Nursing Elites

1. Which bones do the rotator cuff help to stabilize?

• A. Radius and humerus
• B. Scapula and clavicle
• C. Humerus and scapula
• D. Ulna and radius

Correct answer: C

Rationale: The correct answer is C: Humerus and scapula. The rotator cuff is a group of muscles and tendons that help stabilize the shoulder joint. Specifically, the rotator cuff muscles help to stabilize the head of the humerus (the upper arm bone) within the shallow socket of the scapula (shoulder blade). This stabilizing action is crucial for maintaining shoulder joint function and preventing injuries. Choices A, B, and D are incorrect because the rotator cuff primarily stabilizes the humerus and scapula, not the radius, ulna, or clavicle.

2. Which hormone stimulates milk production in the breasts during lactation?

• A. norepinephrine
• B. antidiuretic hormone
• C. prolactin
• D. oxytocin

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

3. What are the chemical messengers that control growth, differentiation, and metabolism of specific target cells called?

• A. Hormones
• B. Neurons
• C. Glands
• D. Second messengers

Correct answer: A

Rationale: Hormones are signaling molecules produced by glands in multicellular organisms. They travel through the bloodstream to specific target cells where they regulate various physiological processes, including growth, differentiation, and metabolism. Neurons (choice B) are nerve cells that transmit nerve impulses and are not responsible for controlling growth, differentiation, or metabolism. Glands (choice C) produce and release hormones but are not the chemical messengers themselves. Second messengers (choice D) are molecules involved in intracellular signal transduction, not the primary chemical messengers controlling growth, differentiation, and metabolism. Therefore, hormones (choice A) are the correct answer as they match the description provided in the question.

4. What is the first step in pulmonary circulation?

• A. Blood moves toward the heart through the pulmonary veins.
• B. The pulmonary artery carries blood from the heart to the lungs.
• C. Carbon dioxide is exchanged for oxygen.
• D. Oxygenated blood moves through the aorta.

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

5. Which might be a result of stenosis, or narrowing of a heart valve?

• A. Abdominal pain
• B. Blood clots
• C. Edema (swelling) in organs
• D. Irregular heartbeat

Correct answer: D

Rationale: Stenosis, or narrowing of a heart valve, restricts blood flow through the valve, leading to changes in the heart's normal rhythm. This alteration can result in an irregular heartbeat, making it a common consequence of heart valve stenosis. Abdominal pain, blood clots, and organ swelling are not typically associated with stenosis of a heart valve.

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