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. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

3. Which of the following is an example of a pivot joint?

• A. Hip
• B. Neck
• C. Shoulder
• D. Elbow

Correct answer: B

Rationale: The correct answer is B: Neck. A pivot joint, as found in the neck, allows for rotational movement around a single axis. This type of joint is essential for movements like shaking your head 'no' or looking left and right. Choices A, C, and D are incorrect because the hip, shoulder, and elbow joints are examples of ball-and-socket joints, which allow for a wide range of motion in multiple directions, not just rotational movement around a single axis like a pivot joint.

4. Which of the following terms refers to the degeneration of nerve tissue?

• A. Potentiation
• B. Demyelination
• C. Reuptake
• D. Neurogenesis

Correct answer: B

Rationale: Demyelination specifically refers to the degeneration of the myelin sheath that covers nerve fibers. When demyelination occurs, nerve function and communication can be impaired. Potentiation involves the strengthening of synaptic connections, reuptake is the reabsorption process of neurotransmitters by the presynaptic neuron, and neurogenesis is the generation of new neurons. Therefore, the correct term for the degeneration of nerve tissue among the options provided is demyelination.

5. 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.

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