Nursing Elites

1. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?

• A. chloride
• B. phosphorus
• C. potassium
• D. sodium

Correct answer: C

Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.

2. Which of the following is a result of stimulation of the sympathetic nervous system?

• A. decreased blood flow to the skeletal muscles
• B. increased cardiac output
• C. decreased respiratory rate
• D. increased urinary output

Correct answer: B

Rationale: Stimulation of the sympathetic nervous system leads to an increase in cardiac output. When the sympathetic nervous system is activated, it causes the heart to beat faster and with more force, leading to an increased cardiac output. Choices A, C, and D are incorrect because the sympathetic nervous system does not cause decreased blood flow to the skeletal muscles, decreased respiratory rate, or increased urinary output.

3. Is the parietal pericardium attached to the surface of the heart?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The parietal pericardium is a tough, fibrous outer layer that is attached to the diaphragm and the sternum but not directly to the surface of the heart. It forms a sac around the heart known as the pericardial sac. Therefore, the statement that the parietal pericardium is attached to the surface of the heart is false.

4. Which of the following hormones is secreted by the posterior pituitary gland?

• A. Growth hormone
• B. Luteinizing hormone
• C. Adrenocorticotropic hormone
• D. Antidiuretic hormone

Correct answer: D

Rationale: The correct answer is D: Antidiuretic hormone. Antidiuretic hormone (ADH), also known as vasopressin, is produced by the hypothalamus and stored in the posterior pituitary gland. It plays a key role in regulating the body's water balance by controlling the amount of water reabsorbed by the kidneys. Choices A, B, and C are incorrect because Growth hormone is produced by the anterior pituitary gland, Luteinizing hormone is produced by the anterior pituitary gland, and Adrenocorticotropic hormone is produced by the anterior pituitary gland.

5. Maintaining a stable internal environment typically requires

• A. positive feedback mechanisms.
• B. an unstable outside environment.
• C. decreased atmospheric pressure.
• D. negative feedback mechanisms.

Correct answer: D

Rationale: The correct answer is 'negative feedback mechanisms.' In biological systems, negative feedback mechanisms help maintain homeostasis by counteracting any deviations from the set point. They work to stabilize internal conditions and keep them within a narrow range. On the other hand, positive feedback mechanisms amplify changes and are not involved in maintaining stability. Choice B, 'an unstable outside environment,' is incorrect as internal stability is independent of external conditions like weather. Choice C, 'decreased atmospheric pressure,' is also incorrect as it does not directly relate to internal homeostasis.

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