In a normal ECG, the deflection that is generated by ventricular repolarization is called the
R wave
QRS wave
P wave
S wave
T wave
The Correct Answer is E
A. R wave: The R wave is the prominent upward deflection of the QRS complex and represents the depolarization of the main mass of the ventricles. It marks the electrical signal for ventricular contraction, not the recovery phase. It is an electrical event related to the initiation of ventricular systole.
B. QRS wave: This complex represents the total electrical activity associated with ventricular depolarization. It consists of the Q, R, and S deflections and obscures the electrical signal of atrial repolarization. While it is a critical ECG landmark, it indicates the onset of ventricular activation rather than its recovery.
C. P wave: The P wave is the initial small deflection of the ECG cycle and represents atrial depolarization. This electrical event triggers the subsequent contraction of the atria to move blood into the ventricles. It occurs well before the ventricles are electrically activated or repolarized.
D. S wave: The S wave is the final downward deflection of the QRS complex, representing the depolarization of the base of the heart. Like the R wave, it is part of the electrical sequence that leads to ventricular contraction. It does not represent the return of the ventricular myocytes to their resting state.
E. T wave: The T wave is the deflection on the ECG that represents the electrical recovery, or repolarization, of the ventricular myocardium. This process allows the ventricular cells to return to their resting potential in preparation for the next cycle. It occurs during the middle and final stages of ventricular systole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. oblique fissure: This is the anatomical groove that separates the superior and inferior lobes of the left lung. While it is a prominent surface feature, it does not represent the specific indentation created by the heart. It facilitates the sliding of lung lobes during the respiratory cycle.
B. hilum: The hilum is the triangular depression on the medial surface of the lung where primary bronchi and pulmonary vessels enter and exit. It serves as the "root" of the lung rather than a space-occupying indentation for the heart. It is located posterior to the cardiac impression.
C. apex: The apex is the superior, blunt tip of the lung that projects above the level of the first rib into the neck. It is located far above the anatomical position of the mediastinal heart. It does not interface with the cardiac apex or ventricular mass.
D. cardiac notch: This is a distinct medial indentation on the anterior border of the superior lobe of the left lung. It accommodates the lateral projection of the heart's apex within the thoracic cavity. This anatomical feature explains why the left lung is smaller than the right lung.
E. base: The base is the broad, concave inferior surface of the lung that rests upon the convex surface of the diaphragm. While the heart sits superior to the central tendon of the diaphragm, it does not indent the diaphragmatic base. The base primarily conforms to the abdominal dome.
Correct Answer is B
Explanation
A. Sigmoid colon: This S-shaped segment constitutes the terminal portion of the large intestine, leading to the rectum. Its primary physiological role involves fecal dehydration and storage rather than enzymatic digestion. It is located too distally in the gastrointestinal tract to receive primary biliary or pancreatic secretions.
B. Duodenum: This proximal segment of the small intestine receives chyme from the stomach through the pylorus. The hepatopancreatic ampulla opens into this region, delivering bile and pancreatic enzymes to facilitate lipid emulsification and chemical proteolysis. It serves as the primary site for neutralizing gastric acid.
C. Cecum: This pouch represents the commencement of the large intestine and receives undigested material from the ileum. It is primarily involved in the absorption of remaining fluids and salts. It lacks the anatomical connections required to receive direct secretions from the liver or the pancreas.
D. Ilium: This terminal section of the small intestine focuses on the absorption of vitamin B12 and bile salts. While it is part of the small intestine, it is located distal to the initial sites of chemical digestion. Secretions from the accessory organs have already mixed with chyme before reaching this segment.
E. Jejunum: This middle section of the small intestine is characterized by a high density of plicae circulares for nutrient absorption. Although intensive chemical digestion continues here, the initial entry point for biliary and pancreatic fluids occurs more proximally. It follows the duodenum in the anatomical sequence of the tract.
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