Nursing Elites

1. Which of the following is specialized tissue in the right atrium that acts as the heart’s natural pacemaker by generating the electrical signal for the heartbeat?

• A. sinus venosus
• B. sinoatrial node
• C. atrioventricular node
• D. tricuspid valve

Correct answer: B

Rationale: The sinoatrial node, often referred to as the SA node, is specialized tissue located in the right atrium of the heart. It functions as the heart's natural pacemaker by generating the electrical signal that initiates each heartbeat. This electrical signal spreads to the atrial muscles and then to the atrioventricular node, causing the heart to contract rhythmically and efficiently. The other options listed do not serve as the heart's natural pacemaker responsible for generating the electrical signal for the heartbeat. Sinus venosus is a developmental structure in fetal hearts, the atrioventricular node delays the electrical signal, and the tricuspid valve is a heart valve that prevents backflow of blood from the right ventricle to the right atrium.

2. 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.

3. Which of the following correctly orders the layers of the epidermis from most superficial to deepest?

• A. S. spinosum, S. basale, S. corneum, S. granulosum, S. lucidum
• B. S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale
• C. S. corneum, S. spinosum, S. basale, S. granulosum, S. lucidum
• D. S. basale, S. spinosum, S. granulosum, S. lucidum, S. corneum

Correct answer: B

Rationale: The correct order of the layers of the epidermis from most superficial to deepest is: Stratum corneum, Stratum lucidum, Stratum granulosum, Stratum spinosum, Stratum basale. Choice B, 'S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale,' provides the accurate layering from the outermost to the innermost layer of the epidermis. Choice A is incorrect as it starts with Stratum spinosum, which is not the most superficial layer. Choice C is incorrect as it places Stratum spinosum before Stratum basale. Choice D is incorrect as it starts with Stratum basale, which is the deepest layer of the epidermis.

4. Which nervous system controls voluntary motor movement?

• A. Parasympathetic
• B. Sympathetic
• C. Autonomic
• D. Somatic

Correct answer: D

Rationale: The correct answer is D: Somatic. The somatic nervous system is responsible for controlling voluntary motor movements. It includes the motor neurons that innervate skeletal muscles and allows us to consciously control our movements. The parasympathetic and sympathetic nervous systems are part of the autonomic nervous system, which controls involuntary functions such as heart rate and digestion. Therefore, choices A, B, and C are incorrect as they are components of the autonomic nervous system and are not primarily responsible for voluntary motor movements.

5. Which of the following are properties of a liquid?

• A. High atomic attraction
• B. Fixed volume
• C. Low pressure
• D. Takes shape of container

Correct answer: D

Rationale: The correct answer is D: 'Takes shape of container.' Liquids exhibit the property of taking the shape of their container while maintaining a fixed volume. This is due to the ability of liquid particles to flow and move freely within the container. Choices A, B, and C are incorrect. Choice A, 'High atomic attraction,' is not a general property of liquids as the level of attraction between liquid particles can vary. Choice B, 'Fixed volume,' is partially correct as liquids do have a fixed volume, but they do not have a fixed shape. Choice C, 'Low pressure,' is not a defining property of liquids.

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