Nokea
Alcohol suppresses the secretion of ______ and thus _______ the reabsorption of water from the kidneys.
- A. ADH: decreases
- B. ADH: increases
- C. aldosterone: decreases
- D. aldosterone: increases
Correct Answer: A
Rationale: The correct answer is A. Alcohol suppresses the secretion of ADH (antidiuretic hormone), which leads to a decrease in the reabsorption of water from the kidneys. ADH is responsible for increasing water reabsorption, so suppressing it results in more water being excreted. Choices B, C, and D are incorrect because alcohol does not affect aldosterone secretion, and aldosterone primarily regulates sodium reabsorption rather than water reabsorption. ADH is the hormone directly involved in water reabsorption in the kidneys, making choice A the correct answer.
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Which is absorbed mainly in the colon?
- A. short chain fatty acids
- B. calcium
- C. vitamin K
- D. oligosaccharides
Correct Answer: A
Rationale: The correct answer is A: short chain fatty acids. The colon is where most of the absorption of short chain fatty acids occurs after digestion in the small intestine. Short chain fatty acids are produced by gut bacteria breaking down dietary fiber and play a crucial role in energy production and maintaining gut health. Calcium is primarily absorbed in the small intestine, vitamin K is absorbed in the small intestine and liver, and oligosaccharides are mainly broken down in the small intestine by enzymes. Therefore, A is the correct answer as it aligns with the specific absorption function of the colon.
A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to the nursing assistant?
- A. Remind patient to change positions slowly.
- B. Check the patient for muscle weakness.
- C. Teach the patient how to collect 24-hour urine.
- D. Plan nursing interventions to promote fluid balance.
Correct Answer: A
Rationale: Reminding the patient to change positions slowly is a non-invasive task that is appropriate for delegation to a nursing assistant, as it helps prevent dizziness or hypotension due to adrenocortical insufficiency.
Which one of the following is NOT typical of the changes that follow the binding of a hormone to its target cells:
- A. plasma membrane permeability changes
- B. cellular mutations occur
- C. enzymes are activated or inactivated
- D. mitosis is stimulated
Correct Answer: B
Rationale: The correct answer is B: cellular mutations occur. Hormone binding typically triggers signaling cascades that lead to cellular responses like changing plasma membrane permeability, activating/inactivating enzymes, or stimulating mitosis. Cellular mutations are not a direct result of hormone binding and are typically caused by external factors like radiation or chemicals. In this context, mutations do not happen as an immediate response to hormone binding. Therefore, option B is the correct choice. Plasma membrane permeability changes, enzyme activation/inactivation, and mitosis stimulation are all typical outcomes of hormone binding and subsequent signaling pathways.
The islets of Langerhans:
- A. are cells found in the adenohypophysis.
- B. secrete insulin and glucagon.
- C. secrete steroids.
- D. secrete releasing hormones.
Correct Answer: B
Rationale: Step 1: Islets of Langerhans are clusters of cells in the pancreas.
Step 2: These cells secrete insulin to lower blood sugar levels and glucagon to raise blood sugar levels.
Step 3: Therefore, choice B is correct as it accurately describes the function of the islets of Langerhans.
Summary: Choices A, C, and D are incorrect as islets of Langerhans are not found in the adenohypophysis, do not secrete steroids, and do not secrete releasing hormones.
Which of the following suppress(es) the secretion of ACTH?
- A. Elevated blood glucose levels
- B. Dietary iodine
- C. Corticotropin-releasing hormone (CRH)
- D. Elevated plasma cortisol levels
Correct Answer: D
Rationale: Elevated plasma cortisol levels suppress the secretion of ACTH through negative feedback. High cortisol levels signal the hypothalamus and pituitary to decrease the release of CRH and ACTH, respectively, to maintain homeostasis. This is a regulatory mechanism to prevent excessive cortisol production.
A: Elevated blood glucose levels do not directly suppress ACTH secretion.
B: Dietary iodine is not related to ACTH secretion.
C: CRH stimulates ACTH release, so it does not suppress its secretion.