Nursing Elites

1. Vaccines work by stimulating the immune system to develop:

• A. A physical barrier against pathogens
• B. An inflammatory response
• C. Immunological memory to a specific pathogen
• D. Phagocytes to engulf pathogens

Correct answer: C

Rationale: The correct answer is C: 'Immunological memory to a specific pathogen.' Vaccines work by introducing a harmless form of a pathogen or a piece of it to stimulate the immune system. This exposure triggers the production of antibodies and memory cells specific to that pathogen. These memory cells 'remember' the pathogen, allowing the immune system to respond more effectively and rapidly if exposed to the actual pathogen in the future. Options A, B, and D are incorrect because vaccines do not create a physical barrier, induce a general inflammatory response, or directly cause phagocytes to engulf pathogens; instead, vaccines enhance the immune system's ability to recognize and combat specific pathogens.

2. Based on the passage, the author most likely believes that

• A. Individual actions are insignificant in addressing climate change, and only large-scale initiatives matter.
• B. Adaptation to the changing climate is impossible, and societal collapse is inevitable.
• C. Transitioning to renewable energy and sustainable practices offers hope for mitigating climate change.
• D. The scientific evidence for climate change is unreliable, and further research is needed before taking action.

Correct answer: C

Rationale: The focus on global efforts, renewable energy, and sustainable practices suggests an optimistic outlook on mitigating climate change, aligning with C.

3. She knows that performance appraisal consists of all the following activities EXCEPT:

• A. Setting specific standards and activities for individual performance.
• B. Using agency standards as a guide.
• C. Determine areas of strength and weaknesses
• D. Focusing activity on the correction of identified behavior.

Correct answer: D

Rationale: The correct answer is D: 'Focusing activity on the correction of identified behavior.' Performance appraisal is a process that involves setting specific standards and activities for individual performance, using agency standards as a guide, and determining areas of strengths and weaknesses. While performance appraisal may identify areas for improvement, its primary focus is not solely on correcting behavior. Instead, it is a holistic evaluation of an individual's performance in various aspects. Therefore, option D is the exception among the activities associated with performance appraisal.

4. Which word completes the sentence: "Despite the storm, the concert ____ went on."

• A. nevertheless
• B. however
• C. therefore
• D. nonetheless

Correct answer: D

Rationale: "Nonetheless" emphasizes the continuation of the concert despite the contrary circumstance.

5. What is the name for the mixture of reactants and products present during a chemical reaction?

• A. Solution
• B. Mixture
• C. Reaction mixture
• D. Precipitate

Correct answer: C

Rationale: This mixture contains both the starting materials (reactants) and the newly formed substances (products) during the reaction process.

6. The adaptive immune system has two main branches: humoral and cell-mediated immunity. Which type of immune cell is primarily responsible for antibody production?

• A. Helper T cells
• B. Cytotoxic T cells
• C. B cells
• D. Natural killer cells

Correct answer: C

Rationale: The correct answer is C: B cells. B cells are a type of lymphocyte that plays a central role in humoral immunity by producing antibodies. When activated by antigens, B cells differentiate into plasma cells, which are responsible for producing and secreting antibodies. Helper T cells (option A) primarily assist in activating B cells and other immune cells. Cytotoxic T cells (option B) are involved in cell-mediated immunity, where they directly kill infected cells. Natural killer cells (option D) are part of the innate immune system and target virus-infected and cancerous cells. Therefore, B cells are the immune cells primarily responsible for antibody production in the adaptive immune system.

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