Nursing Elites

1. Isotopes are variants of a single element that differ in:

• A. Having the same number of protons but varying numbers of neutrons
• B. Having the same number of neutrons but varying numbers of protons
• C. Having the same mass but different atomic numbers
• D. None of the above

Correct answer: A

Rationale: Isotopes are variants of a single element that have the same number of protons, the defining characteristic of an element. They differ in the number of neutrons they possess, leading to isotopes having different atomic masses while retaining the same chemical properties. Choice B is incorrect because isotopes have the same number of neutrons and differ in the number of protons. Choice C is incorrect because isotopes have different masses due to varying numbers of neutrons, not different atomic numbers. Choice D is incorrect as isotopes do differ in the number of neutrons they possess.

2. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

3. When animals eat, insulin is released from the pancreas, stimulating glucose uptake by the liver. When glucose levels drop, the pancreas reduces insulin release. This is an example of which mechanism for maintaining homeostasis?

• A. Negative feedback.
• B. Positive feedback.
• C. Stress response.
• D. Parasympathetic regulation.

Correct answer: A

Rationale: This mechanism is an example of negative feedback. Negative feedback systems work to counteract changes in the body and maintain a stable internal environment (homeostasis). In this case, the release of insulin in response to high glucose levels is followed by a reduction in insulin release when glucose levels drop. This response helps regulate glucose levels and return them to a normal range, demonstrating the characteristic of negative feedback where the body's response opposes the initial stimulus to maintain equilibrium. Positive feedback would amplify the initial change rather than counteract it, so it is not the correct choice. Stress response and parasympathetic regulation are not directly involved in this glucose regulation process, making them incorrect choices.

4. What is the term for a substance that can act as both a proton donor and a proton acceptor?

• A. Acid
• B. Base
• C. Amphiprotic
• D. Neutral

Correct answer: C

Rationale: Amphiprotic substances are those that can both donate and accept protons. They possess characteristics of both acids and bases, making them capable of acting as proton donors and proton acceptors. Choices A and B represent substances that are specific to either donating or accepting protons. Choice D does not describe a substance's ability to donate or accept protons since neutrality does not inherently involve proton donation or acceptance.

5. Smooth muscle is the only ____________ muscle in the body.

• A. Voluntary, striated
• B. Involuntary, non-striated
• C. Involuntary, striated
• D. Voluntary, non-striated

Correct answer: B

Rationale: Smooth muscle is the only involuntary, non-striated muscle type in the body. It is found in organs like the intestines and blood vessels, where it controls movements without conscious effort. Choice A is incorrect because voluntary muscles are under conscious control, while smooth muscle is involuntary. Choice C is incorrect because striations are not present in smooth muscle, unlike skeletal muscle. Choice D is incorrect because smooth muscle is not voluntary and lacks striations, making it different from skeletal muscle.

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