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. What type of joint is found in the shoulder?

• A. Ball and socket joint
• B. Hinge joint
• C. Saddle joint
• D. Pivot joint

Correct answer: A

Rationale: The correct answer is a ball and socket joint. The shoulder joint is a ball and socket joint, allowing for a wide range of motion, including rotation. This joint provides excellent flexibility and mobility, making movements like circular motions and rotations possible. A hinge joint, like the elbow, allows movement in only one plane (flexion and extension). A saddle joint, found in the thumb, allows for a wide range of motion but not as much as a ball and socket joint. A pivot joint, such as the joint between the first and second vertebrae of the neck, allows rotation only.

3. What is the most visible part of the ear?

• A. Ear canal
• B. Cochlea
• C. Organ of Corti
• D. Pinna

Correct answer: D

Rationale: The pinna, also known as the auricle, is the most visible part of the ear. Its external shape and location make it easily noticeable on the side of the head. The pinna helps in capturing sound waves and directing them into the ear canal, where the sound transmission process begins. The other structures listed, the Organ of Corti, Cochlea, and Ear canal, are essential parts of the ear involved in hearing and sound processing, but they are not as visibly prominent as the pinna. Therefore, the correct answer is the pinna because of its external visibility and role in capturing sound waves.

4. Which of the following are considered normal values for the measure of a person’s pulse and blood pressure?

• A. 55 beats per minute and 75 over 60 mm Hg
• B. 72 beats per minute and 120 over 80 mm Hg
• C. 100 beats per minute and 140 over 100 mm Hg
• D. 160 beats per minute and 100 over 70 mm Hg

Correct answer: B

Rationale: Normal values for pulse rate typically range between 60 to 100 beats per minute, while normal blood pressure values are usually around 120/80 mm Hg. Option B falls within these normal ranges for both pulse rate and blood pressure, making it the correct choice. Choices A, C, and D have either pulse rate, blood pressure, or both values outside the normal ranges, making them incorrect.

5. Which hormone initiates the preparation of the endometrium of the uterus for pregnancy?

• A. FSH
• B. Estrogen
• C. LH
• D. Progesterone

Correct answer: D

Rationale: Progesterone initiates the preparation of the endometrium of the uterus for pregnancy. It promotes the growth of blood vessels and glands in the endometrial lining, making it conducive for implantation and supporting early pregnancy. While estrogen helps in thickening the endometrium, it is progesterone that plays a crucial role in preparing it for pregnancy. FSH (Follicle-stimulating hormone) is involved in stimulating ovarian follicles, not directly in preparing the endometrium. LH (Luteinizing hormone) triggers ovulation but does not primarily prepare the endometrium for pregnancy.

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