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. What property of a substance remains constant regardless of its location in the universe?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of its location in the universe. Weight, on the other hand, is the force of gravity acting on an object and can vary depending on the gravitational pull at different locations. Density and volume can also change based on the environment in which an object is placed, making mass the property that remains constant universally. Therefore, the correct answer is mass. Weight changes with the gravitational force of a particular location, density varies with mass and volume, and volume can change depending on the shape or size of the object.

3. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

4. What is the process of removing waste products from the cell called?

• A. Exocytosis
• B. Endocytosis
• C. Phagocytosis
• D. Pinocytosis

Correct answer: A

Rationale: A) Exocytosis is the process by which cells expel waste products or other substances by fusing a vesicle containing the waste with the cell membrane, releasing its contents outside the cell. This process is essential for maintaining cellular homeostasis by removing waste products from the cell. B) Endocytosis is the process by which cells take in substances by engulfing them in a vesicle formed from the cell membrane. This process is the opposite of exocytosis and is used to bring substances into the cell. C) Phagocytosis is a type of endocytosis where cells engulf solid particles or other cells to form a vesicle called a phagosome. This process is used by immune cells to engulf and destroy pathogens. D) Pinocytosis is a type of endocytosis where cells engulf fluids and dissolved solutes. This process allows cells to take in nutrients.

5. What is the term for the energy absorbed during a chemical reaction?

• A. Kinetic energy
• B. Potential energy
• C. Heat energy
• D. Endothermic energy

Correct answer: D

Rationale: The correct term for the energy absorbed during a chemical reaction is 'Endothermic energy.' Endothermic reactions absorb energy from their surroundings, leading to a decrease in temperature. The prefix 'endo-' means 'inward' or 'within,' indicating that energy is taken in during the reaction. Choices A, B, and C are incorrect because kinetic energy refers to the energy of motion, potential energy is stored energy, and heat energy is a form of energy transfer rather than specifically the energy absorbed during a chemical reaction.

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