Nursing Elites

1. Which hormone initiates the preparation of the endometrium of the uterus for pregnancy?

• A. FSH
• B. Estrogen
• C. LH
• D. Progesterone

Correct answer: D

Rationale: Progesterone initiates the preparation of the endometrium of the uterus for pregnancy. It promotes the growth of blood vessels and glands in the endometrial lining, making it conducive for implantation and supporting early pregnancy. While estrogen helps in thickening the endometrium, it is progesterone that plays a crucial role in preparing it for pregnancy. FSH (Follicle-stimulating hormone) is involved in stimulating ovarian follicles, not directly in preparing the endometrium. LH (Luteinizing hormone) triggers ovulation but does not primarily prepare the endometrium for pregnancy.

2. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

3. What is the function of the gallbladder in the digestive system?

• A. To produce bile
• B. To store and concentrate bile
• C. To detoxify harmful substances
• D. To regulate blood sugar

Correct answer: B

Rationale: The gallbladder's main function is to store and concentrate bile produced by the liver. Bile is essential for the digestion and absorption of fats in the small intestine. Therefore, the correct answer is B, as the gallbladder acts as a reservoir for bile rather than producing it. Choices A, C, and D are incorrect because the gallbladder does not produce bile, detoxify harmful substances, or regulate blood sugar in the digestive system.

4. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

5. Which hormone is released by the pancreas to lower blood glucose levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: A

Rationale: Insulin is the hormone released by the pancreas to lower blood glucose levels. Insulin facilitates the uptake of glucose into cells, helping to decrease blood glucose levels and store excess glucose for energy or future use. Glucagon, on the other hand, raises blood glucose levels by promoting the breakdown of glycogen into glucose. Cortisol and somatostatin do not directly regulate blood glucose levels in the same manner as insulin and glucagon.

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