Nursing Elites

1. Which gland produces the hormone melatonin?

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

Correct answer: A

Rationale: The correct answer is the Pineal gland. The pineal gland is responsible for producing melatonin, a hormone that helps regulate the sleep-wake cycle. Melatonin secretion is influenced by light exposure. Higher levels are observed at night to promote sleep, while lower levels during the day encourage wakefulness. Choices B, C, and D are incorrect as they are not associated with the production of melatonin. The thyroid gland produces hormones like thyroxine and triiodothyronine, the pituitary gland controls various other glands, and the adrenal gland produces hormones like adrenaline and cortisol.

2. What is the primary function of the small intestine in the digestive system?

• A. To secrete digestive enzymes
• B. To absorb nutrients
• C. To break down food
• D. To absorb water

Correct answer: B

Rationale: The correct answer is B: To absorb nutrients. The small intestine's main role in the digestive system is to absorb nutrients from digested food. It has specialized structures, such as villi and microvilli, that increase its surface area for efficient absorption of nutrients into the bloodstream. Choice A is incorrect because the small intestine does not primarily secrete digestive enzymes; that role is mainly carried out by the pancreas and other digestive organs. Choice C is incorrect because the small intestine primarily absorbs nutrients rather than breaking down food. Choice D is incorrect because the absorption of water primarily occurs in the large intestine, not the small intestine.

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. Where does primary peristalsis occur?

• A. Esophagus
• B. Stomach
• C. Nervous system
• D. Small intestine

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.

5. What is the primary role of the stomach in the digestive system?

• A. To absorb nutrients
• B. To break down food
• C. To secrete digestive enzymes
• D. To store glucose

Correct answer: B

Rationale: The primary role of the stomach in the digestive system is to break down food. It accomplishes this through the action of gastric acid and digestive enzymes, which work together to break down food into a semi-liquid mixture known as chyme. Option B, 'To break down food,' is the correct answer. Option A, 'To absorb nutrients,' is incorrect because absorption mainly occurs in the small intestine. Option C, 'To secrete digestive enzymes,' is partially correct as the stomach does secrete digestive enzymes, but its primary function is to break down food. Option D, 'To store glucose,' is incorrect as glucose storage primarily occurs in the liver and muscles, not the stomach.

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