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: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. Which of the following structures helps filter pathogens from the blood?

• A. Lymph nodes
• B. Kidneys
• C. Spleen
• D. Pancreas

Correct answer: C

Rationale: The spleen is the correct answer. The spleen is a vital organ in the immune system responsible for filtering pathogens from the blood. It contains specialized immune cells that aid in recognizing and eliminating harmful substances. Additionally, the spleen plays a role in recycling old red blood cells. Choices A, B, and D are incorrect. Lymph nodes primarily filter lymph fluid, not blood. Kidneys are involved in filtering waste and regulating fluid balance, not specifically filtering pathogens from the blood. The pancreas functions in hormone regulation and digestion, unrelated to filtering pathogens from the blood.

3. Bile, a yellowish-green fluid, is stored in the gallbladder and released into the small intestine during digestion. What is the primary function of bile in digestion?

• A. Break down carbohydrates
• B. Break down proteins
• C. Emulsify fats
• D. Neutralize stomach acid

Correct answer: C

Rationale: The primary function of bile in digestion is to emulsify fats. Bile contains bile salts that help break down large fat globules into smaller droplets, increasing the surface area for enzymes to work on and aiding in the absorption of fats in the small intestine. Choices A, B, and D are incorrect because bile's main role is not to break down carbohydrates or proteins, nor to neutralize stomach acid; rather, it primarily assists in the digestion and absorption of fats through emulsification.

4. Where does the majority of nutrient absorption occur?

• A. Mouth
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: C

Rationale: The majority of nutrient absorption occurs in the small intestine. The small intestine is where the final stages of digestion take place, and it is specialized for absorption with its large surface area and villi that increase nutrient absorption efficiency. The mouth is responsible for mechanical digestion through chewing, the stomach primarily aids in digestion through mixing and breakdown of food, and the large intestine mainly absorbs water and electrolytes, with minimal nutrient absorption.

5. 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: B cells are primarily responsible for antibody production in the adaptive immune system. When activated, B cells differentiate into plasma cells, which are specialized to produce antibodies. Helper T cells play a crucial role in activating B cells, but they do not directly produce antibodies. Cytotoxic T cells are involved in cell-mediated immunity by killing infected cells, while natural killer cells are part of the innate immune system and target virus-infected and cancerous cells. Therefore, the correct answer is C (B cells) as they are directly involved in the production of antibodies, essential for humoral immunity.

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