Nursing Elites

1. What defines the systole phase in the cardiac cycle?

• A. Relaxation of the heart
• B. Contraction of the heart
• C. Diastole of the heart
• D. Pulse rate of the heart

Correct answer: B

Rationale: The correct answer is B: Contraction of the heart. Systole is the phase of the cardiac cycle during which the heart muscle contracts, pumping blood out of the chambers. It is essential for maintaining circulation and delivering oxygen and nutrients to the body's tissues. Diastole (choice C) is the relaxation phase of the heart when the chambers fill with blood. Pulse rate (choice D) is the number of heartbeats per minute, not specifically related to the systole phase. Choice A, 'Relaxation of the heart,' is incorrect because systole refers to the contraction phase of the cardiac cycle, not relaxation.

2. Which part of the heart is responsible for generating the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The QRS complex on an ECG represents ventricular depolarization. This electrical activity is generated by the ventricular muscle cells. While the SA node generates the P wave, the AV node delays the impulse, and the Bundle of His and Purkinje fibers assist in rapidly conducting the impulse through the ventricles, it is the ventricular muscle cells that specifically create the QRS complex. Therefore, choice D, Ventricular muscle cells, is the correct answer. Choices A, B, and C are incorrect as they are primarily involved in initiating and coordinating the electrical impulses in the heart but do not directly generate the QRS complex on an ECG.

3. Which compound is a component of baking soda and is important for maintaining pH balance in the body?

• A. Potassium
• B. Sodium
• C. Calcium
• D. Sodium bicarbonate

Correct answer: D

Rationale: The correct answer is D, Sodium bicarbonate. Sodium bicarbonate, commonly known as baking soda, is a compound that plays a crucial role in maintaining pH balance in the body. When ingested, sodium bicarbonate acts as a buffer, helping to regulate the body's pH levels. It is essential for various physiological functions. Choices A, B, and C are incorrect. Potassium, calcium, and sodium are important minerals in the body but are not components of baking soda or directly responsible for maintaining pH balance in the same way as sodium bicarbonate.

4. What is the role of hemoglobin in red blood cells?

• A. To carry carbon dioxide to the lungs
• B. To carry oxygen from the lungs to the body
• C. To regulate blood pressure
• D. To produce white blood cells

Correct answer: B

Rationale: Hemoglobin in red blood cells functions to carry oxygen from the lungs to tissues in the body. It binds to oxygen in the lungs and releases it to the body's cells, ensuring they have an adequate oxygen supply for metabolic processes. Choice A is incorrect because hemoglobin primarily carries oxygen, not carbon dioxide. Choice C is incorrect because hemoglobin's role is not related to blood pressure regulation. Choice D is incorrect because hemoglobin is not involved in the production of white blood cells.

5. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

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