Nursing Elites

1. Which hormone is produced by the adrenal medulla?

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

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is the correct hormone produced by the adrenal medulla. It plays a crucial role in the body's fight-or-flight response, increasing heart rate, dilating airways, and mobilizing energy stores to prepare the body for perceived threats. Insulin (Choice A) is produced by the pancreas and regulates blood sugar levels, not by the adrenal medulla. Cortisol (Choice C) is produced by the adrenal cortex and is involved in regulating metabolism, immune response, and stress. Melatonin (Choice D) is produced by the pineal gland and regulates the sleep-wake cycle.

2. Where is a herniated lumbar disc most likely to cause pain?

• A. Along the radial nerve
• B. Within the spinal cord
• C. Along the sciatic nerve
• D. Along the tibial nerve

Correct answer: C

Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.

3. In the human body, the ribs are ___________ to the lungs.

• A. medial
• B. superior
• C. anterior
• D. deep

Correct answer: C

Rationale: The correct answer is 'C: anterior.' The term 'anterior' refers to a position in front of or toward the front of the body. In this case, the ribs are positioned in front of the lungs when considering the anatomical position. The term 'medial' means toward the midline of the body, 'superior' means above or higher in position, and 'deep' refers to a position farther from the surface or external part. Therefore, the most appropriate choice is 'anterior' when describing the relationship between the ribs and the lungs.

4. 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.

5. Which part of the brain is responsible for balance and coordination?

• A. Cerebellum
• B. Cerebrum
• C. Medulla oblongata
• D. Hypothalamus

Correct answer: A

Rationale: The correct answer is the cerebellum. The cerebellum, situated at the back of the brain, is responsible for coordinating voluntary movements and maintaining balance and posture. It receives information from the sensory systems, the spinal cord, and other parts of the brain to regulate motor movements. The cerebrum (choice B) is responsible for higher brain functions such as thinking and decision-making, the medulla oblongata (choice C) controls vital autonomic functions like breathing and heart rate, and the hypothalamus (choice D) is involved in regulating basic biological needs like hunger, thirst, and body temperature.

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