Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: The correct answer is C. Autoimmune diseases are triggered by a breakdown in immune cell self-tolerance mechanisms, where the immune system fails to recognize 'self' from 'non-self' cells, leading to attacks on healthy tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact immune function, the root cause of autoimmune diseases is primarily attributed to the breakdown in self-tolerance mechanisms. This breakdown can be influenced by genetic predisposition, environmental factors, and other triggers, leading to the development of autoimmune conditions.

2. What is the best way to punctuate the dialogue "Are you coming?" she asked. "Maybe," I replied.

• A. "Are you coming?" she asked? "Maybe," I replied.
• B. "Are you coming?" she asked. "Maybe," I replied.
• C. "Are you coming?" she asked, "Maybe," I replied.
• D. "Are you coming?" she asked, "Maybe," I replied.

Correct answer: B

Rationale: Each speaker's words need quotation marks, and the question mark should go inside the closing quotation mark of the question.

3. What is the main verb tense in the following sentence? "She had already left before I arrived."

• A. Present tense
• B. Past tense
• C. Future tense
• D. t perfect tense

Correct answer: D

Rationale: The verb "had left" is in the past perfect tense, indicating an action completed before another past action ("arrived").

4. The process by which one element changes into another through radioactive decay is known as:

• A. Transmutation
• B. Fission
• C. Fusion
• D. Oxidation

Correct answer: A

Rationale: Transmutation - Radioactive decay alters the atomic structure, changing the element's identity (transmutation).

5. The primary function of the respiratory system is to:

• A. Maintain body temperature
• B. Deliver oxygen to the bloodstream and remove carbon dioxide
• C. Produce antibodies for the immune system
• D. Break down food molecules for energy

Correct answer: B

Rationale: The correct answer is B: 'Deliver oxygen to the bloodstream and remove carbon dioxide.' The primary function of the respiratory system is to facilitate gas exchange. When we breathe in, oxygen is inhaled and transported to the bloodstream, where it is delivered to cells for energy production. Simultaneously, carbon dioxide, a waste product of cellular metabolism, is removed from the bloodstream and exhaled. This process is vital for sustaining life and maintaining proper oxygen levels in the body. The respiratory system does not primarily regulate body temperature, produce antibodies, or break down food molecules for energy, making options A, C, and D incorrect.

6. Lymph nodes are small, bean-shaped structures found along lymphatic vessels. What is their primary function?

• A. To store excess lymph fluid
• B. To produce red blood cells
• C. To filter lymph and fight infection
• D. To transport lymph to the heart

Correct answer: C

Rationale: The correct answer is C. Lymph nodes are crucial components of the immune system. Their primary function is to filter lymph, which is a clear fluid containing white blood cells, and to fight off infections. Lymph nodes contain specialized cells that help trap and destroy pathogens, such as bacteria and viruses, that may be present in the lymph fluid. This process helps to prevent the spread of infections throughout the body and plays a key role in maintaining overall immune function. Therefore, option C, 'To filter lymph and fight infection,' is the most appropriate description of the primary function of lymph nodes.

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