Nursing Elites

1. Which gland produces melatonin?

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

Correct answer: A

Rationale: The correct answer is the Pineal gland. This gland is responsible for producing melatonin, a hormone that helps regulate the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels typically rising in the evening to promote sleep and falling in the morning to aid wakefulness. The Thyroid gland (choice B) produces hormones that regulate metabolism, the Adrenal gland (choice C) produces hormones like adrenaline and cortisol, and the Pituitary gland (choice D) controls several other glands in the endocrine system.

2. What is the function of the stomach in the digestive system?

• A. To absorb nutrients
• B. To break down food
• C. To produce bile
• D. To store waste

Correct answer: B

Rationale: The correct answer is B: 'To break down food.' The stomach plays a crucial role in the digestive system by breaking down food using gastric acid and digestive enzymes. This process transforms the food into a semi-liquid mixture known as chyme, which is further digested in the small intestine. Choices A, C, and D are incorrect because the stomach does not primarily absorb nutrients, produce bile, or store waste. These functions are carried out by other organs in the digestive system such as the small intestine, liver, and large intestine, respectively.

3. The skull is positioned ________ to the spinal cord.

• A. anterior
• B. posterior
• C. lateral
• D. superior

Correct answer: D

Rationale: The correct answer is D. The skull is superior to the spinal cord, meaning it is located above the spinal cord in anatomical position. Superior in anatomy refers to a structure being positioned higher or above another structure in the body. Choices A, B, and C are incorrect because they refer to different directional relationships. Anterior means in front of, posterior means behind, and lateral means to the side. In this case, the relationship between the skull and the spinal cord is based on a superior-inferior orientation.

4. Which of the following is true about skeletal muscle?

• A. Skeletal muscle makes up 40% of the body's weight.
• B. Skeletal muscle attaches to bones by tendons.
• C. Muscle contraction is not involved in temperature regulation.
• D. Skeletal muscles contract only when in use.

Correct answer: B

Rationale: The correct statement is that skeletal muscle attaches to bones through tendons, enabling movement. Tendons connect muscles to bones and allow the force generated by muscle contraction to be transmitted to the bones, facilitating voluntary movements. Choice A is incorrect because skeletal muscle typically makes up around 40-50% of an individual's body weight, not a fixed 40%. Choice C is incorrect as muscle contraction plays a vital role in temperature regulation by generating heat. Choice D is incorrect as skeletal muscles may have constant low-level contractions even at rest, known as muscle tone.

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

• A. Along the radial nerve
• B. Within the spinal cord
• C. Along the sciatic nerve
• D. Along the tibial nerve

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.

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