The correct sequence of parts that carry cardiac impulses is:
AV node, SA node, Purkinje fibers, AV bundle.
SA node, Purkinje fibers, AV node, AV bundle.
SA node, AV node, AV bundle, Purkinje fibers.
AV node, AV bundle, Purkinje fibers, SA node.
The Correct Answer is C
This sequence ensures that the atria contract before the ventricles and that the ventricles contract from the bottom up.
Choice A is wrong because it reverses the order of the SA node and the AV node. The SA node is the pacemaker of the heart and initiates the cardiac impulses.
Choice B is wrong because it places the Purkinje fibers before the AV node.
The Purkinje fibers are the last part of the conduction system and stimulate the ventricular muscle fibers.
Choice D is wrong because it reverses the order of the entire sequence.
The AV node is not the pacemaker of the heart and does not initiate cardiac impulses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Uterine contractions during childbirth illustrate a positive feedback mechanism.
A positive feedback mechanism is a process in which the end products of an action cause more of that action to occur in a feedback loop.
This amplifies the original action.
For example, when a woman goes into labor, the pressure of the baby’s head on the cervix stimulates nerve impulses that travel to the brain and trigger the release of oxytocin, a hormone that causes the uterus to contract.
The contractions increase the pressure on the cervix, which stimulates more nerve impulses, more oxytocin, and more contractions.
This cycle continues until the baby is delivered.
Choice A is wrong because body temperature control is an example of a negative feedback mechanism, which is when the end results of an action inhibit that action from continuing to occur.
For example, when the body temperature rises above normal, the skin sweats, and blood vessels dilate to release heat.
This lowers the body temperature back to normal and stops sweating and dilation.
Choice B is wrong because control of blood sugar is also an example of a negative feedback mechanism.
For example, when the blood sugar level rises after a meal, the pancreas secretes insulin, a hormone that helps cells take up glucose from the blood.
This lowers the blood sugar level back to normal and stops the insulin secretion.
Choice D is wrong because maintaining blood pressure is another example of a negative feedback mechanism.
For example, when the blood pressure drops due to blood loss or dehydration, the heart beats faster and stronger, and the blood vessels constrict to increase the blood pressure.
This restores the blood pressure back to normal and stops the heart rate and vessel constriction.
Correct Answer is A
Explanation
The radial artery is one of the major blood-supplying vessels to the forearm and hand.
It can be felt as a pulse near the thumb on the wrist by gently pressing the artery against the underlying bone.
This is the most commonly measured pulse by nurses to assess peripheral pulse characteristics.
Choice B.
Palmar arch arteries are wrong because these are branches of the radial and ulnar arteries that form anastomosis in the palm of the hand.
They are not palpable on the wrist.
Choice C.
The brachial artery is wrong because this is the main artery of the upper arm that bifurcates into the radial and ulnar arteries at the cubital fossa.
It can be felt as a pulse in the antecubital fossa, not near the thumb on the wrist.
Choice D
The Ulnar artery is wrong because this is another major blood-supplying vessel to the forearm and hand that runs along the medial aspect of the forearm.
It can be felt as a pulse on the little finger side of the wrist, not near the thumb.
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