Nursing Elites

1. Which part of the heart is responsible for generating the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The QRS complex on an ECG represents ventricular depolarization. This electrical activity is generated by the ventricular muscle cells. While the SA node generates the P wave, the AV node delays the impulse, and the Bundle of His and Purkinje fibers assist in rapidly conducting the impulse through the ventricles, it is the ventricular muscle cells that specifically create the QRS complex. Therefore, choice D, Ventricular muscle cells, is the correct answer. Choices A, B, and C are incorrect as they are primarily involved in initiating and coordinating the electrical impulses in the heart but do not directly generate the QRS complex on an ECG.

2. Which structure of the respiratory system bifurcates into the primary bronchi?

• A. Trachea
• B. Alveoli
• C. Bronchioles
• D. Larynx

Correct answer: A

Rationale: The trachea is the structure that bifurcates into the primary bronchi. The trachea is a tube that carries air to and from the lungs. It divides into the left and right primary bronchi at a specific point called the carina, which then further divide into secondary and tertiary bronchi, leading to the bronchioles. The alveoli are the tiny air sacs at the end of the bronchioles where gas exchange occurs, not the structure that bifurcates into the primary bronchi. Bronchioles are smaller airway branches that come after the bronchi but do not bifurcate into them. The larynx, also known as the voice box, is located above the trachea and is responsible for sound production, not the bifurcation into primary bronchi. Therefore, the correct answer is the trachea.

3. Which feedback loop inhibits the stimulus or the deviation from homeostasis?

• A. Negative feedback loop
• B. Positive feedback loop
• C. Inhibitory feedback loop
• D. Stimulating feedback loop

Correct answer: A

Rationale: The correct answer is A: Negative feedback loop. Negative feedback loops work to inhibit the stimulus or reduce the deviation from a set point, maintaining homeostasis by counteracting any changes from the norm. In this case, the negative feedback loop acts to minimize any deviation from the body's internal balance, ensuring stability and optimal functioning. Choice B, a positive feedback loop, amplifies the stimulus or deviation, moving systems away from homeostasis. Choice C, an inhibitory feedback loop, is not a commonly recognized term in the context of feedback mechanisms. Choice D, a stimulating feedback loop, is not a standard term and does not accurately describe a feedback loop's role in maintaining homeostasis.

4. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

5. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

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