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. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

3. What is the scientific name for the tear gland?

• A. Lachrymal gland
• B. Lacrimal sac
• C. Lacrimal duct
• D. Lacrimal papilla

Correct answer: A

Rationale: The correct answer is A: Lachrymal gland. The lachrymal gland, also known as the tear gland, is the almond-shaped gland located above each eye, responsible for producing tears. Tears are a complex mixture of water, electrolytes, proteins, and other substances that help lubricate and protect the eyes from dryness and irritation. Choice B, Lacrimal sac, is incorrect as it refers to a structure that collects tears from the eye. Choice C, Lacrimal duct, is incorrect as it is the tube that carries tears from the lacrimal sac to the nasal cavity. Choice D, Lacrimal papilla, is incorrect as it is a small elevation at the inner corner of the eye where tears drain into the puncta.

4. What is the primary function of lymph nodes, small, bean-shaped structures found along lymphatic vessels?

• A. To store excess lymph fluid
• B. To produce red blood cells
• C. To filter lymph and fight infection
• D. To transport lymph to the heart

Correct answer: C

Rationale: Lymph nodes primarily function to filter lymph and fight infection. They contain immune cells that help to remove pathogens and foreign particles from the lymph fluid as it passes through the nodes. This process helps to activate the immune response and defend the body against infections. Choice A is incorrect as lymph nodes do not store excess lymph fluid; they filter lymph. Choice B is incorrect as the production of red blood cells primarily occurs in the bone marrow, not in lymph nodes. Choice D is incorrect as lymph nodes do not transport lymph to the heart; they filter and process lymph to remove impurities and activate the immune response.

5. What are the three types of capillaries?

• A. Continuous, fenestrated, sinusoidal
• B. Continuous, discontinuous, fenestrated
• C. Sinusoidal, alveolar, continuous
• D. Continuous, fenestrated, vascular

Correct answer: A

Rationale: The correct answer is A: Continuous, fenestrated, sinusoidal. Capillaries are classified into three types based on their permeability: continuous (least permeable), fenestrated (moderately permeable), and sinusoidal (most permeable). Choices B, C, and D are incorrect because they do not represent the three main types of capillaries. Choice B includes 'discontinuous' which is not a recognized type. Choice C includes 'alveolar' which is not a type of capillary, and Choice D includes 'vascular' which is too broad and not specific to capillary classification.

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