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. Anya was paid by Company X to analyze dwindling honeybee populations in the Southwest. After measuring hive populations over several months, she noticed no patterns in the geographic distributions of the deaths after comparisons with local maps of interest. This supported her hypothesis, so she took samples of the honey and the bees from the hives and performed dozens of dissections to confirm her suspicions. Which of the following is the most likely hypothesis upon which this research was performed?

• A. Honeybees are being killed off, and their hives are destroyed by other extremely aggressive species of bees from the South.
• B. Honeybees are contracting parasites in large droves.
• C. Honeybees are so sensitive to certain pesticides that they die on contact.
• D. Honeybees die in larger numbers around cell phone towers.

Correct answer: B

Rationale: The most likely hypothesis based on the information provided is that honeybees are contracting parasites in large droves. Anya observed no geographic patterns in hive deaths and proceeded to analyze honey and bees for further investigation. This suggests that she suspected a widespread issue affecting multiple hives simultaneously, consistent with a scenario where honeybees are being infected by parasites in high numbers, leading to dwindling populations across different locations. The other choices can be eliminated because there is no mention of aggressive species of bees from the South, no evidence pointing to pesticide sensitivity as the cause, and no indication of a correlation with cell phone towers in the information provided.

3. What is the primary organ responsible for filtering urine?

• A. Kidneys
• B. Bladder
• C. Ureters
• D. Urethra

Correct answer: A

Rationale: The correct answer is A: Kidneys. The kidneys are the primary organs responsible for filtering urine. They filter waste products and excess substances from the blood to produce urine. Subsequently, urine travels from the kidneys through the ureters to the bladder. The bladder temporarily stores urine until it is expelled from the body through the urethra. The bladder's function is storage, the ureters transport urine, and the urethra is the exit pathway for urine expulsion. Therefore, the kidneys play a vital role in the filtration and production of urine within the urinary system.

4. Which structure protects the lungs?

• A. Femur
• B. Ribcage
• C. Scapula
• D. Skull

Correct answer: B

Rationale: The ribcage is the correct answer. It protects the lungs by providing structural support and shielding them from injury. The femur is a bone in the thigh and does not protect the lungs. The scapula is a shoulder blade bone, and the skull protects the brain, not the lungs.

5. Which of the following layers of skin acts as an energy reserve by storing adipocytes and releasing them into circulation when energy is needed?

• A. epidermis
• B. dermis
• C. hypodermis
• D. stratum basale

Correct answer: C

Rationale: The hypodermis, also known as the subcutaneous tissue, is the deepest layer of the skin. This layer contains adipocytes (fat cells) that act as an energy reserve by storing excess energy in the form of fat. When energy is needed, these stored fats can be released into circulation to be used by the body's cells. The epidermis is the outermost layer of the skin, primarily responsible for providing a protective barrier. The dermis lies between the epidermis and hypodermis and contains blood vessels, nerves, and structures like hair follicles and sweat glands. The stratum basale is the deepest layer of the epidermis, responsible for cell renewal and regeneration.

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