Nursing Elites

1. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: Physical barriers such as the skin and mucous membranes are crucial components of the innate immune system's first line of defense. These barriers act as physical obstacles that prevent pathogens from entering the body. Antibodies (option A) are produced by the adaptive immune system in response to specific pathogens and do not serve as physical barriers. Phagocytes (option B) are cells that engulf and digest pathogens, playing a role in the innate immune response but not as physical barriers. Memory B cells (option D) are part of the adaptive immune system and aid in mounting a faster and more effective immune response upon subsequent exposure to a specific pathogen, but they are not physical barriers against initial pathogen entry.

2. Which statement about white blood cells is true?

• A. B cells are responsible for antibody production.
• B. White blood cells are produced in the bone marrow before entering the bloodstream.
• C. Platelets, a specialized class of blood cells, function to clot blood and stop bleeding.
• D. The majority of white blood cells are active throughout life, providing immunity across all age groups.

Correct answer: A

Rationale: The correct answer is A: B cells, a type of white blood cell, are responsible for producing antibodies in response to pathogens. Antibodies play a crucial role in identifying and neutralizing foreign substances like bacteria and viruses in the body, aiding in the immune response and protecting against infections. This function is essential for maintaining a healthy immune system. White blood cells, including B cells, are produced in the bone marrow before entering the bloodstream. Platelets, not white blood cells, are a specialized class of blood cells that function to clot blood and stop bleeding. While white blood cells provide immunity, not all of them are active throughout life as some have specific lifespans and functions.

3. Which of the following constituents of blood is a biconcave disc that is round and flat without a nucleus?

• A. Plasma
• B. Platelet
• C. RBC
• D. WBC

Correct answer: C

Rationale: The correct answer is C, RBC (Red Blood Cell). Red blood cells are biconcave discs that lack a nucleus, allowing them to carry oxygen efficiently. Plasma (A) is the liquid component of blood that carries various substances. Platelets (B) are cell fragments important for blood clotting. White blood cells (WBCs) (D) are part of the immune system and have a nucleus.

4. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

5. Which part of the brain controls breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Thalamus
• D. Cerebellum

Correct answer: B

Rationale: The medulla oblongata is the correct answer because it is responsible for controlling involuntary functions such as breathing and heart rate. The cerebrum (Choice A) is primarily associated with higher brain functions like thinking and voluntary movements, not with regulating basic bodily functions like breathing and heart rate. The thalamus (Choice C) serves as a relay station for sensory information but is not directly involved in controlling breathing and heart rate. The cerebellum (Choice D) plays a role in coordination and balance, not in regulating respiratory and cardiac functions.

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