Nokea
The action of ganglion blockers on the following items is essentially similar to atropine EXCEPT on:
- A. Eye
- B. Gastrointestinal tract
- C. Urinary bladder
- D. Blood pressure
Correct Answer: D
Rationale: The correct answer is D: Blood pressure. Ganglion blockers, similar to atropine, block the transmission of nerve impulses at ganglia. Ganglion blockers affect the eye, gastrointestinal tract, and urinary bladder by inhibiting parasympathetic activity. However, ganglion blockers do not have a significant direct effect on blood pressure regulation. Blood pressure is primarily regulated by the autonomic nervous system through the actions of the sympathetic and parasympathetic systems, not solely at ganglia. Therefore, the correct answer is D because ganglion blockers do not directly influence blood pressure regulation.
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Which produces the majority of salivary volume?
- A. lingual glands
- B. sublingual
- C. parotid
- D. submandibular
Correct Answer: D
Rationale: The correct answer is D, submandibular glands, as they produce the majority of salivary volume. These glands are the largest of the major salivary glands and secrete saliva rich in enzymes and mucin, contributing significantly to the total saliva volume. The lingual glands (A) are minor salivary glands located in the tongue and contribute a small portion of saliva. The sublingual glands (B) are also minor salivary glands located beneath the tongue, producing a smaller volume compared to the submandibular glands. The parotid glands (C) are another major salivary gland, but they produce a lesser volume of saliva compared to the submandibular glands.
The nurse assesses a client who is scheduled to have a laboratory test to determine if the client’s adrenal glands are hypoactive. What type of testing would the client likely have?
- A. Catecholamine testing
- B. Suppression testing
- C. Bone marrow testing
- D. Provocative testing
Correct Answer: D
Rationale: The correct answer is D: Provocative testing. This type of testing is used to stimulate the adrenal glands to produce hormones, helping to assess their function. Catecholamine testing is specific for hormones like adrenaline and noradrenaline. Suppression testing is used to assess overactivity of glands. Bone marrow testing is unrelated to adrenal gland function. In summary, provocative testing is the most appropriate choice to evaluate adrenal gland activity.
Narcolepsy is treated with:
- A. Amphetamine
- B. Adrenaline
- C. Isoprenaline
- D. Salbutamol
Correct Answer: A
Rationale: The correct answer is A: Amphetamine. Amphetamine is a central nervous system stimulant that helps manage narcolepsy symptoms by promoting wakefulness. It increases levels of neurotransmitters like dopamine and norepinephrine, enhancing alertness. Adrenaline (B), Isoprenaline (C), and Salbutamol (D) are not typically used to treat narcolepsy as they do not directly target the underlying cause of excessive daytime sleepiness. Adrenaline and Isoprenaline are more commonly used for acute situations like anaphylaxis or cardiac arrest. Salbutamol is a bronchodilator used for conditions like asthma.
Which statement about the appliance must be correct?
- A. It does not have a live connection.
- B. It has two fuses.
- C. It has two switches.
- D. It is double-insulated.
Correct Answer: D
Rationale: The correct answer is D: It is double-insulated. This is correct because double-insulated appliances have an extra layer of insulation for added safety, eliminating the need for a grounded connection. This feature protects users from electric shocks.
Explanation for why the other choices are incorrect:
A: It does not have a live connection - This is not necessarily true as appliances can have live connections depending on their design and function.
B: It has two fuses - While some appliances may have fuses, the number of fuses does not determine the correctness of the statement about the appliance.
C: It has two switches - The presence of two switches does not necessarily indicate the correctness of the statement about the appliance.
Complete the following sentence: Lipid-soluble hormones are…
- A. Constantly produced within the anterior pituitary gland and released into the blood stream
- B. Hydrophilic and are transported in an un-conjugated form in the blood
- C. Interact with intracellular receptors and evoke changes in gene expression
- D. Formed from amino acids
Correct Answer: C
Rationale: The correct answer is C because lipid-soluble hormones can freely diffuse through cell membranes to interact with intracellular receptors, leading to changes in gene expression. This mechanism is characteristic of lipid-soluble hormones, such as steroid hormones. Choice A is incorrect because lipid-soluble hormones are not constantly produced in the anterior pituitary gland. Choice B is incorrect as lipid-soluble hormones are hydrophobic, not hydrophilic, and are often transported bound to carrier proteins in the blood. Choice D is incorrect because lipid-soluble hormones are not formed from amino acids; rather, they are derived from cholesterol or similar compounds.