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 primary function of the kidneys in the urinary system?

• A. To filter waste from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To absorb nutrients

Correct answer: A

Rationale: The correct answer is A: 'To filter waste from the blood.' The primary function of the kidneys in the urinary system is to filter waste products and excess substances from the blood, forming urine, which is then excreted from the body. Kidneys play a crucial role in maintaining the body's overall balance by filtering out waste, regulating fluid levels, and helping in the elimination of toxins. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and help in nutrient absorption indirectly, their primary function is the filtration of waste from the blood.

3. What is the primary role of the liver in the body?

• A. Producing insulin
• B. Detoxifying harmful substances
• C. Digesting food
• D. Storing energy

Correct answer: B

Rationale: The correct answer is B: Detoxifying harmful substances. While the liver does produce bile for digestion and stores nutrients like glycogen, its primary function is to filter and detoxify blood coming from the digestive tract before passing it to the rest of the body. Therefore, choices A, C, and D are incorrect. Producing insulin is mainly done by the pancreas, digesting food is primarily the role of the stomach and intestines, and storing energy is a function of various organs like muscles and fat cells.

4. What is the function of the gallbladder?

• A. To produce bile
• B. To store and concentrate bile
• C. To detoxify harmful substances
• D. To break down fats

Correct answer: B

Rationale: The correct answer is B: To store and concentrate bile. The gallbladder's primary function is to store and concentrate bile, which is produced by the liver. Bile is released into the small intestine to aid in the digestion and absorption of fats. It helps in emulsifying fats and facilitating their breakdown by enzymes for better absorption. Choices A, C, and D are incorrect because the gallbladder does not produce bile (it is produced by the liver), detoxify harmful substances, or directly break down fats. Its main role is to store and concentrate bile before releasing it into the small intestine.

5. Which of the following structures regulates the transport of substances in and out of a cell?

• A. Nucleus
• B. Cell membrane
• C. Cytoplasm
• D. Mitochondria

Correct answer: B

Rationale: The cell membrane, also known as the plasma membrane, is responsible for regulating the transport of substances in and out of the cell. It acts as a selective barrier, allowing the passage of certain molecules while restricting others. This selective permeability helps maintain homeostasis within the cell by controlling the movement of essential substances like nutrients and waste products. The nucleus (Choice A) is the organelle that houses the cell's genetic material and is not directly involved in regulating substance transport. Cytoplasm (Choice C) is the gel-like substance that fills the cell and does not play a direct role in regulating substance transport. Mitochondria (Choice D) are responsible for energy production in the cell through cellular respiration and are not primarily involved in substance transport.

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