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 vitamin deficiency can lead to kidney stones?

• A. Vitamin A
• B. Vitamin B12
• C. Vitamin D
• D. Vitamin K

Correct answer: C

Rationale: The correct answer is Vitamin D. Vitamin D deficiency can lead to kidney stones because Vitamin D helps regulate calcium levels in the body. Low levels of Vitamin D can result in increased calcium absorption from the intestines, leading to higher levels of calcium in the urine, which can form kidney stones. Choices A, B, and D are incorrect as deficiencies in these vitamins are not directly associated with kidney stone formation.

3. Which bones are included in the axial skeleton?

• A. Head, neck, and trunk
• B. Arms and legs
• C. Hands and feet
• D. All of the above

Correct answer: A

Rationale: The correct answer is A: Head, neck, and trunk. The axial skeleton comprises bones located in the head, neck, and trunk region, such as the skull, vertebral column, and rib cage. These bones provide structural support and protect vital organs like the brain, spinal cord, and heart. Choices B and C are incorrect because arms, legs, hands, and feet are part of the appendicular skeleton, not the axial skeleton. The appendicular skeleton is responsible for movement, manipulation, and mobility, while the axial skeleton primarily provides central support and protection for essential organs.

4. 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.

5. What is the significance of the nuclear envelope breaking down during mitosis?

• A. It allows the chromosomes to condense and become visible.
• B. It allows the spindle apparatus to form and attach to the chromosomes.
• C. It allows the sister chromatids to separate.
• D. It allows the nuclear material to be evenly distributed to the daughter cells.

Correct answer: B

Rationale: A) The breakdown of the nuclear envelope does not directly cause the chromosomes to condense and become visible. Chromosome condensation is a separate process that occurs before mitosis begins. B) The breakdown of the nuclear envelope is crucial for the formation of the spindle apparatus, a structure made of microtubules that helps separate the chromosomes during cell division. The spindle apparatus attaches to the chromosomes and helps move them to opposite poles of the cell. C) The separation of sister chromatids occurs during anaphase, which is facilitated by the spindle apparatus. The breakdown of the nuclear envelope is not directly involved in this process. D) The even distribution of nuclear material to daughter cells is achieved through the movement of chromosomes by the spindle apparatus, which is made possible by the breakdown of the nuclear envelope.

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