Nursing Elites

1. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

2. What are the components of an ECG?

• A. P wave, T wave, U wave
• B. P wave, QRS complex, T wave
• C. QRS complex, S wave, P wave
• D. T wave, S wave, U wave

Correct answer: B

Rationale: The correct answer is B: P wave, QRS complex, T wave. The components of an ECG include the P wave (atrial depolarization), QRS complex (ventricular depolarization), and T wave (ventricular repolarization). The P wave represents atrial depolarization, the QRS complex represents ventricular depolarization, and the T wave represents ventricular repolarization. Options A, C, and D have incorrect combinations of ECG components. Option A incorrectly includes the U wave, which is not a standard component of a typical ECG. Option C includes the S wave, which is not a primary component of a standard ECG. Option D includes the U wave, which is not a standard component, and the S wave, which is not a primary component of an ECG. Therefore, option B is the most accurate combination of components for an ECG.

3. What type of immunity does a vaccine provide? Choose only ONE best answer.

• A. Naturally acquired passive immunity
• B. Artificially acquired passive immunity
• C. Naturally acquired active immunity
• D. Artificially acquired active immunity

Correct answer: D

Rationale: The correct answer is D: Artificially acquired active immunity. Vaccines work by stimulating the immune system to produce an active response, leading to the development of immunity against specific pathogens. Choice A, naturally acquired passive immunity, is incorrect as it refers to the temporary immunity passed from mother to child, not through vaccines. Choice B, artificially acquired passive immunity, is also incorrect because passive immunity involves the transfer of pre-formed antibodies, not the stimulation of the immune system by vaccines. Choice C, naturally acquired active immunity, is incorrect since it is acquired through natural exposure to pathogens, not through vaccines.

4. How is blood pressure controlled by the body?

• A. By adjusting heart rate only
• B. By regulating blood volume
• C. By baroreceptors and hormones
• D. By adjusting body temperature

Correct answer: C

Rationale: Blood pressure is controlled by baroreceptors located in the aortic arch and carotid arteries that detect changes in blood pressure levels. When blood pressure is high, these receptors signal for adjustments to lower it. Additionally, hormones such as renin from the kidneys are released when blood pressure drops, further aiding in blood pressure regulation. Choice A is incorrect because blood pressure regulation involves more than just adjusting heart rate; it also includes vasodilation and vasoconstriction. Choice B is incorrect as while blood volume can impact blood pressure, it is not the primary mechanism of blood pressure control. Choice D is incorrect as body temperature regulation is a separate physiological process and not directly related to blood pressure control.

5. Which of the following constituents of blood is a biconcave disc that is round and flat without a nucleus?

• A. Plasma
• B. Platelet
• C. RBC
• D. WBC

Correct answer: C

Rationale: The correct answer is C, RBC (Red Blood Cell). Red blood cells are biconcave discs that lack a nucleus, allowing them to carry oxygen efficiently. Plasma (A) is the liquid component of blood that carries various substances. Platelets (B) are cell fragments important for blood clotting. White blood cells (WBCs) (D) are part of the immune system and have a nucleus.

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