The normal pacemaker of the heart is the:
Purkinje fibers.
AV bundle.
Sinoatrial node.
Atrioventricular node.
The Correct Answer is C

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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The thyroid gland secretes triiodothyronine (T3), which is one of the two main thyroid hormones that affect almost every physiological process in the body.

T3 is the more metabolically active hormone produced from thyroxine (T4), which is the other thyroid hormone.
Choice A is wrong because the adrenal gland secretes hormones such as cortisol, adrenaline, and aldosterone, which are involved in stress response, blood pressure regulation, and metabolism.
Choice B is wrong because the pancreas secretes hormones such as insulin, glucagon, and somatostatin, which are involved in blood glucose regulation and digestion.
Choice D is wrong because the parathyroid gland secretes parathyroid hormone (PTH), which is involved in calcium and phosphate homeostasis.
Normal ranges for T3 levels vary depending on the laboratory and the method of testing, but they are usually between 100 and 200 nanograms per deciliter (ng/dL) for total T3 and between 2.3 and 4.2 picograms per milliliter (pg/mL) for free T.
Correct Answer is A
Explanation
Red blood cells do not contain a large nucleus; in fact, they do not contain a nucleus at all when they are mature.
This is an adaptation that allows them to carry more hemoglobin, the protein that binds oxygen, and to squeeze through narrow capillaries.
Choice B is wrong because it contradicts the fact that red blood cells are enucleated (lacking a nucleus) in humans and most mammals.
Some vertebrates, such as birds and fish, have nucleated red blood cells, but they are not thick near the center and thin around the rim of the cell.

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