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. What is the main function of the adrenal glands?

• A. Regulation of metabolism
• B. Production of bile
• C. Regulation of blood pressure
• D. Production of insulin

Correct answer: C

Rationale: The main function of the adrenal glands is to produce hormones like adrenaline and cortisol. These hormones play a crucial role in regulating blood pressure, metabolism, and the body's stress response. While the adrenal glands do have some impact on metabolism, their primary function is not the direct regulation of metabolism. They are not involved in the production of bile or insulin. Therefore, the correct answer is the regulation of blood pressure.

3. 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.

4. How do the muscular and skeletal systems collaborate to facilitate movement?

• A. Muscles attached to tendons contract to bend the skeleton at the joints.
• B. The hard bones of the skeleton protect the voluntary muscles of the limbs.
• C. The cardiac muscles produce calcium that is needed for sturdy bones.
• D. Smooth muscles on internal organs leach excess minerals from the bones.

Correct answer: A

Rationale: The muscular system and the skeletal system collaborate to facilitate movement. Muscles are connected to bones through tendons and contract to generate movement at the joints. When muscles contract, they exert force on the bones, resulting in actions like bending the arm or leg. This coordinated effort between muscles and bones is crucial for various activities such as walking, running, and grasping objects. Choices B, C, and D are incorrect because they do not accurately describe the interaction between the muscular and skeletal systems. The skeletal system's primary role is to provide structural support and protect internal organs, while cardiac muscles are responsible for heart function and not bone strength. Smooth muscles are found in internal organs and are not involved in leaching excess minerals from bones.

5. Which structure in the brain regulates sleep and wakefulness?

• A. Hypothalamus
• B. Thalamus
• C. Pineal gland
• D. Cerebellum

Correct answer: C

Rationale: The pineal gland, located in the brain, is responsible for regulating sleep and wakefulness by secreting the hormone melatonin. Melatonin plays a crucial role in controlling the sleep-wake cycle, with higher levels at night inducing sleepiness. The hypothalamus (Choice A) regulates various physiological processes but is not primarily responsible for sleep-wake cycles. The thalamus (Choice B) is involved in relaying sensory information but not specifically in regulating sleep. The cerebellum (Choice D) plays a role in coordination and motor control rather than sleep regulation.

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