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. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

• A. Pleura
• B. Trachea
• C. Bronchioles
• D. Alveoli

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

3. What is the primary function of the cardiovascular system?

• A. To transport oxygen and nutrients
• B. To regulate body temperature
• C. To remove waste products
• D. To produce hormones

Correct answer: A

Rationale: The correct answer is A: 'To transport oxygen and nutrients.' The primary function of the cardiovascular system is to transport oxygen, nutrients, and hormones to cells throughout the body and remove waste products. Choice B is incorrect because regulating body temperature is primarily the function of the body's thermoregulatory system, including sweat glands and blood vessels near the skin surface. Choice C is incorrect because while the cardiovascular system does help remove waste products through circulation, it is not its primary function. Choice D is incorrect as hormone production is mainly carried out by endocrine glands, not the cardiovascular system.

4. Where will a person who has damage to their ulnar nerve experience decreased sensation?

• A. Leg
• B. Arm
• C. Face
• D. Abdomen

Correct answer: B

Rationale: The ulnar nerve innervates the forearm and hand, specifically providing sensation to the ring and little fingers. Damage to this nerve can lead to decreased sensation in these areas, making the arm the correct answer. Choices A, C, and D are incorrect because the ulnar nerve does not supply sensation to the leg, face, or abdomen.

5. What is the term for red blood cell production?

• A. Hematopoiesis
• B. Erythropoiesis
• C. Phagocytosis
• D. Thrombopoiesis

Correct answer: B

Rationale: The correct term for red blood cell production is erythropoiesis. This process specifically refers to the production of red blood cells, mainly occurring in the bone marrow. Hematopoiesis is a broader term that encompasses the production of all blood cells, including red blood cells, white blood cells, and platelets. Phagocytosis is the process of engulfing and digesting particles by cells like macrophages, not related to red blood cell production. Thrombopoiesis is the production of platelets, not red blood cells.

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