Nursing Elites

1. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole).
• D. The depolarization of the atria.

Correct answer: D

Rationale: The P wave on an ECG represents the depolarization of the atria. This electrical activity initiates the contraction of the atria, allowing blood to be pumped into the ventricles. The P wave is the first positive deflection seen on the ECG and signifies the beginning of atrial depolarization, which is a critical step in the cardiac cycle. Choices A, B, and C are incorrect. Option A (The repolarization of the ventricles) is represented by the T wave on the ECG. Option B (The electrical conduction through the AV node) is not represented by the P wave but rather by the PR interval on the ECG. Option C (The contraction phase of the ventricles (systole)) is more related to the QRS complex on the ECG, which represents ventricular depolarization and contraction.

2. DNA has both a 'sense' and 'antisense' strand. What is true about the antisense strand?

• A. It runs 5' to 3'.
• B. It runs 3' to 5'.
• C. It is used in replication.
• D. It is the direction DNA is stored.

Correct answer: B

Rationale: The correct answer is B: 'It runs 3' to 5'. The antisense strand runs in the 3' to 5' direction, complementing the sense strand. Choice A is incorrect as the antisense strand runs in the opposite direction, which is 3' to 5'. Choice C is incorrect because the antisense strand is not directly involved in replication. Choice D is incorrect as the direction DNA is stored is not determined by the antisense strand.

3. What are glands that release hormones directly into the bloodstream without ducts called?

• A. Exocrine glands
• B. Endocrine glands
• C. Apocrine glands
• D. Merocrine glands

Correct answer: B

Rationale: Endocrine glands release hormones directly into the bloodstream without the use of ducts. This allows the hormones to be distributed throughout the body to target organs or tissues. Exocrine glands, on the contrary, release their secretions through ducts to the external environment or onto a surface, such as sweat glands. Apocrine and merocrine glands are both types of exocrine glands that release their secretions through different mechanisms. Apocrine glands release their secretions along with portions of the cell itself, while merocrine glands release their secretions through exocytosis without loss of cellular material.

4. Which structure in the heart is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The mitral valve, also known as the bicuspid valve, is located between the left atrium and the left ventricle of the heart. Its primary function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. The aortic valve (A) prevents the backflow of blood from the aorta into the left ventricle, the pulmonary valve (B) prevents the backflow of blood from the pulmonary artery into the right ventricle, and the tricuspid valve (C) prevents the backflow of blood from the right ventricle into the right atrium. Understanding the functions of these heart valves is crucial in maintaining proper blood flow through the heart and preventing regurgitation of blood into the wrong chambers.

5. Which of the following is the space between the lungs?

• A. Mediastinum
• B. Pericardial cavity
• C. Pleural cavity
• D. Thoracic space

Correct answer: A

Rationale: The correct answer is A, mediastinum. The mediastinum is the space between the lungs in the chest that contains the heart, major blood vessels, esophagus, trachea, and other structures. This area separates the lungs into right and left cavities. Choice B, pericardial cavity, is incorrect as it refers to the space that surrounds the heart. Choice C, pleural cavity, is not the correct answer as it is the space between the layers of the pleura surrounding each lung. Choice D, thoracic space, is a vague term and not specific to the space between the lungs.

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