Nursing Elites

1. Which hormone stimulates milk production in the breasts during lactation?

• A. norepinephrine
• B. antidiuretic hormone
• C. prolactin
• D. oxytocin

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

2. Which organ is responsible for filtering and cleaning the blood?

• A. Lungs
• B. Heart
• C. Kidneys
• D. Liver

Correct answer: C

Rationale: The correct answer is C: Kidneys. The kidneys are the organs responsible for filtering and cleaning the blood. They remove waste products, regulate electrolyte levels, and help maintain fluid balance in the body through the production of urine. The other choices are incorrect because: A) Lungs are primarily responsible for gas exchange, not blood filtration. B) The heart is responsible for pumping blood, not filtering it. D) The liver plays a role in detoxification and metabolism, but it is not primarily responsible for filtering and cleaning the blood.

3. Which hormone is released by the adrenal medulla?

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

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

4. Which hormone regulates the sleep-wake cycle?

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

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. Its secretion is influenced by light exposure, with levels typically rising in the evening to promote sleep and falling in the morning to encourage wakefulness. Insulin is involved in regulating blood sugar levels, not the sleep-wake cycle. Cortisol plays a role in the body's stress response and circadian rhythm but is not the primary hormone regulating sleep-wake cycles. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle.

5. Which gland is responsible for regulating metabolism and calcium levels?

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

Correct answer: C

Rationale: The correct answer is the thyroid gland (Choice C). The thyroid gland plays a crucial role in regulating metabolism by producing hormones like thyroxine, which control the body's metabolic rate. It also helps in controlling calcium levels in the blood through the release of calcitonin. The pituitary gland (Choice A) is known as the 'master gland' as it controls other glands but is not primarily responsible for regulating metabolism and calcium levels. The adrenal gland (Choice B) produces hormones like cortisol and adrenaline, which are involved in the stress response and metabolism, but they do not specifically regulate calcium levels. The pineal gland (Choice D) mainly produces melatonin, a hormone that helps in regulating sleep-wake cycles and has no direct role in metabolism or calcium level regulation.

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