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 gland produces hormones that regulate sleep?

• A. Thyroid gland
• B. Pineal gland
• C. Adrenal gland
• D. Pituitary gland

Correct answer: B

Rationale: The pineal gland secretes melatonin, a hormone that plays a crucial role in regulating the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels increasing in the evening to promote sleep and decreasing in the morning to signal wakefulness. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism, the adrenal gland produces hormones like adrenaline and cortisol related to stress response, and the pituitary gland controls various functions by releasing different hormones but not specifically related to regulating sleep.

3. Which hormone is released by the pancreas to lower blood glucose levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: A

Rationale: Insulin is the hormone released by the pancreas to lower blood glucose levels. Insulin facilitates the uptake of glucose into cells, helping to decrease blood glucose levels and store excess glucose for energy or future use. Glucagon, on the other hand, raises blood glucose levels by promoting the breakdown of glycogen into glucose. Cortisol and somatostatin do not directly regulate blood glucose levels in the same manner as insulin and glucagon.

4. Which vitamin is important for blood clotting?

• A. Vitamin C
• B. Vitamin K
• C. Vitamin A
• D. Vitamin D

Correct answer: B

Rationale: Vitamin K is crucial for the synthesis of proteins involved in blood clotting, aiding in the prevention of excessive bleeding. Without sufficient Vitamin K, the blood may not clot properly, leading to an increased risk of bleeding and other related complications. Vitamin C is essential for collagen synthesis and the immune system, not specifically for blood clotting. Vitamin A is important for vision and immune function. Vitamin D plays a role in calcium absorption and bone health, but it is not directly linked to blood clotting.

5. Which hormone is produced by the pancreas?

• A. Insulin
• B. Glucagon
• C. Somatostatin
• D. Cortisol

Correct answer: A

Rationale: Insulin is the correct answer. Insulin is produced by the pancreas and plays a crucial role in regulating blood glucose levels. It facilitates the uptake of glucose into cells, helping to lower blood sugar levels. Glucagon, on the other hand, is also produced by the pancreas but functions to raise blood glucose levels by stimulating the release of glucose from the liver. Somatostatin is another hormone produced by the pancreas that helps regulate the endocrine system. Cortisol, produced by the adrenal glands, plays a role in stress response and metabolism, not by the pancreas.

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