Nursing Elites

1. 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.

2. Homeostasis exists if concentrations of water, nutrients, and oxygen in the body and heat and pressure __________.

• A. decrease steadily
• B. remain within certain limited ranges
• C. increase when the body is stressed
• D. fluctuate greatly between very high and low values

Correct answer: B

Rationale: Homeostasis is the body's ability to maintain stable internal conditions despite external changes. To achieve this balance, concentrations of essential substances must remain within specific ranges. Choice A is incorrect because decreasing concentrations would not maintain stability. Choice C is incorrect as increasing concentrations when the body is stressed would disrupt homeostasis. Choice D is incorrect as fluctuating greatly between high and low values would also not support the body's stability. Therefore, the correct answer is B, as it aligns with the concept of homeostasis by emphasizing the need for stability within certain limits.

3. 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.

4. In the early days, healers transitioned from superstition and magic to using natural chemicals in the field of medicine.

• A. True
• B. False
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement is true. The field of medicine evolved as early healers moved away from superstition and magic, instead focusing on natural chemicals to treat illnesses. This transition marked a shift towards a more scientific and evidence-based approach to healthcare. This historical transition is well-documented in the evolution of medicine. Choice B is incorrect because the statement accurately reflects the historical development of medicine. Choice C is incorrect as the historical transition from superstition to natural chemicals is a well-documented aspect of the evolution of medicine. Choice D is incorrect as the statement provided is true.

5. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?

• A. chloride
• B. phosphorus
• C. potassium
• D. sodium

Correct answer: C

Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.

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