Nursing Elites

1. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

2. Why are elements in Group 18 (Noble gases) generally unreactive?

• A. They have high atomic masses
• B. They lack valence electrons
• C. Their outermost electron shells are completely filled
• D. They exist as single atoms, not molecules

Correct answer: C

Rationale: Elements in Group 18 (Noble gases) are generally unreactive because their outermost electron shells are completely filled. This results in high stability and low reactivity since they have achieved a full valence shell configuration, making them less likely to gain, lose, or share electrons with other atoms. The full valence shell configuration leads to a minimal tendency for these elements to form chemical bonds, hence exhibiting low reactivity. Choices A, B, and D are incorrect because high atomic masses, lack of valence electrons, and existing as single atoms do not directly contribute to the unreactivity of noble gases. It is the full valence shell configuration that is the primary reason for their inert nature.

3. Which of the following is a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (H₂CO₃)

Correct answer: B

Rationale: Hydrochloric acid (HCl) is a strong acid because it completely ionizes in water to produce hydrogen ions, leading to a high concentration of H⁺ ions in solution. This characteristic makes it a strong acid. Acetic acid (CH₃COOH), citric acid, and carbonic acid (H₂CO₃) are weak acids as they only partially ionize in water, resulting in a lower concentration of H⁺ ions compared to strong acids. Therefore, hydrochloric acid is the correct choice as a strong acid.

4. What is a reaction between an acid and a base known as?

• A. Precipitation
• B. Neutralization
• C. Oxidation-reduction
• D. Photolysis

Correct answer: B

Rationale: The correct answer is B: Neutralization. When an acid and a base react, they neutralize each other's properties, resulting in the formation of water and a salt. Choice A, 'Precipitation,' refers to the formation of a solid from a solution during a chemical reaction. Choice C, 'Oxidation-reduction,' involves the transfer of electrons between reactants. Choice D, 'Photolysis,' is a reaction where a compound is broken down into smaller components by light energy. Therefore, the most appropriate term for a reaction between an acid and a base is neutralization.

5. Histamine, released during an allergic reaction, causes symptoms like:

• A. Fever and fatigue
• B. Runny nose and itchiness
• C. Muscle aches and joint pain
• D. Cough and shortness of breath

Correct answer: B

Rationale: Histamine is a chemical released by the immune system during an allergic reaction. It is responsible for causing symptoms such as a runny nose, itchiness, sneezing, and watery eyes. These symptoms are commonly seen in allergies like hay fever. Fever and fatigue (option A) are not typically caused by histamine release during an allergic reaction. Muscle aches and joint pain (option C) are not common symptoms of histamine release in allergic reactions. Cough and shortness of breath (option D) are more commonly associated with asthma or respiratory allergies rather than histamine release.

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