Nursing Elites

1. Which of the following glands is NOT directly controlled by the pituitary gland?

• A. Thyroid gland
• B. Adrenal glands
• C. Pancreas (Islets of Langerhans)
• D. Parathyroid glands

Correct answer: C

Rationale: The pituitary gland, known as the master gland, regulates various endocrine glands by releasing specific hormones. The thyroid gland, adrenal glands, and parathyroid glands are directly controlled by the pituitary gland through hormones like thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), and parathyroid hormone (PTH) respectively. However, the pancreas, particularly the Islets of Langerhans, is not directly influenced by the pituitary gland. The pancreas is mainly governed by blood glucose levels and hormones such as insulin and glucagon, which play a crucial role in regulating blood sugar levels and metabolism. Therefore, the correct answer is C. Choice A, the thyroid gland, is controlled by the pituitary gland through TSH. Choice B, the adrenal glands, are regulated by the pituitary gland via ACTH. Choice D, the parathyroid glands, are under the direct control of the pituitary gland through PTH.

2. Which type of fiber is insoluble and promotes gut motility?

• A. Pectin
• B. Cellulose
• C. Beta-gluca
• D. Guar gum

Correct answer: B

Rationale: A) Pectin is a soluble fiber found in fruits and vegetables. It forms a gel-like substance in the gut and can help lower cholesterol levels. B) Cellulose is an insoluble fiber found in plants, particularly in the cell walls of fruits, vegetables, and whole grains. It adds bulk to the stool and promotes gut motility by aiding in the movement of food through the digestive system. C) Beta-glucan is a soluble fiber found in oats and barley. It can help lower cholesterol levels and improve blood sugar control. D) Guar gum is a soluble fiber derived from guar beans. It can help with digestion and may have a role in managing blood sugar levels. In this case, the question specifically asks for the type of fiber that is insoluble and promotes gut motility, which is characteristic of cellulose.

3. Which valve prevents the backflow of blood into the left ventricle as it leaves through the aorta?

• A. Pulmonary semilunar valve
• B. Aortic semilunar valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: B

Rationale: The aortic semilunar valve is the correct answer as it prevents the backflow of blood into the left ventricle once it has been pumped into the aorta. The pulmonary semilunar valve prevents backflow into the right ventricle, the tricuspid valve controls blood flow between the right atrium and ventricle, and the mitral valve regulates blood flow between the left atrium and ventricle. Therefore, option B is the correct choice for this question.

4. When you push a book across a table, the book experiences an equal and opposite force from the table. Why doesn't the table move as well?

• A. The table is much heavier than the book.
• B. The force on the book acts in a different direction.
• C. The table has a much larger surface area, distributing the force over a wider area.
• D. All of the above

Correct answer: A

Rationale: The table is much heavier than the book, so it requires a much larger force to accelerate it. The book is lighter and easier to move, so the force applied to it causes it to move without significantly affecting the table due to the table's greater mass. Newton's third law states that for every action, there is an equal and opposite reaction. In this case, the force exerted on the book by the table is countered by an equal force exerted on the table by the book, but the table's greater mass resists movement. Choice B is incorrect because the forces are equal and opposite, acting in the same direction. Choice C is incorrect as the surface area does not affect the movement of the table in this scenario. Therefore, the correct answer is A, as the table's greater mass prevents it from moving easily when a force is applied.

5. Where does gas exchange take place in the lungs?

• A. Bronchi
• B. Trachea
• C. Alveoli
• D. Pleura

Correct answer: C

Rationale: Gas exchange in the lungs occurs in the alveoli. Alveoli are tiny air sacs where oxygen from inhaled air diffuses into the bloodstream, and carbon dioxide from the blood diffuses into the alveoli to be exhaled. The bronchi are the main airways that branch off from the trachea, which is the windpipe connecting the larynx to the bronchi. The pleura is a membrane surrounding the lungs and lining the chest cavity, providing protection and lubrication for the lungs but not directly involved in gas exchange.

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