Nursing Elites

1. The primary function of the atrioventricular (AV) node within the heart is to:

• A. Generate the electrical impulse for contraction (pacemaker function)
• B. Transmit the electrical impulse from atria to ventricles, regulating the timing of contraction.
• C. Increase blood pressure within the ventricles during systole.
• D. Separate oxygenated and deoxygenated blood flow in the heart.

Correct answer: B

Rationale: The correct answer is B: "Transmit the electrical impulse from atria to ventricles, regulating the timing of contraction." The AV node acts as a gateway between the atria and ventricles, ensuring a coordinated and sequential contraction of the heart chambers. It delays the conduction of electrical impulses to allow the atria to fully contract before the ventricles contract, facilitating efficient blood pumping. Options A, C, and D are incorrect because the primary role of the AV node is not to generate electrical impulses, increase blood pressure, or separate blood flow based on oxygenation status. Understanding the AV node's function is crucial in comprehending the heart's electrical conduction system.

2. Which of the following factors can contribute to erectile dysfunction in males?

• A. Diabetes
• B. Cardiovascular disease
• C. Neurological disorders
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Erectile dysfunction in males can be caused by various factors including diabetes, cardiovascular disease, and neurological disorders. Diabetes can lead to nerve damage and reduced blood flow, impacting erectile function. Cardiovascular disease can restrict blood flow to the penis, affecting erections. Neurological disorders can disrupt the signals between the brain and the reproductive system, interfering with the ability to achieve or maintain an erection. Therefore, all of these factors can contribute to erectile dysfunction in males.

3. Which type of carbohydrate is the main component of the cell wall in plant cells?

• A. Starch
• B. Glucose
• C. Cellulose
• D. Chitin

Correct answer: C

Rationale: The correct answer is C: Cellulose. Cellulose is a structural polysaccharide and the main component of the cell wall in plant cells. Starch, option A, is a storage polysaccharide found in plants, while glucose, option B, is a simple sugar and a basic unit of carbohydrates, not the main component of plant cell walls. Chitin, option D, is a structural polysaccharide found in the exoskeletons of arthropods and fungal cell walls, not in plant cell walls. Understanding the unique composition of plant cell walls helps in differentiating the types of carbohydrates present in various cellular structures.

4. Ms. Valencia develops the standards to be followed. Among the following standards, which is

• A. The patients verbalized satisfaction of the nursing care received
• B. Rotation of duty will be done every four weeks for all patient care personnel.
• C. All patients shall have their weights taken recorded
• D. Patients shall answer the evaluation form before discharge

Correct answer: C

Rationale: The correct answer is C because it is a clear and specific standard that can be easily measured and monitored. Weight recording is a fundamental aspect of patient care and is essential for tracking changes in health status. Verbalized satisfaction (option A) is subjective and may not be consistently measurable. Rotation of duty (option B) is important but may not be a standard developed by a nurse manager. Answering an evaluation form before discharge (option D) is important but may not be a standard created by Ms. Valencia for all patients.

5. Which property of a wave remains constant when it crosses a boundary between two different media?

• A. Frequency
• B. Wavelength
• C. Amplitude
• D. Speed

Correct answer: d

Rationale: The speed of a wave remains constant when it crosses a boundary between two different media, although its direction may change.

6. Antibiotic resistance in bacteria is an example of:

• A. Convergent evolution
• B. Divergent evolution
• C. Microevolution
• D. Macroevolution

Correct answer: C

Rationale: Rationale: - Convergent evolution (option A) refers to the process by which different species evolve similar traits independently in response to similar environmental pressures. Antibiotic resistance in bacteria does not involve different species evolving similar traits. - Divergent evolution (option B) refers to the process by which two or more related species become more dissimilar over time. Antibiotic resistance in bacteria does not involve related species becoming more dissimilar. - Microevolution (option C) refers to changes in allele frequencies within a population over a relatively short period of time. Antibiotic resistance in bacteria is a classic example of microevolution, where bacteria evolve resistance to antibiotics through the natural selection of pre-existing resistant strains. - Macroevolution (option D) refers to large-scale evolutionary changes that result in the formation of new species or higher taxonomic groups. Antibiotic resistance in bacteria does not involve

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