Nursing Elites

1. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole).
• D. The depolarization of the atria.

Correct answer: D

Rationale: The P wave on an ECG represents the depolarization of the atria. This electrical activity initiates the contraction of the atria, allowing blood to be pumped into the ventricles. The P wave is the first positive deflection seen on the ECG and signifies the beginning of atrial depolarization, which is a critical step in the cardiac cycle. Choices A, B, and C are incorrect. Option A (The repolarization of the ventricles) is represented by the T wave on the ECG. Option B (The electrical conduction through the AV node) is not represented by the P wave but rather by the PR interval on the ECG. Option C (The contraction phase of the ventricles (systole)) is more related to the QRS complex on the ECG, which represents ventricular depolarization and contraction.

2. Which of the following requires a citation?

• A. Things that are easily observed
• B. A summary at the end of a project
• C. A personal experience that relates to the topic
• D. A direct quotation from a reference source

Correct answer: D

Rationale: The correct answer is D. A direct quotation from a reference source always requires a citation to give credit to the original author. Choices A, B, and C do not necessarily require citations. Choice A refers to information that is common knowledge or easily observed, which does not need a citation. Choice B pertains to summarizing information in one's own words, which should be attributed to the original source but does not require a direct citation. Choice C involves sharing a personal experience, which does not require a citation unless it includes specific data or information that needs to be attributed to a source.

3. A patient is prescribed 5 mg of medication per kilogram of body weight. If the patient weighs 60 kg, how many milligrams of medication should the patient receive?

• A. 100 mg
• B. 150 mg
• C. 300 mg
• D. 400 mg

Correct answer: C

Rationale: The correct calculation to determine the medication dosage for a patient weighing 60 kg is: 5 mg/kg x 60 kg = 300 mg. Therefore, the patient should receive 300 mg of medication. Choice A (100 mg) is incorrect as it does not account for the patient's weight. Choice B (150 mg) is incorrect as it miscalculates the dosage. Choice D (400 mg) is incorrect as it overestimates the dosage based on the patient's weight.

4. What is the function of the underlined phrase 'with a mischievous grin' in the sentence 'He approached her with a mischievous grin, his eyes twinkling'?

• A. Subject
• B. Direct object
• C. Adverbial phrase
• D. Appositive phrase

Correct answer: C

Rationale: The underlined phrase 'with a mischievous grin' functions as an adverbial phrase in the sentence. It modifies the verb 'approached' by providing information on how he approached her, describing his manner. Adverbial phrases typically answer questions like 'how,' 'when,' 'where,' 'why,' or 'to what extent,' which this phrase does by indicating the manner in which he approached. Choices A, B, and D are incorrect. The phrase does not serve as a subject (A), direct object (B), or appositive phrase (D) in the sentence. Instead, it functions to provide additional information about the action of approaching, making it an adverbial phrase.

5. Which part of the brain is responsible for controlling involuntary actions like breathing and heart rate?

• A. Cerebellum
• B. Medulla oblongata
• C. Cerebrum
• D. Thalamus

Correct answer: B

Rationale: The correct answer is the Medulla oblongata. This region of the brain is located in the brainstem and is responsible for controlling vital autonomic functions such as breathing, heart rate, and blood pressure. The Cerebellum (Choice A) is primarily involved in coordination and balance. The Cerebrum (Choice C) is responsible for higher brain functions like thinking and voluntary muscle movement. The Thalamus (Choice D) acts as a relay station for sensory information but is not primarily responsible for controlling involuntary actions like breathing and heart rate.

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