface of the oral cavity, providing a barrier against external insults?

• A. Simple squamous epithelium
• B. Stratified squamous epithelium
• C. Simple columnar epithelium
• D. Pseudostratified columnar epithelium

Correct answer: B

Rationale: The oral cavity is constantly exposed to mechanical stress and potential injury from food particles and other external factors. To protect against these insults, a strong and resilient epithelium is needed. Stratified squamous epithelium is the best choice for lining the oral cavity due to its multiple layers of cells. This type of epithelium provides a robust barrier that can withstand abrasion and protect the underlying tissues. Simple squamous epithelium (choice A) is too thin and not suitable for a protective function. Simple columnar epithelium (choice C) is more suited for absorption and secretion functions, not protection against mechanical stress. Pseudostratified columnar epithelium (choice D) is found in respiratory passages and functions in mucociliary clearance, not in providing a protective barrier against external insults in the oral cavity.

4. Which of the following is NOT a common location for lymph nodes?

• A. Groin
• B. Armpit
• C. Neck
• D. Liver

Correct answer: D

Rationale: The correct answer is 'D: Liver.' The liver is not a common location for lymph nodes. Lymph nodes are small, bean-shaped structures distributed throughout the body, including common sites like the groin, armpit, and neck. They play a crucial role in the immune system by filtering lymph fluid and trapping harmful substances, aiding the body in defending against infections and diseases. The liver, on the other hand, is an organ responsible for various functions like detoxification, metabolism, and storage, but it does not house lymph nodes.

5. In the context of the cardiac cycle, what does the P wave on an electrocardiogram (ECG) represent?

• A. Atrial depolarization
• B. Ventricular depolarization
• C. Atrial repolarization
• D. Ventricular repolarization

Correct answer: A

Rationale: The P wave on an electrocardiogram (ECG) represents atrial depolarization, which signifies the electrical activation of the atria as they prepare to contract. During the cardiac cycle, atrial depolarization occurs first, leading to atrial contraction. Ventricular depolarization is represented by the QRS complex, not the P wave. Choices B, C, and D are incorrect because the P wave specifically corresponds to atrial depolarization, not ventricular depolarization, atrial repolarization, or ventricular repolarization.

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