Nursing Elites

1. What is the primary function of the atrioventricular (AV) node within the heart?

• A. Generate the electrical impulse for contraction (pacemaker function)
• B. Transmit the electrical impulse from the atria to the ventricles, regulating the timing of contraction.
• C. Increase blood pressure within the ventricles during systole.
• D. Separate oxygenated and deoxygenated blood flow in the heart.

Correct answer: B

Rationale: The correct answer is B: Transmit the electrical impulse from the atria to the ventricles, regulating the timing of contraction. The primary function of the atrioventricular (AV) node is to coordinate the transmission of electrical signals between the atria and the ventricles. It ensures proper timing between atrial and ventricular contractions, allowing for efficient blood pumping through the heart. Choice A is incorrect because the AV node does not generate the initial electrical impulse; that role is typically attributed to the sinoatrial (SA) node. Choice C is incorrect as the AV node does not directly influence blood pressure within the ventricles. Choice D is also incorrect as the separation of oxygenated and deoxygenated blood is primarily achieved by the anatomical structure of the heart (e.g., atria and ventricles) and not the AV node.

2. What is the process by which a solid changes directly into a liquid?

• A. Melting
• B. Condensation
• C. Sublimation
• D. Deposition

Correct answer: A

Rationale: The correct answer is A: Melting. Melting is the process through which a solid substance changes directly into a liquid. Choice B, Condensation, is the transition from gas to liquid. Choice C, Sublimation, refers to the direct change from solid to gas. Choice D, Deposition, is the direct transition from gas to solid, not from solid to liquid as in the question.

3. Which of the following antibodies can cross the placenta?

• A. IgA
• B. IgD
• C. IgG
• D. IgM

Correct answer: C

Rationale: The correct answer is IgG. IgG is the only antibody that can cross the placenta, providing passive immunity to the developing fetus. IgA, IgD, and IgM do not cross the placenta. IgA is mainly found in mucosal secretions, IgD is involved in the activation of B cells, and IgM is the first antibody produced in response to an infection, but it does not cross the placental barrier.

4. How is blood pressure controlled by the body?

• A. By adjusting heart rate only
• B. By regulating blood volume
• C. By baroreceptors and hormones
• D. By adjusting body temperature

Correct answer: C

Rationale: Blood pressure is controlled by baroreceptors located in the aortic arch and carotid arteries that detect changes in blood pressure levels. When blood pressure is high, these receptors signal for adjustments to lower it. Additionally, hormones such as renin from the kidneys are released when blood pressure drops, further aiding in blood pressure regulation. Choice A is incorrect because blood pressure regulation involves more than just adjusting heart rate; it also includes vasodilation and vasoconstriction. Choice B is incorrect as while blood volume can impact blood pressure, it is not the primary mechanism of blood pressure control. Choice D is incorrect as body temperature regulation is a separate physiological process and not directly related to blood pressure control.

5. What does the T wave on an ECG correspond to?

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

Correct answer: D

Rationale: The T wave on an ECG corresponds to ventricular repolarization. Following ventricular depolarization, which is represented by the QRS complex, the ventricles undergo repolarization during the T wave. This phase signifies the recovery of ventricular muscle cells as they prepare for the subsequent depolarization cycle. Choices A, B, and C are incorrect because the T wave specifically reflects the repolarization of the ventricles, not the atria or their respective depolarization or repolarization phases.

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