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 muscle is responsible for the extension of the elbow?

• A. Biceps brachii
• B. Triceps brachii
• C. Deltoid
• D. Pectoralis major

Correct answer: B

Rationale: The correct answer is B: Triceps brachii. The triceps brachii muscle is responsible for extending the elbow joint. It is located on the back of the upper arm and acts in opposition to the biceps brachii, which is responsible for elbow flexion. The deltoid muscle is primarily responsible for shoulder abduction, not elbow extension. The pectoralis major muscle is involved in movements of the shoulder joint, not the elbow.

3. The vena cavae drain blood from the body into the ___________.

• A. right atrium
• B. right ventricle
• C. left atrium
• D. left ventricle

Correct answer: A

Rationale: The vena cavae are large veins responsible for returning deoxygenated blood from the body to the heart. They empty into the right atrium of the heart. From the right atrium, the blood is then pumped into the right ventricle before being sent to the pulmonary circulation for oxygenation, making choice A, 'right atrium,' the correct answer. Choices B, C, and D are incorrect because the vena cavae do not empty into the ventricles of the heart; instead, they deliver blood to the atria.

4. What is the role of the mitochondria in the cell?

• A. Protein synthesis
• B. Energy production
• C. Breaking down waste
• D. Cell division

Correct answer: B

Rationale: The correct answer is B: Energy production. Mitochondria are known as the powerhouses of the cell because they generate adenosine triphosphate (ATP) through the process of cellular respiration. ATP is a molecule that stores and releases energy, providing the cell with the necessary energy for various activities and functions. Choices A, C, and D are incorrect. Protein synthesis primarily occurs in the ribosomes, breaking down waste is mainly carried out by lysosomes, and cell division is orchestrated by the nucleus and other organelles like the centrioles.

5. Which hormone regulates the sleep-wake cycle?

• A. Melatonin
• B. Insulin
• C. Cortisol
• D. Thyroxine

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. Its secretion is influenced by light exposure, with levels typically rising in the evening to promote sleep and falling in the morning to encourage wakefulness. Insulin is involved in regulating blood sugar levels, not the sleep-wake cycle. Cortisol plays a role in the body's stress response and circadian rhythm but is not the primary hormone regulating sleep-wake cycles. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle.

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