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 of the following statements regarding macrophages is incorrect?

• A. They are found abundantly in the blood
• B. They are larger than neutrophils
• C. They are long-lived
• D. They are made in the bone marrow as monocytes, called macrophages once they reach organs

Correct answer: A

Rationale: The correct answer is A. Macrophages are not found abundantly in the blood; they are present in tissues and organs. Macrophages are tissue-resident immune cells that play a key role in immune responses and are derived from monocytes produced in the bone marrow. Choice B is correct as macrophages are larger than neutrophils. Choice C is correct as macrophages are long-lived cells. Choice D is correct as macrophages originate in the bone marrow as monocytes and differentiate into macrophages once they migrate to various tissues and organs.

3. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

4. Which of the following is a special property of water?

• A. Water does not easily flow through phospholipid bilayers.
• B. A water molecule's oxygen atom does not allow fish to breathe.
• C. Water is highly cohesive, which explains its high melting point.
• D. Water cannot self-hydrolyze and decompose into hydrogen and oxygen.

Correct answer: C

Rationale: Water is highly cohesive, meaning it is attracted to itself due to its hydrogen bonding properties. This cohesion is the reason why water has a high melting point compared to other liquids of similar molecular weight. It is crucial for the existence of life on Earth as it allows water to remain a liquid within a wide range of temperatures, providing a stable environment for biological processes to occur. Choices A, B, and D are incorrect. Water's cohesive property does not directly relate to its ability to flow through phospholipid bilayers, assist fish in breathing, or self-hydrolyze into hydrogen and oxygen.

5. How do organisms maintain homeostasis?

• A. By increasing their body temperature, blood pH, and fluid balance.
• B. By undergoing biochemical processes and absorbing energy to increase entropy.
• C. By undergoing biochemical processes to maintain the order of their external environment.
• D. By using free energy and matter via biochemical processes to work against entropy.

Correct answer: D

Rationale: Organisms maintain homeostasis by utilizing free energy and matter through biochemical processes to counteract entropy, which helps in preserving internal stability. This process involves maintaining a balance within the organism's internal environment despite external changes, ensuring proper functioning and survival. Choice A is incorrect because increasing body temperature, blood pH, and fluid balance alone do not define the comprehensive process of maintaining homeostasis. Choice B is incorrect as absorbing energy to increase entropy goes against the concept of maintaining internal stability. Choice C is incorrect as maintaining the order of the external environment does not directly contribute to the organism's internal stability and balance.

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