The basic event in the formation of a blood clot is the change of:
Thrombin to prothrombin.
Fibrinogen to fibrin.
Vitamin K to prothrombin.
Fibrin to fibrinogen.
The Correct Answer is B
This is because fibrinogen is a soluble protein in the blood plasma that is converted to insoluble fibrin strands by the enzyme thrombin during blood clotting. Fibrin forms a mesh-like network that traps platelets and other blood cells to form a clot.
Choice A is wrong because thrombin is not converted to prothrombin, but rather prothrombin is converted to thrombin by another enzyme called prothrombinase.
Choice C is wrong because vitamin K is not converted to prothrombin, but rather vitamin K is required for the synthesis of prothrombin and other clotting factors in the liver.
Choice D is wrong because fibrin is not converted to fibrinogen, but rather fibrinogen is converted to fibrin as explained above.
Normal ranges of fibrinogen in the blood are 200 to 400 mg/dL.
Normal ranges of prothrombin time (a measure of how long it takes blood to clot) are 11 to
13.5 seconds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The endocardium is the thin inner lining of the heart chambers and also forms the surface of the heart valves.
Some possible explanations for the other choices are:
Choice A is wrong because the pericardium is the sac that surrounds the heart and consists of two layers: the fibrous pericardium and the serous pericardium.
Choice C is wrong because the myocardium is the thick middle layer of muscle that allows the heart chambers to contract and relax to pump blood to the body.
Choice D is wrong because epicardium is another name for the visceral layer of the serous pericardium that is fused to the heart and is part of the heart wall.
Correct Answer is C
Explanation
The sinoatrial (SA) node is the natural pacemaker of the heart.
It generates electrical impulses that cause the heart’s chambers to contract, setting the heart rate.
The SA node typically generates 60–100 heartbeats per minute when a person is at rest.
Choice A is wrong because Purkinje fibers are part of the electrical conduction system of the heart that carries impulses to the ventricles.
They are not the primary source of impulses.
Choice B is wrong because the AV bundle (also called bundle of His) is another part of the electrical conduction system of the heart that connects the atria and the ventricles.
It is not the natural pacemaker of the heart.
Choice D is wrong because an atrioventricular node is a relay station between the atria and the ventricles that delays the electrical impulses from the SA node.
It can act as a backup pacemaker if the SA node fails, but it is not the normal pacemaker of the heart.
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