Nursing Elites

1. Which part of the brain controls involuntary actions such as breathing and heart rate?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Hypothalamus

Correct answer: C

Rationale: The medulla oblongata, located at the base of the brainstem, controls essential involuntary actions such as breathing, heart rate, and blood pressure. It plays a crucial role in maintaining vital functions necessary for survival. The cerebrum is responsible for voluntary actions, conscious thought, and sensory processing, making it an incorrect choice. The cerebellum primarily coordinates movement, balance, and posture, not involuntary actions like breathing and heart rate. The hypothalamus regulates body temperature, thirst, hunger, and controls the endocrine system, but it is not directly responsible for controlling breathing and heart rate.

2. Which type of muscle tissue is found in the walls of hollow organs?

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

Correct answer: C

Rationale: Smooth muscle tissue is found in the walls of hollow organs such as the intestines, blood vessels, and bladder. It contracts involuntarily, allowing for functions like peristalsis in the intestines and regulation of blood flow in blood vessels. Skeletal muscle (Choice A) is attached to bones, cardiac muscle (Choice B) is found in the heart, and striated muscle (Choice D) refers to both skeletal and cardiac muscles due to their striped appearance, but neither of these types are typically found in the walls of hollow organs.

3. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

4. Which gland is known as the 'master gland' of the body?

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

Correct answer: C

Rationale: The pituitary gland, often referred to as the 'master gland,' controls the release of hormones from other endocrine glands in the body. It secretes various hormones that regulate many bodily functions, making it a central and vital component of the endocrine system. The thyroid gland (Choice A) regulates metabolism, the adrenal gland (Choice B) produces hormones like adrenaline, and the pineal gland (Choice D) secretes melatonin, but none of these glands are considered the 'master gland' that controls the functions of other endocrine glands.

5. Which organ system is largely responsible for controlling stress?

• A. The endocrine system
• B. The digestive system
• C. The lymphatic system
• D. The respiratory system

Correct answer: A

Rationale: The endocrine system is largely responsible for controlling stress through the release of hormones such as cortisol and adrenaline. These hormones help regulate the body's response to stress by increasing heart rate, blood pressure, and energy production. The endocrine system plays a crucial role in the body's stress response and helps the body adapt to and cope with stressful situations. The digestive system (Choice B) is primarily responsible for breaking down food and absorbing nutrients, not controlling stress. The lymphatic system (Choice C) is responsible for immune function and maintaining fluid balance, not controlling stress. The respiratory system (Choice D) is responsible for the exchange of oxygen and carbon dioxide, not controlling stress.

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