Nursing Elites

1. In the context of the cardiac cycle, what does the P wave on an electrocardiogram (ECG) represent?

• A. Atrial depolarization
• B. Ventricular depolarization
• C. Atrial repolarization
• D. Ventricular repolarization

Correct answer: A

Rationale: The P wave on an electrocardiogram (ECG) represents atrial depolarization, which signifies the electrical activation of the atria as they prepare to contract. During the cardiac cycle, atrial depolarization occurs first, leading to atrial contraction. Ventricular depolarization is represented by the QRS complex, not the P wave. Choices B, C, and D are incorrect because the P wave specifically corresponds to atrial depolarization, not ventricular depolarization, atrial repolarization, or ventricular repolarization.

2. What is the name of the monthly cycle in females that prepares the body for potential pregnancy?

• A. Ovulation cycle
• B. Menstrual cycle
• C. Implantation cycle
• D. Gestation cycle

Correct answer: B

Rationale: The correct answer is B, the menstrual cycle. The menstrual cycle is the monthly series of changes that occur in the female reproductive system, preparing the body for potential pregnancy. One of the key events in this cycle is the thickening of the uterine lining in anticipation of receiving a fertilized egg. If fertilization does not occur, this thickened lining is shed during menstruation. Choices A, C, and D are incorrect. The ovulation cycle specifically refers to the release of the egg from the ovary, not the entire monthly reproductive cycle. The implantation cycle is the phase when a fertilized egg attaches to the uterine lining, not the overall monthly cycle. The gestation cycle pertains to the period of development from conception to birth, not the cycle preparing for potential pregnancy.

3. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

4. Which of the following structures is responsible for gas exchange in the lungs?

• A. Bronchi
• B. Alveoli
• C. Trachea
• D. Diaphragm

Correct answer: B

Rationale: The alveoli are tiny air sacs in the lungs where the exchange of oxygen and carbon dioxide takes place. Oxygen from inhaled air diffuses into the blood vessels surrounding the alveoli, while carbon dioxide from the blood is released into the alveoli to be exhaled. The bronchi are air passages that carry air into the lungs but do not participate in gas exchange. The trachea is the windpipe that connects the larynx to the bronchi and serves as an airway for breathing. The diaphragm is a muscle that aids in the breathing process by contracting and relaxing to change the volume of the chest cavity.

5. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

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