Nursing Elites

1. In a normally functioning cardiovascular system, where does the heartbeat originate?

• A. Atrioventricular nodes
• B. Bundle of His
• C. Purkinje fibers
• D. Sinoatrial node

Correct answer: D

Rationale: The correct answer is the Sinoatrial (SA) node. The SA node is known as the natural pacemaker of the heart as it initiates the electrical impulses responsible for the heartbeat. The other choices, such as the Atrioventricular (AV) nodes, Bundle of His, and Purkinje fibers, are involved in conducting the electrical signals generated by the SA node to coordinate the heart's contractions. Therefore, they do not serve as the primary origin of the heartbeat.

2. Which of the following is the measurement of the percentage of red blood cells in whole blood?

• A. Hematocrit
• B. Hemoglobin
• C. Mean corpuscular volume
• D. Reticulocyte count

Correct answer: A

Rationale: The correct answer is 'Hematocrit.' Hematocrit is the measurement of the percentage of red blood cells in whole blood. It is used to diagnose conditions such as anemia and dehydration. Choice B, 'Hemoglobin,' measures the amount of hemoglobin in the blood, not the percentage of red blood cells. Choice C, 'Mean corpuscular volume,' measures the average volume of a red blood cell, not the percentage of red blood cells. Choice D, 'Reticulocyte count,' measures the percentage of young red blood cells in the blood, not the percentage of red blood cells.

3. Reproduction is the change in body characteristics over time.

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

Correct answer: B

Rationale: Reproduction is the process by which living organisms produce offspring of the same kind. It is not related to changes in body characteristics over time. Therefore, the statement is false. Choices C and D are also incorrect as they do not align with the definition of reproduction.

4. What causes wrinkled and sagging skin?

• A. Drinking too much water
• B. Heredity alone
• C. Loss of subcutaneous fat and reduced levels of elastin and collagen
• D. Excess subcutaneous fat

Correct answer: C

Rationale: Wrinkled and sagging skin is primarily caused by the loss of subcutaneous fat and reduced levels of elastin and collagen in the skin. Choice A is incorrect as drinking too much water does not lead to wrinkled and sagging skin. Choice B is incorrect because heredity alone does not cause this condition. Excess subcutaneous fat, as mentioned in Choice D, can contribute to a different skin appearance, such as puffiness, but not wrinkled and sagging skin.

5. 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.

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