what is the role of the kidneys in the urinary system
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Nursing Elites

HESI A2

HESI A2 Practice Test Anatomy and Physiology

1. What is the function of the kidneys in the urinary system?

Correct answer: A

Rationale: The correct answer is A: 'To filter blood and remove waste.' The kidneys play a crucial role in the urinary system by filtering blood to remove waste products and excess fluids, which are then excreted as urine. This process helps maintain the body's internal balance by regulating electrolyte levels and controlling blood pressure. Choices B, C, and D are incorrect because the kidneys do not produce red blood cells (bone marrow does), regulate blood pressure directly (although they indirectly influence it through the renin-angiotensin-aldosterone system), or absorb water (they regulate water balance but do not absorb water).

2. Where does primary peristalsis occur?

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 vitamin is essential for the formation of red blood cells?

Correct answer: B

Rationale: Vitamin B12 is the correct answer. It is crucial for the formation and maturation of red blood cells, playing a vital role in preventing megaloblastic anemia. Additionally, Vitamin B12 is essential for maintaining nerve function. Vitamin A is important for vision and immune function, Vitamin C is necessary for collagen synthesis and immune health, and Vitamin D is crucial for bone health and immune function. Therefore, options A, C, and D are incorrect as they do not play a direct role in the formation of red blood cells.

4. Which type of joint is found in the knee?

Correct answer: B

Rationale: The correct answer is a hinge joint. The knee is a hinge joint that allows for flexion and extension movements, enabling the leg to bend and straighten. This type of joint is designed for movement along one plane, similar to a door hinge. Choice A, ball and socket joint, is incorrect as this type of joint allows for a wider range of motion in multiple directions, unlike the knee joint. Choice C, pivot joint, and Choice D, saddle joint, are also incorrect as they do not accurately describe the type of joint found in the knee.

5. Which hormone stimulates milk production in the breasts during lactation?

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

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