Nursing Elites

1. Which of the following are considered normal values for the measure of a person’s pulse and blood pressure?

• A. 55 beats per minute and 75 over 60 mm Hg
• B. 72 beats per minute and 120 over 80 mm Hg
• C. 100 beats per minute and 140 over 100 mm Hg
• D. 160 beats per minute and 100 over 70 mm Hg

Correct answer: B

Rationale: Normal values for pulse rate typically range between 60 to 100 beats per minute, while normal blood pressure values are usually around 120/80 mm Hg. Option B falls within these normal ranges for both pulse rate and blood pressure, making it the correct choice. Choices A, C, and D have either pulse rate, blood pressure, or both values outside the normal ranges, making them incorrect.

2. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

3. What role does the liver play in metabolism?

• A. Storing glucose
• B. Secreting bile
• C. Detoxifying harmful substances
• D. Producing enzymes

Correct answer: D

Rationale: The correct answer is D: Producing enzymes. The liver is involved in metabolism by producing enzymes that are essential for regulating various metabolic processes in the body. While the liver does store glucose, secrete bile, and detoxify harmful substances, its primary role in metabolism is producing enzymes that facilitate biochemical reactions necessary for energy production, nutrient breakdown, and waste elimination. Choices A, B, and C are incorrect because although the liver performs these functions, they are not directly related to its primary role in metabolism, which is producing enzymes.

4. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

5. 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.

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