Nursing Elites

1. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

2. What is the valve that prevents blood from flowing back from the left ventricle into the left atrium?

• A. Tricuspid valve
• B. Mitral valve
• C. Aortic valve
• D. Pulmonic valve

Correct answer: B

Rationale: The correct answer is the Mitral valve. The mitral valve is located between the left atrium and the left ventricle of the heart. Its function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. Choice A, the Tricuspid valve, is incorrect as it is located between the right atrium and right ventricle. Choice C, the Aortic valve, and Choice D, the Pulmonic valve, are also incorrect as they are involved in the circulation of blood leaving the heart rather than preventing backflow within the atria and ventricles.

3. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

4. Which of the following body systems controls fluid loss, protects deep tissues, and synthesizes vitamin D?

• A. The skeletal system
• B. The muscular system
• C. The lymphatic system
• D. The integumentary system

Correct answer: D

Rationale: The integumentary system is responsible for controlling fluid loss through sweat, protecting deep tissues as the body's first line of defense, and synthesizing vitamin D when exposed to sunlight. The skin, hair, nails, and associated glands make up the integumentary system, which plays a crucial role in maintaining homeostasis and overall health. The skeletal system (Choice A) provides structural support and protection for internal organs but does not directly control fluid loss, protect deep tissues, or synthesize vitamin D. The muscular system (Choice B) is responsible for movement and stability but is not involved in the functions described. The lymphatic system (Choice C) is primarily responsible for immunity and fluid balance, not the specific functions mentioned in the question.

5. Which term refers to the relaxation of the heart muscle?

• A. Diastole
• B. Systole
• C. Asystole
• D. Cardiastole

Correct answer: A

Rationale: The correct answer is A: Diastole. Diastole is the phase of the heartbeat when the heart muscle relaxes, allowing the chambers to fill with blood. Systole, on the other hand, refers to the contraction phase of the heart when it pumps blood out. Asystole is the absence of heart contractions, often referred to as cardiac arrest. Cardiastole is not a recognized medical term in relation to heart muscle relaxation, making it an incorrect choice.

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