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. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

3. Which of the following neurotransmitters is associated with the feeling of happiness and well-being?

• A. Dopamine
• B. Serotonin
• C. GABA
• D. Acetylcholine

Correct answer: B

Rationale: The correct answer is B: Serotonin. Serotonin is a neurotransmitter known for its role in mood regulation, promoting feelings of happiness and well-being. It helps regulate emotions, sleep, and appetite. Low levels of serotonin have been linked to conditions like depression and anxiety. Choice A, Dopamine, is more associated with pleasure and reward pathways in the brain. GABA (Choice C) is an inhibitory neurotransmitter involved in reducing neuronal excitability, not primarily linked to happiness. Acetylcholine (Choice D) is involved in muscle contraction and has functions related to memory and attention, but it is not primarily associated with feelings of happiness and well-being.

4. Which of the following is a major factor influencing the distribution of organisms geographically?

• A. The availability of specific types of food sources
• B. Tolerance of organisms to different temperature ranges
• C. Competition for mates within the same species
• D. All of the above

Correct answer: D

Rationale: The distribution of organisms geographically is influenced by various factors. The availability of specific types of food sources is crucial as organisms need suitable food sources to survive and thrive in an area. Tolerance of organisms to different temperature ranges is also important, as temperature impacts where species can live. Organisms must withstand temperature conditions to survive. Competition for mates within the same species affects population sizes and dynamics in different areas. Therefore, all these factors collectively influence the distribution of organisms geographically. Choice D, 'All of the above,' is the correct answer because each of the factors mentioned (availability of food sources, tolerance to temperature ranges, and competition for mates) plays a significant role in determining the distribution of organisms in different geographical locations. Choices A, B, and C are incorrect because they each only represent one specific factor that influences distribution, whereas the correct answer encompasses all the major factors mentioned.

5. What is the primary function of the cell membrane?

• A. To provide structural support for the cell
• B. To transport substances in and out of the cell
• C. To synthesize proteins and lipids
• D. To store genetic material

Correct answer: B

Rationale: The primary function of the cell membrane, also known as the plasma membrane, is to regulate the movement of substances in and out of the cell. It acts as a selectively permeable barrier, allowing specific molecules to pass through while blocking others. This role is crucial for maintaining the internal environment of the cell by enabling essential nutrients to enter and waste products to exit. While the cell membrane provides some structural support for the cell, its main function is substance transport. Protein and lipid synthesis predominantly occur in organelles like the endoplasmic reticulum and Golgi apparatus, and storing genetic material is the nucleus's responsibility. Therefore, choices C (To synthesize proteins and lipids) and D (To store genetic material) are incorrect as these functions are carried out by other cell organelles, not the cell membrane.

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