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 part of the brain is involved in the regulation of heart rate and breathing?

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

Correct answer: C

Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata, situated in the brainstem, plays a crucial role in regulating vital functions such as heart rate, breathing, and blood pressure. It serves as the control center for involuntary actions, ensuring the body's automatic functions work properly. Choices A, B, and D are incorrect because the cerebrum is primarily responsible for functions such as thinking, voluntary movements, and sensory processing; the cerebellum is involved in coordination, balance, and muscle control; and the hypothalamus regulates body temperature, thirst, hunger, and some aspects of the autonomic nervous system but not specifically heart rate and breathing.

3. Which of the following hormones is responsible for regulating metabolism?

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

Correct answer: B

Rationale: Thyroxine, produced by the thyroid gland, is the hormone responsible for regulating metabolism. It plays a fundamental role in controlling the body's metabolic rate, affecting processes such as energy production and utilization. Thyroxine also influences growth and development in the body. Choice A, Insulin, is involved in regulating blood sugar levels and promoting the storage of glucose. While insulin has an impact on metabolism, it is not primarily responsible for regulating overall metabolic rate. Choice C, Glucagon, acts in opposition to insulin, stimulating the release of glucose from the liver to increase blood sugar levels. Glucagon primarily targets glucose regulation rather than overall metabolism. Choice D, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, regulation of blood pressure, immune function, and anti-inflammatory actions. While cortisol can have some effects on metabolism during stress responses, it is not the primary hormone responsible for regulating overall metabolic rate.

4. What is the function of hemoglobin in red blood cells?

• A. To fight infections
• B. To transport oxygen
• C. To carry carbon dioxide
• D. To store oxygen

Correct answer: B

Rationale: The correct answer is B: 'To transport oxygen.' Hemoglobin in red blood cells plays a crucial role in transporting oxygen. It binds to oxygen in the lungs and carries it to the body's tissues and organs for cellular respiration. Choices A, C, and D are incorrect because hemoglobin's primary function is to bind and transport oxygen, not to fight infections, carry carbon dioxide, or store oxygen.

5. Which of the following is not a component of the central nervous system?

• A. Brain
• B. Heart
• C. Retina
• D. Spinal cord

Correct answer: B

Rationale: The central nervous system comprises the brain and spinal cord, responsible for processing and transmitting information. The retina, though part of the eye, is an extension of the central nervous system. However, the heart is part of the circulatory system, responsible for pumping blood throughout the body. Therefore, the correct answer is the heart as it is not a component of the central nervous system.

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