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 locations in the digestive system are sites of chemical digestion? I. Mouth II. Stomach III. Small Intestine

• A. II only
• B. III only
• C. II and III only
• D. I, II, and III

Correct answer: D

Rationale: Chemical digestion occurs in all three locations in the digestive system - the mouth, stomach, and small intestine. Enzymes in the saliva break down carbohydrates in the mouth, gastric juices in the stomach help break down proteins, and enzymes in the small intestine further break down macronutrients like carbohydrates, proteins, and fats. The mouth initiates the digestion of carbohydrates, the stomach digests proteins, and the small intestine continues the breakdown of carbohydrates, proteins, and fats. Choice A is incorrect because chemical digestion does occur in the mouth. Choice B is incorrect as both the stomach and small intestine are sites of chemical digestion. Choice C is incorrect as the mouth is also a location of chemical digestion, not just the stomach and small intestine.

3. What is the major difference between somatic and germline mutations?

• A. Somatic mutations usually benefit the individual while germline mutations usually harm them.
• B. Since germline mutations only affect one cell, they are less noticeable than the rapidly dividing somatic cells.
• C. Somatic mutations are not expressed for several generations, but germline mutations are expressed immediately.
• D. Germline mutations are usually inherited while somatic mutations will affect only the individual.

Correct answer: D

Rationale: The major difference between somatic and germline mutations is that germline mutations are usually inherited and can be passed on to offspring, while somatic mutations occur in non-reproductive cells and only affect the individual in which they occur. This means that germline mutations have the potential to be present in future generations, while somatic mutations do not.

4. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

5. What is the functional group present in amines?

• A. Hydroxyl
• B. Carbonyl
• C. Amine
• D. Nitro

Correct answer: C

Rationale: The functional group present in amines is the amine group, represented as -NH2. Amines are organic compounds characterized by the presence of a nitrogen atom bonded to hydrogen atoms. The amine group distinguishes amines from other types of organic compounds, such as alcohols with the hydroxyl group, ketones with the carbonyl group, and nitro compounds with the nitro group. Therefore, the correct answer is 'C: Amine.'

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