Nursing Elites

1. Which hormone is produced by the adrenal medulla?

• A. Insulin
• B. Adrenaline
• C. Cortisol
• D. Melatonin

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is the correct hormone produced by the adrenal medulla. It plays a crucial role in the body's fight-or-flight response, increasing heart rate, dilating airways, and mobilizing energy stores to prepare the body for perceived threats. Insulin (Choice A) is produced by the pancreas and regulates blood sugar levels, not by the adrenal medulla. Cortisol (Choice C) is produced by the adrenal cortex and is involved in regulating metabolism, immune response, and stress. Melatonin (Choice D) is produced by the pineal gland and regulates the sleep-wake cycle.

2. Why might certain young people be underweight?

• A. They are growing in height faster than they are gaining weight.
• B. They eat little protein and too much fat and sugar.
• C. They eat several meals a day and fail to exercise enough.
• D. They seldom eat a meal that contains foods from all food groups.

Correct answer: A

Rationale: Certain young people might be underweight because they are growing in height faster than they are gaining weight. During periods of rapid growth, the body's energy requirements are primarily directed towards height growth rather than weight gain, resulting in some individuals being underweight despite consuming sufficient calories. Choice B is incorrect because the question focuses on reasons related to growth rather than diet composition. Choice C is incorrect as it suggests overeating rather than the specific growth-related issue of height surpassing weight gain. Choice D is incorrect as it addresses nutritional variety rather than the growth dynamics affecting weight.

3. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

4. What is the function of the skin in protecting the body?

• A. To produce vitamin D
• B. To protect against pathogens
• C. To store nutrients
• D. To regulate body temperature

Correct answer: B

Rationale: The skin serves several crucial functions in protecting the body. One of its primary roles is to act as a physical barrier against pathogens, preventing harmful microorganisms from entering the body. Choice A, 'To produce vitamin D,' is incorrect because while the skin is involved in vitamin D synthesis upon exposure to sunlight, its primary protective role is against pathogens. Choice C, 'To store nutrients,' is incorrect as the skin is not a primary organ for nutrient storage. Choice D, 'To regulate body temperature,' is a function of the skin, but the primary role in protecting the body is to act as a barrier against pathogens.

5. What is the function of the small intestine?

• A. To store bile
• B. To absorb nutrients
• C. To digest food
• D. To produce enzymes

Correct answer: B

Rationale: The small intestine is the primary site for nutrient absorption in the digestive system. It is responsible for absorbing nutrients from the digested food into the bloodstream for distribution throughout the body. Therefore, the correct function of the small intestine is to absorb nutrients. Choice A is incorrect because the gallbladder stores bile, not the small intestine. Choice C is incorrect because the digestion process primarily occurs in the stomach and small intestine. Choice D is incorrect because while the small intestine does play a role in enzyme production, its primary function is nutrient absorption.

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