Which is NOT an action of CCK?
- A. gallbladder contraction
- B. increased gastric motility and emptying
- C. glucagon secretion
- D. secretion of pancreatic juice
Correct Answer: B
Rationale: The correct answer is B: increased gastric motility and emptying. CCK, or cholecystokinin, is a hormone released by the small intestine in response to the presence of fats. Its main actions include stimulating gallbladder contraction (A) to release bile for fat digestion, triggering the secretion of pancreatic juice (D) containing digestive enzymes, and inhibiting gastric motility and emptying. Therefore, increased gastric motility and emptying (choice B) is NOT an action of CCK. This is because CCK acts to slow down gastric emptying to allow for effective digestion of fats in the small intestine. Choices A, C, and D are all correct actions of CCK based on its role in the digestive process.
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Which of the following is NOT true of parathyroid hormone action?
- A. Releases calcium from bone to raise blood calcium levels.
- B. Decreases blood calcium levels.
- C. Promotes reabsorption of calcium in the kidneys to raise blood calcium levels.
- D. Activates Vitamin D to increase calcium absorption from nutrients in the intestines.
Correct Answer: B
Rationale: The correct answer is B because parathyroid hormone (PTH) actually increases blood calcium levels. PTH achieves this by releasing calcium from bone (A), promoting reabsorption of calcium in the kidneys (C), and activating Vitamin D for increased calcium absorption in the intestines (D). By decreasing blood calcium levels, it would go against the primary function of PTH. This choice is incorrect as PTH is known for its role in increasing blood calcium levels through the mentioned mechanisms.
Which of the following is NOT a gland in the endocrine system?
- A. Adrenal gland
- B. Thyroid gland
- C. Kidney gland
- D. Pituitary gland
Correct Answer: C
Rationale: The correct answer is C: Kidney gland. The endocrine system consists of glands that secrete hormones directly into the bloodstream to regulate various bodily functions. The kidney is not a gland; it is an organ responsible for filtering waste from the blood and producing urine. The adrenal gland, thyroid gland, and pituitary gland are all part of the endocrine system as they secrete hormones. In summary, the kidney does not secrete hormones and therefore is not considered a gland in the endocrine system.
A nurse collaborates with assistive personnel (AP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement would the nurse include when teaching the AP about this activity?
- A. Note the time of the client’s first void and collect urine for 24 hours.
- B. Add the preservative to the container at the end of the test.
- C. Start the collection by saving the first urine of the morning.
- D. It is okay if one urine sample during the 24 hours is not collected.
Correct Answer: A
Rationale: The correct answer is A: Note the time of the client's first void and collect urine for 24 hours. This is correct because for a 24-hour urine specimen collection, it is essential to start by noting the exact time of the first void and then collect all subsequent urine voided over the next 24 hours, including the final void at the same time the collection started. This ensures accurate measurement of substances in the urine over a full 24-hour period.
Choice B is incorrect because the preservative should be added to the container at the beginning, not the end, to maintain the integrity of the specimen. Choice C is incorrect because the 24-hour collection starts with the first void, not the first morning urine. Choice D is incorrect as missing even one urine sample during the 24-hour collection can compromise the accuracy of the results.
Which gland is often referred to as the 'master gland'?
- A. Pituitary
- B. Thyroid
- C. Thymus
- D. Hypothalamus
Correct Answer: A
Rationale: The pituitary gland is often referred to as the 'master gland' because it plays a crucial role in regulating other endocrine glands in the body. It secretes hormones that control various bodily functions, such as growth, reproduction, and metabolism. The other choices, thyroid, thymus, and hypothalamus, are important glands as well, but they do not have the same broad control over the endocrine system as the pituitary gland. The thyroid regulates metabolism, thymus is involved in immune function, and hypothalamus regulates body temperature, hunger, and thirst. However, none of these glands have the overall regulatory function and influence on other glands as the pituitary gland does.
How many hormones are produced by the posterior pituitary?
- B. 1
- C. 2
- D. 6
Correct Answer: C
Rationale: The correct answer is C: 2. The posterior pituitary produces two hormones: oxytocin and vasopressin. Oxytocin is involved in childbirth and breastfeeding, while vasopressin helps regulate water balance in the body. Option A is incorrect because the posterior pituitary does produce hormones. Option B is incorrect as there are two hormones produced, not just one. Option D is incorrect as the posterior pituitary does not produce six hormones. In summary, the posterior pituitary gland produces two hormones, making option C the correct answer.