Nursing Elites

1. What does the P-wave in an ECG correspond to?

• A. Atrial repolarization
• B. Depolarization of SA node
• C. Ventricular depolarization
• D. Ventricular repolarization

Correct answer: B

Rationale: The P-wave in an ECG represents the depolarization of the SA node and the atria, not atrial repolarization. Choice C, ventricular depolarization, is incorrect because the P-wave does not correspond to ventricular activity. Choice D, ventricular repolarization, is also incorrect as the P-wave does not depict ventricular repolarization. The correct interpretation is that the P-wave signifies the initiation of the electrical impulse at the SA node and subsequent atrial depolarization, making option B the correct answer.

2. Which types of glial cells are found in the CNS?

• A. Schwann cells, satellite cells
• B. Astrocytes, microglia, ependymal cells, oligodendrocytes
• C. Satellite cells, microglia, oligodendrocytes
• D. Astrocytes, Schwann cells, satellite cells

Correct answer: B

Rationale: The correct answer is B. Glial cells in the CNS include astrocytes, microglia, ependymal cells, and oligodendrocytes. Schwann cells and satellite cells are found in the PNS. Astrocytes are the most abundant type of glial cells and are involved in nutrient support, repair, and maintenance of the extracellular environment. Microglia are the resident immune cells of the CNS, playing a role in immune defense. Ependymal cells line the ventricles of the brain and the central canal of the spinal cord, contributing to the production and circulation of cerebrospinal fluid. Oligodendrocytes are responsible for producing myelin, which insulates axons in the CNS. Understanding the specific functions of each type of glial cell is essential in grasping the complexity of the central nervous system's support and protective mechanisms.

3. 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.

4. What happens during expiration?

• A. The diaphragm contracts and the thoracic cavity expands.
• B. The diaphragm relaxes and the thoracic cavity contracts.
• C. The thoracic cavity expands, increasing pressure.
• D. The diaphragm relaxes and moves upward.

Correct answer: B

Rationale: The correct answer is B. During expiration, the diaphragm relaxes, causing the thoracic cavity to contract. As the thoracic cavity decreases in size, the pressure inside the lungs increases, leading to air flowing out of the lungs. This process helps to expel carbon dioxide-rich air from the body. Choices A, C, and D are incorrect. In choice A, the diaphragm contracting and the thoracic cavity expanding describes inspiration, not expiration. Choice C is incorrect because during expiration, the thoracic cavity actually decreases in size. Choice D is incorrect as the diaphragm moving upward is not a typical movement associated with expiration.

5. Which of the following best describes eosinophils?

• A. A type of granulocyte that secretes histamine to stimulate the inflammatory response.
• B. The most abundant type of white blood cell that secretes substances toxic to pathogens.
• C. A type of granulocyte found under mucous membranes that defends against multicellular parasites.
• D. A circulating granulocyte with high phagocytic activity and aggressiveness.

Correct answer: C

Rationale: Eosinophils are best described as a type of granulocyte found under mucous membranes that defends against multicellular parasites. They release toxic substances to combat parasitic infections and play a significant role in allergic reactions and asthma. Histamine secretion to stimulate inflammation is more characteristic of basophils, while high phagocytic activity and aggressiveness are features of neutrophils, not eosinophils. Describing eosinophils as the most abundant type of white blood cell that secretes toxic substances to pathogens is inaccurate since eosinophils specifically target multicellular parasites, not a broad range of pathogens.

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