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. What phenomenon occurs when light passes through a medium but does not change direction, such as when passing through a window?

• A. Diffraction
• B. Reflection
• C. Dispersion
• D. Transmission

Correct answer: d

Rationale: Transmission occurs when light passes through a medium without changing direction, as observed when light passes through a window.

3. A patient's height is 1.65 meters and their weight is 75kg. Calculate their BMI and interpret the result.

• A. 23.1 (Overweight)
• B. 25.3 (Overweight)
• C. 27.7 (Overweight)
• D. 32.8 (Obese)

Correct answer: C

Rationale: Divide weight (75kg) by height squared (1.65m^2) to get BMI (27.7). This falls within the "overweight" category (25-29.9 BMI).

4. What type of bone is the kneecap (patella)?

• A. Long bone
• B. Short bone
• C. Flat bone
• D. Irregular bone

Correct answer: B

Rationale: The correct answer is B: Short bone. The kneecap, or patella, is classified as a short bone because it is roughly cube-shaped and is composed of spongy bone enclosed by a thin layer of compact bone. Short bones provide support and stability with limited motion, making them ideal for protecting joints like the knee. Long bones are typically elongated, flat bones are thin and curved, and irregular bones have complex shapes. Understanding the classification of bones can help in identifying their functions and structural characteristics.

5. Which type of transport allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

• A. Endocytosis
• B. Exocytosis
• C. Active transport
• D. Facilitated diffusion

Correct answer: A

Rationale: Rationale: A) Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane. B) Exocytosis is the opposite process of endocytosis, where cells release large molecules or particles by fusing vesicles with the cell membrane to expel their contents out of the cell. C) Active transport is a process that requires energy to move molecules across the cell membrane against their concentration gradient. While active transport can move large molecules, it is not specifically designed for the transport of proteins and polysaccharides. D) Facilitated diffusion is a type of passive transport that involves the movement of molecules across the cell membrane with the help of transport proteins. While facilitated diffusion can assist in the movement of

6. Functional nursing has some advantages, which one is an EXCEPTION?

• A. Psychological and sociological needs are emphasized.
• B. Great control of work activities.
• C. Most economical way of delivering nursing services.
• D. Workers feel secure in dependent role

Correct answer: B

Rationale: Functional nursing is a task-oriented approach where each nurse is assigned specific duties, leading to efficient task completion but often resulting in a lack of holistic care. While functional nursing may provide great control over work activities and can be cost-effective due to specialization, it does not emphasize psychological and sociological needs, which is a significant disadvantage. Additionally, the dependent role that workers feel in functional nursing can lead to disempowerment and hinder professional growth and autonomy. Therefore, option A, 'Psychological and sociological needs are emphasized,' is the exception among the advantages of functional nursing.

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