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 term describes the maximum displacement of particles from their rest position in a wave?

• A. Frequency
• B. Wavelength
• C. Amplitude
• D. Velocity

Correct answer: C

Rationale: The term that describes the maximum displacement of particles from their rest position in a wave is called the amplitude. Amplitude is a measure of the strength or intensity of a wave and is represented by the height of the wave from the rest position to the crest (or trough) of the wave. Frequency (A) refers to the number of complete wavelengths that pass a point in a given time. Wavelength (B) is the distance between two consecutive crests (or troughs) of a wave. Velocity (D) is the speed of the wave, not the maximum displacement of particles from their rest position.

3. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

4. Which of the following is NOT a type of vaccine?

• A. Live attenuated vaccine
• B. Toxoid vaccine
• C. Conjugate vaccine
• D. Antibiotic

Correct answer: D

Rationale: A) Live attenuated vaccine: This type of vaccine contains a weakened form of the virus or bacteria that causes the disease. When administered, it stimulates an immune response without causing the disease itself. B) Toxoid vaccine: Toxoid vaccines are made from toxins produced by bacteria that have been inactivated. They stimulate the immune system to produce antibodies against the toxin, providing immunity against the disease. C) Conjugate vaccine: Conjugate vaccines are made by combining a weak antigen with a strong antigen to enhance the immune response. They are commonly used to protect against bacterial infections. D) Antibiotic: Antibiotics are medications used to treat bacterial infections by killing or inhibiting the growth of bacteria. They are not a type of vaccine but rather a class of antimicrobial drugs. Therefore, the correct answer is D) Antibiotic, as it is not a type of vaccine.

5. What is the basic structural and functional unit of the nervous system?

• A. Axon
• B. Neuron
• C. Dendrite
• D. Synapse

Correct answer: B

Rationale: The correct answer is B: Neuron. Neurons are indeed the basic structural and functional units of the nervous system. Neurons are specialized cells that transmit signals throughout the nervous system, enabling communication and coordination of various functions within the body. While axons, dendrites, and synapses are all essential components of neurons and neural function, the neuron as a whole is considered the fundamental building block responsible for signal transmission. Choice A, Axon, is incorrect because an axon is a part of a neuron responsible for transmitting electrical signals away from the cell body. Choice C, Dendrite, is incorrect because dendrites are extensions of a neuron that receive signals from other neurons. Choice D, Synapse, is incorrect because a synapse is the junction between two neurons where signals are transmitted.

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