Nursing Elites

1. 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.

2. At which of the following ages would ossification most likely take place to replace cartilage at the growth plate?

• A. 5
• B. 18
• C. 42
• D. 91

Correct answer: B

Rationale: Ossification, the process where cartilage is replaced by bone, typically occurs during adolescence, around the age of 18. This is when the growth plates in the bones close, and the bones stop growing in length, leading to the replacement of cartilage with bone tissue. Choice A (5) is incorrect because ossification primarily occurs during adolescence, not early childhood. Choice C (42) is incorrect as ossification is completed well before this age, usually during the late teens or early twenties. Choice D (91) is incorrect as ossification is a process that occurs earlier in life, typically during adolescence, and is not a process that occurs in advanced age.

3. Which structure in the respiratory system is responsible for gas exchange?

• A. Trachea
• B. Alveoli
• C. Bronchi
• D. Diaphragm

Correct answer: B

Rationale: The alveoli in the lungs are responsible for gas exchange. Alveoli have a rich blood supply and thin walls, enabling the exchange of oxygen and carbon dioxide. Oxygen diffuses into the blood from the alveoli, while carbon dioxide diffuses out. The trachea functions as an air passage, bronchi are the main airways into the lungs, and the diaphragm is the primary muscle involved in breathing by aiding in lung expansion and contraction, but they are not directly responsible for gas exchange like the alveoli.

4. When is a solution formed?

• A. One substance dissolves in another
• B. Two or more substances react chemically
• C. A solid changes to a liquid
• D. None of the above

Correct answer: A

Rationale: A solution is formed when one substance dissolves in another. This process creates a homogeneous mixture where the solute is dispersed in the solvent, resulting in a uniform composition throughout the mixture. Choice B is incorrect because chemical reactions involve the transformation of substances into new compounds, not the formation of solutions. Choice C is incorrect as it describes a physical change from a solid to a liquid, not the formation of a solution. Choice D is incorrect as one substance dissolving in another is the defining characteristic of a solution.

5. Where does bile, a substance that aids in digesting fats, originate from?

• A. Stomach
• B. Pancreas
• C. Liver
• D. Gallbladder

Correct answer: C

Rationale: Bile is produced by the liver to aid in the digestion and absorption of fats. The liver produces bile, which is then stored and concentrated in the gallbladder before being released into the small intestine to facilitate fat digestion. The stomach (option A) is responsible for the initial digestion of food through gastric juices but does not produce bile. The pancreas (option B) secretes digestive enzymes like lipase to further break down fats in the small intestine but does not produce bile. The gallbladder (option D) stores and concentrates bile but does not produce it.

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