Nursing Elites

1. What is the bottom number in a blood pressure reading?

• A. Diastolic pressure
• B. Systolic pressure
• C. Pulse rate
• D. Mean arterial pressure

Correct answer: A

Rationale: The correct answer is A: Diastolic pressure. The bottom number in a blood pressure reading represents the diastolic pressure, which indicates the lowest pressure in the arteries when the heart is resting between beats. This value is important in understanding the overall health of the cardiovascular system. Choice B, Systolic pressure, is the top number in a blood pressure reading and represents the pressure in the arteries when the heart is contracting. Choice C, Pulse rate, refers to the number of times the heart beats in a minute. Choice D, Mean arterial pressure, is a calculated value using both systolic and diastolic pressures to provide an average pressure in the arteries during a cardiac cycle, but it is not the bottom number in a blood pressure reading.

2. Parkinson's disease is a neurodegenerative disorder affecting which neurotransmitter?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Glutamate

Correct answer: A

Rationale: Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter that plays a crucial role in coordinating movement. The reduction of dopamine levels leads to the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia. Choice B, acetylcholine, is involved in functions like muscle contraction and autonomic nervous system regulation but is not primarily affected in Parkinson's disease. Serotonin (Choice C) is involved in mood regulation and sleep, not the main neurotransmitter affected in Parkinson's disease. Glutamate (Choice D) is the major excitatory neurotransmitter in the central nervous system and is not primarily implicated in Parkinson's disease pathophysiology.

3. Melatonin is a hormone produced by the pineal gland. What is its primary function?

• A. Regulate blood pressure
• B. Stimulate the digestive system
• C. Control sleep-wake cycles
• D. Maintain bone density

Correct answer: C

Rationale: Melatonin is primarily known for its role in controlling sleep-wake cycles. It is produced by the pineal gland in response to darkness, helping signal the body that it is time to sleep. Melatonin levels typically rise in the evening and stay elevated throughout the night, promoting sleep. Choices A, B, and D are incorrect as melatonin's primary function is not to regulate blood pressure, stimulate the digestive system, or maintain bone density. While melatonin may have some indirect effects on these functions, its main role lies in regulating the circadian rhythm and promoting a restful sleep cycle.

4. Which of the following bones is part of the axial skeleton?

• A. Femur
• B. Humerus
• C. Skull
• D. Pelvis

Correct answer: C

Rationale: The correct answer is C: Skull. The axial skeleton consists of bones along the body's central axis, including the skull, vertebral column, ribs, and sternum. Choices A, B, and D are incorrect because the femur, humerus, and pelvis are part of the appendicular skeleton, which comprises the bones of the limbs and girdles.

5. Which neurotransmitter is involved in muscle movement?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. GABA

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for muscle movement. It is released from motor neurons at the neuromuscular junction and binds to receptors on muscle fibers, initiating muscle contraction. Dopamine, serotonin, and GABA serve different functions in the brain and body, such as regulating mood, sleep, and inhibitory signaling, respectively. Therefore, choices A, C, and D are incorrect in the context of muscle movement.

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