Nursing Elites

1. What structures are likely torn in a rotator cuff tear?

• A. Tendon and possibly ligament
• B. Muscle and possibly tendon
• C. Ligament and possibly muscle
• D. Tendon only

Correct answer: A

Rationale: In a rotator cuff tear, the most common structures torn are the tendons of the rotator cuff muscles. In severe cases, the tear may also extend to involve the surrounding ligaments. Therefore, the correct answer is A, as it accurately represents the structures that are likely to be affected in a rotator cuff tear. Choice B is incorrect as muscles are not typically torn in a rotator cuff tear. Choice C is also incorrect as ligaments are not the primary structures involved in a rotator cuff tear. Choice D is incorrect because a rotator cuff tear typically involves more than just the tendons.

2. Which part of the brain controls breathing and heart rate?

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

Correct answer: B

Rationale: The medulla oblongata, located in the brainstem, plays a crucial role in controlling vital functions such as breathing, heart rate, and blood pressure. It serves as the control center for automatic functions necessary for survival, making it the correct choice in this scenario. The cerebrum is responsible for higher brain functions like thinking and voluntary movements, so it does not control basic physiological functions like breathing and heart rate. The cerebellum is mainly involved in coordination and balance, while the hypothalamus regulates body temperature, hunger, and thirst, but not specifically breathing and heart rate.

3. How do the digestive system and urinary system work together?

• A. The digestive system controls the function of the ureter.
• B. The urinary system removes toxins from the products of digestion.
• C. The digestive system manufactures hormones that influence urination.
• D. The urinary system eliminates some waste products of digestion.

Correct answer: D

Rationale: The correct answer is D because the urinary system eliminates some waste products of digestion. After digestion in the digestive system, nutrients are absorbed into the bloodstream, and waste products are transported to the kidneys via the urinary system to be excreted as urine. This process helps eliminate waste products generated during digestion, illustrating the coordination between the digestive and urinary systems. Choices A, B, and C are incorrect. Choice A is incorrect as the ureter is part of the urinary system, not controlled by the digestive system. Choice B is incorrect as the urinary system primarily removes metabolic waste, not toxins from digestion. Choice C is incorrect because the digestive system mainly aids in digestion and nutrient absorption, not hormone production affecting urination.

4. Which cut is considered a cross section?

• A. A sagittal or frontal section
• B. A cut along the coronal plane
• C. A cut along the median plane
• D. A cut through the transverse plane

Correct answer: D

Rationale: The correct answer is D: A cut through the transverse plane. A transverse plane cut, also known as a cross-section, divides the body or an organ into superior and inferior portions. This type of cut is perpendicular to the long axis of the body and is commonly used in medical imaging to display internal structures and organs in a horizontal view. Choices A, B, and C are incorrect because a sagittal or frontal section (A) divides the body into left and right portions, a cut along the coronal plane (B) separates the body into anterior and posterior parts, and a cut along the median plane (C) divides the body into equal left and right halves.

5. Where are B-lymphocytes produced?

• A. Thymus
• B. Red bone marrow
• C. Lymph nodes
• D. Spleen

Correct answer: B

Rationale: B-lymphocytes are produced in the red bone marrow. The red bone marrow is the primary site for B-cell development, where they mature before entering the circulation. The thymus is responsible for T-lymphocyte maturation, not B-lymphocytes. Lymph nodes and spleen play roles in immune responses but are not the primary sites for B-lymphocyte production.

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