Nursing Elites

1. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels due to the presence of one-way valves within the vessels. These valves prevent the backflow of lymph and help propel the fluid forward as muscles contract and relax or due to breathing movements. Unlike blood circulation, the lymphatic system does not rely on the pumping action of the heart to move lymph. Choice A is incorrect because lymphatic circulation does not depend on the pumping action of the heart. Choice B is partly correct as muscle contractions and breathing movements do assist in propelling lymph, but the primary mechanism is the presence of one-way valves within the vessels, making choice C the most accurate answer. Choice D is incorrect as not all options listed contribute to how lymph moves through the lymphatic vessels.

2. Which of the following reagents can be used to convert a primary alcohol to an alkyl halide?

• A. HI
• B. H2O
• C. NaOH
• D. SOCl2

Correct answer: D

Rationale: SOCl2 (thionyl chloride) is commonly used to convert primary alcohols to alkyl halides through an SN2 mechanism. Thionyl chloride reacts with the alcohol to form an alkyl chloride. HI (hydroiodic acid) is typically used to convert alcohols to alkyl iodides specifically, not alkyl halides in general. H2O (water) and NaOH (sodium hydroxide) are not reagents used for converting alcohols to alkyl halides. Therefore, the correct answer is SOCl2 as it facilitates the conversion of primary alcohols to alkyl halides, unlike the other options provided.

3. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

4. Which of the following is NOT a type of asexual reproduction in bacteria?

• A. Binary fission
• B. Conjugation
• C. Budding
• D. Transduction

Correct answer: D

Rationale: A) Binary fission: This is a common method of asexual reproduction in bacteria where a single cell divides into two identical daughter cells. B) Conjugation: This is a process in which genetic material is transferred between bacterial cells through direct cell-to-cell contact, leading to genetic recombination. C) Budding: Budding is a form of asexual reproduction where a new organism develops from an outgrowth or bud on the parent organism. D) Transduction: Transduction is a method of horizontal gene transfer in bacteria where genetic material is transferred from one bacterium to another by a bacteriophage (a virus that infects bacteria). It is not a form of asexual reproduction in bacteria. Therefore, the correct answer is D) Transduction, as it is not a type of asexual reproduction in bacteria but a mechanism of genetic exchange.

5. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

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