Nursing Elites

1. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

2. What is the term for a solution that has a lower concentration of solute compared to another solution?

• A. Saturated solution
• B. Unsaturated solution
• C. Dilute solution
• D. Concentrated solution

Correct answer: B

Rationale: An unsaturated solution is the term used for a solution that has a lower concentration of solute compared to another solution. In an unsaturated solution, more solute could still be dissolved. The other options are incorrect. A saturated solution (A) contains the maximum amount of solute that can be dissolved and is in equilibrium with undissolved solute. A dilute solution (C) has a low concentration of solute, but it does not imply a comparison to another solution. A concentrated solution (D) has a high concentration of solute compared to the solvent, which is opposite to what is described in the question.

3. The pH scale is used to indicate the concentration of:

• A. Hydrogen ions
• B. Oxygen
• C. Salts
• D. Sugar molecules

Correct answer: A

Rationale: The pH scale is a measure of the concentration of hydrogen ions in a solution, representing its acidity or basicity. A lower pH value indicates higher hydrogen ion concentration and acidity, while a higher pH value indicates lower hydrogen ion concentration and basicity. Choice A, 'Hydrogen ions,' is the correct answer because the pH scale specifically measures the concentration of hydrogen ions in a solution. Choices B, C, and D are incorrect as the pH scale is not used to indicate the concentration of oxygen, salts, or sugar molecules.

4. Which structure in the ear is responsible for maintaining balance?

• A. Cochlea
• B. Semicircular canals
• C. Eardrum
• D. Auditory nerve

Correct answer: B

Rationale: The correct answer is the semicircular canals. These structures in the inner ear are responsible for maintaining balance and equilibrium by detecting rotational movements of the head. The cochlea is responsible for hearing as it contains the sensory cells for detecting sound vibrations, the eardrum is a membrane that transmits sound waves to the middle ear, and the auditory nerve carries sound signals from the cochlea to the brain for processing. Therefore, choices A, C, and D are incorrect as they are not primarily associated with maintaining balance.

5. 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.

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