When the left ventricle contracts, the ________ valve is pushed open and the ________ valve closes.
mitral; pulmonary.
right AV; pulmonary.
right AV; aortic.
mitral; aortic.
The Correct Answer is D
Choice A rationale
The mitral valve is between the left atrium and left ventricle. The pulmonary valve is between the right ventricle and the pulmonary artery. Therefore, the mitral valve opening and pulmonary valve closing do not directly correlate with left ventricular contraction in this manner.
Choice B rationale
The right AV valve (tricuspid valve) is located between the right atrium and right ventricle. When the left ventricle contracts, it is not directly involved with the right AV valve or the pulmonary valve in this specific coordinated sequence.
Choice C rationale
The right AV valve (tricuspid valve) is in the right side of the heart, controlling blood flow from the right atrium to the right ventricle. The aortic valve is on the left side of the heart. These two valves do not coordinate in this manner during left ventricular contraction.
Choice D rationale
When the left ventricle contracts during systole, the pressure within the ventricle rises. This increased pressure pushes open the aortic valve, allowing blood to be ejected into the aorta. Simultaneously, the increased ventricular pressure forces the mitral (bicuspid) valve to close, preventing blood from flowing backward into the left atrium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Negative feedback inhibition is the most common mechanism by which target organs regulate pituitary hormone secretion. When the concentration of a hormone secreted by a target gland reaches a sufficient level, it inhibits the release of stimulating hormones from the pituitary and/or hypothalamus, thereby maintaining hormonal homeostasis and preventing overproduction.
Choice A rationale
Positive feedback is less common in endocrine regulation and typically leads to an amplification of the initial stimulus, rather than a return to homeostasis. An example is the surge of luteinizing hormone during ovulation, where estrogen stimulates more LH release.
Choice B rationale
Direct nervous stimulation occurs in some cases, such as the adrenal medulla's release of catecholamines in response to sympathetic preganglionic neurons. However, for target organ regulation of the pituitary, feedback loops involving hormones are the predominant mechanism, not direct nervous stimulation.
Choice D rationale
Reverberation refers to a type of neural circuit where neurons re-excite themselves or upstream neurons, leading to a sustained output. This concept is primarily relevant to neural networks and not a direct mechanism for endocrine feedback from target organs to the pituitary gland.
Correct Answer is A
Explanation
Choice A rationale
Oxygen-poor blood from the systemic circulation enters the right atrium, then passes through the right AV (tricuspid) valve into the right ventricle. From the right ventricle, it is pumped through the pulmonary valve into the pulmonary artery, which carries it to the lungs for oxygenation. This pathway ensures deoxygenated blood reaches the pulmonary circuit.
Choice B rationale
This choice is incomplete because while oxygen-poor blood does pass through the right AV (tricuspid) valve, it must also pass through the pulmonary valve to exit the right ventricle and reach the lungs for oxygenation. Omitting the pulmonary valve provides an incomplete description of the path.
Choice C rationale
The left AV (mitral) valve and aortic valve are components of the left side of the heart, which handles oxygenated blood. Oxygenated blood from the lungs enters the left atrium, passes through the mitral valve into the left ventricle, and then through the aortic valve into the aorta for systemic distribution.
Choice D rationale
This choice describes only the entry of oxygenated blood into the left ventricle from the left atrium via the left AV (mitral) valve. It does not account for the oxygen-poor blood pathway, which involves the right side of the heart.
Choice E rationale
The pulmonary valve allows oxygen-poor blood to leave the right ventricle. However, the aortic valve allows oxygenated blood to leave the left ventricle. Therefore, the combination of pulmonary and aortic valves does not exclusively describe the path of oxygen-poor blood.
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