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 is the primary function of the integumentary system?

• A. Protecting the body from external damage
• B. Regulating body temperature
• C. Producing vitamin D
• D. Producing red blood cells

Correct answer: A

Rationale: The correct answer is A: Protecting the body from external damage. The primary function of the integumentary system, which includes the skin, hair, and nails, is to act as a physical barrier that protects the body from external damage such as pathogens, UV radiation, and mechanical injuries. While the integumentary system does play roles in regulating body temperature and producing vitamin D, its main and most crucial function is to provide a protective shield for the body. Choices B, C, and D are incorrect because although the integumentary system contributes to regulating body temperature and producing vitamin D, as well as housing cells involved in the immune response, its primary role is protection.

3. Which neurotransmitter controls sleep, mood, and appetite?

• A. Serotonin
• B. Oxytocin
• C. Cortisol
• D. Aldosterone

Correct answer: A

Rationale: Serotonin is the correct answer. It is a neurotransmitter that plays a crucial role in regulating mood, sleep, and appetite. Serotonin functions to stabilize and control these physiological processes in the brain and body. Imbalances in serotonin levels are commonly linked to conditions like depression, anxiety, and eating disorders. Oxytocin (Choice B) is more associated with social bonding and childbirth. Cortisol (Choice C) is a stress hormone, and while it can influence mood and appetite in response to stress, it is not primarily responsible for regulating these functions. Aldosterone (Choice D) is a hormone that regulates electrolyte balance and blood pressure, not mood, sleep, and appetite.

4. What is the first step in pulmonary circulation?

• A. Blood moves toward the heart through the pulmonary veins.
• B. The pulmonary artery carries blood from the heart to the lungs.
• C. Carbon dioxide is exchanged for oxygen.
• D. Oxygenated blood moves through the aorta.

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

5. Which part of the brain is responsible for regulating involuntary functions such as breathing and heart rate?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Frontal lobe

Correct answer: C

Rationale: The medulla oblongata, located in the brain stem, is responsible for regulating involuntary functions such as breathing and heart rate. It contains vital centers that control these essential functions to maintain life. The cerebrum is primarily involved in higher brain functions like thinking and voluntary movements; the cerebellum plays a crucial role in coordinating movement and balance; and the frontal lobe is responsible for functions such as decision-making, problem-solving, and voluntary muscle movements. Therefore, the correct answer is the medulla oblongata (Choice C).

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