Nursing Elites

1. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

2. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

3. After exposure to a pathogen, the immune system develops memory. What type of immune cell is responsible for this immunological memory?

• A. B cells
• B. T cells (specifically memory T cells)
• C. Phagocytes
• D. Natural killer cells

Correct answer: A

Rationale: B cells are responsible for immunological memory. Memory B cells, a type of B cells, retain a 'memory' of specific pathogens, enabling them to rapidly produce antibodies upon re-exposure. This rapid antibody production facilitates a quicker and more effective immune response. Although memory T cells also contribute to immunological memory by mounting a swift and robust immune response upon re-exposure to the pathogen, it is primarily memory B cells that play a crucial role in producing antibodies. Phagocytes are important immune cells involved in engulfing and digesting pathogens, while natural killer cells are primarily responsible for recognizing and eliminating abnormal cells, such as virus-infected cells or tumor cells. However, when it comes to immunological memory and antibody production, B cells are key players.

4. How many lobes does the right lung have?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: C

Rationale: The correct answer is C: 3. The right lung consists of three lobes: the upper, middle, and lower lobes. This distinction is vital as the left lung only has two lobes, the upper and lower lobes. Understanding the anatomical variances between the lobes of the right and left lungs is crucial for comprehending respiratory physiology and its clinical implications in medical practice. Choices A, B, and D are incorrect because the right lung does not have 1, 2, or 4 lobes. It is essential to differentiate between the lobes of the right and left lungs to have a comprehensive understanding of pulmonary anatomy.

5. What is the main function of the gallbladder?

• A. To store and concentrate bile
• B. To produce digestive enzymes
• C. To absorb nutrients
• D. To neutralize stomach acid

Correct answer: A

Rationale: The gallbladder is a small organ located beneath the liver that plays a crucial role in the digestive system. Its main function is to store and concentrate bile, a digestive fluid produced by the liver. Bile is released from the gallbladder into the small intestine to help with the digestion and absorption of fats. The gallbladder acts as a reservoir for bile, allowing it to be released in a controlled manner when needed to aid in the digestion of fatty foods. Option A is the correct answer as it accurately describes the main function of the gallbladder. Choices B, C, and D are incorrect because the gallbladder does not produce digestive enzymes, absorb nutrients, or neutralize stomach acid. These functions are carried out by other organs in the digestive system, such as the pancreas, small intestine, and stomach, respectively.

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