where might a herniated lumbar disc be most likely to create pain
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Nursing Elites

HESI A2

Anatomy HESI A2

1. Where is a herniated lumbar disc most likely to cause pain?

Correct answer: C

Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.

2. What is the primary function of the kidneys in the urinary system?

Correct answer: A

Rationale: The correct answer is A: 'To filter waste from the blood.' The primary function of the kidneys in the urinary system is to filter waste products and excess substances from the blood, forming urine, which is then excreted from the body. This process helps maintain the body's internal environment by regulating the balance of electrolytes, fluid levels, and eliminating metabolic waste products. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and maintain fluid balance, their primary function within the urinary system is the filtration of waste from the blood.

3. To which system do the ovaries belong?

Correct answer: D

Rationale: The correct answer is D: reproductive system. The ovaries are essential organs of the female reproductive system. They play a vital role in producing eggs and secreting hormones like estrogen and progesterone. The skeletal system (choice A) consists of bones and tissues that support the body, the nervous system (choice B) controls body functions and responses, and the lymphatic system (choice C) helps the body fight off infections. Therefore, the ovaries belong to the reproductive system.

4. Which gland is responsible for regulating metabolism?

Correct answer: C

Rationale: The thyroid gland is responsible for regulating metabolism. It produces hormones such as thyroxine, which plays a key role in influencing the body's metabolic rate. The pituitary gland is known as the 'master gland' but is not directly responsible for regulating metabolism. The adrenal gland is involved in the stress response and producing hormones like cortisol, not primarily regulating metabolism. The pineal gland produces melatonin, which regulates sleep-wake cycles, not metabolism. Therefore, the correct answer is the thyroid gland.

5. Which brain structure is responsible for regulating hunger and thirst?

Correct answer: A

Rationale: The correct answer is the hypothalamus. This brain structure plays a crucial role in regulating hunger, thirst, body temperature, and various autonomic functions. The hypothalamus is responsible for maintaining homeostasis by responding to sensory signals and releasing appropriate hormones to control these essential physiological processes. The cerebellum (Choice B) is primarily involved in coordinating movement and balance, not hunger and thirst. The medulla oblongata (Choice C) is responsible for regulating vital autonomic functions such as breathing and heartbeat, but not hunger and thirst. The cerebrum (Choice D) is involved in higher brain functions such as thinking, decision-making, and processing sensory information, but it is not primarily responsible for regulating hunger and thirst.

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