Nursing Elites

1. Which structure serves as the electrical stimulator of the cardiac muscle?

• A. The sinoatrial node
• B. The left ventricle
• C. The aorta
• D. The tricuspid valve

Correct answer: A

Rationale: The correct answer is the sinoatrial node. This node, also referred to as the pacemaker of the heart, is responsible for initiating the electrical impulses that stimulate cardiac muscle contractions. It plays a crucial role in setting the pace and rhythm of the heart's contractions. Choices B, C, and D (the left ventricle, the aorta, and the tricuspid valve, respectively) do not serve as the primary electrical stimulator of the cardiac muscle. While the left ventricle is a chamber of the heart that pumps oxygenated blood to the body, the aorta is the main artery that carries blood away from the heart, and the tricuspid valve is a one-way valve that ensures blood flows properly through the heart, none of these structures initiate the electrical impulses that cause the cardiac muscle to contract.

2. Long bones are one of the five major types of bones in the human body. All of the following bones are long bones, EXCEPT

• A. Thighs
• B. Forearms
• C. Ankles
• D. Fingers

Correct answer: D

Rationale: Long bones are one of the five major types of bones in the human body, characterized by their elongated shape. Thighs, forearms, and ankles are examples of long bones as they are longer than they are wide and have a tubular structure, aiding in support and movement. Fingers, however, are categorized as short bones due to their small size and shape. Short bones like fingers are essential for providing dexterity and precise movements rather than supporting weight or acting as levers for movement. Therefore, the correct answer is D, Fingers, as they are not classified as long bones.

3. The kidneys are bean-shaped organs that perform several vital functions. Which of the following is NOT a primary function of the kidneys?

• A. Filtering waste products from the blood
• B. Regulating blood pressure
• C. Producing red blood cells
• D. Maintaining water balance in the body

Correct answer: C

Rationale: The correct answer is C. The kidneys do not produce red blood cells. This function is carried out by the bone marrow. The primary functions of the kidneys include filtering waste products from the blood, regulating blood pressure, and maintaining water balance in the body. Red blood cells are produced in the bone marrow, not in the kidneys. Choices A, B, and D are incorrect as they are primary functions of the kidneys, which involve filtering waste products, regulating blood pressure, and maintaining water balance in the body, respectively.

4. When light interacts with a perfectly smooth surface, like a mirror, the dominant interaction is:

• A. Refraction
• B. Diffraction
• C. Total internal reflection
• D. Specular reflection

Correct answer: D

Rationale: When light interacts with a perfectly smooth surface like a mirror, the dominant interaction is specular reflection. Specular reflection occurs when light rays are reflected off a smooth surface at the same angle as the incident angle, resulting in a clear and sharp reflection. Refraction, which involves the bending of light as it passes from one medium to another, is not the dominant interaction with a perfectly smooth surface. Diffraction, the bending of light waves around obstacles, is not the dominant interaction with smooth surfaces. Total internal reflection occurs when light is reflected back into a medium due to encountering a boundary at an angle greater than the critical angle, but it is not the dominant interaction on a perfectly smooth surface like a mirror.

5. When animals eat, insulin is released from the pancreas, stimulating glucose uptake by the liver. When glucose levels drop, the pancreas reduces insulin release. This is an example of which mechanism for maintaining homeostasis?

• A. Negative feedback.
• B. Positive feedback.
• C. Stress response.
• D. Parasympathetic regulation.

Correct answer: A

Rationale: This mechanism is an example of negative feedback. Negative feedback systems work to counteract changes in the body and maintain a stable internal environment (homeostasis). In this case, the release of insulin in response to high glucose levels is followed by a reduction in insulin release when glucose levels drop. This response helps regulate glucose levels and return them to a normal range, demonstrating the characteristic of negative feedback where the body's response opposes the initial stimulus to maintain equilibrium. Positive feedback would amplify the initial change rather than counteract it, so it is not the correct choice. Stress response and parasympathetic regulation are not directly involved in this glucose regulation process, making them incorrect choices.

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