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. Which of the following is a characteristic of unsaturated fatty acids?

• A. They are solid at room temperature.
• B. They contain only single bonds.
• C. They have a higher melting point.
• D. They contain double or triple bonds.

Correct answer: D

Rationale: The correct answer is D. Unsaturated fatty acids are characterized by the presence of double or triple bonds in their carbon chain. These bonds introduce kinks in the chain, preventing tight packing, and resulting in a lower melting point compared to saturated fatty acids. Choice A is incorrect because unsaturated fatty acids are typically liquid at room temperature due to their kinked structure. Choice B is incorrect because unsaturated fatty acids contain double or triple bonds, not only single bonds. Choice C is incorrect as unsaturated fatty acids have a lower melting point compared to saturated fatty acids.

3. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

4. Which organ in the body is responsible for maintaining electrolyte balance and filtering waste from the blood?

• A. Liver
• B. Kidneys
• C. Heart
• D. Lungs

Correct answer: B

Rationale: The correct answer is B: Kidneys. The kidneys are responsible for filtering waste from the blood and maintaining electrolyte balance. They help regulate the body's fluid levels and produce urine as a means of waste elimination. The liver primarily plays a role in detoxification and metabolism, not in maintaining electrolyte balance or filtering waste from the blood. The heart is responsible for pumping blood, not for electrolyte balance or waste filtration. The lungs are primarily involved in gas exchange, not in maintaining electrolyte balance or filtering waste from the blood.

5. How are kidney stones formed?

• A. Due to excess water not being reabsorbed
• B. When minerals crystallize in the urine
• C. When electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: Kidney stones are formed when minerals in the urine crystallize and stick together to form solid masses. Excess water not being reabsorbed (option A) does not directly contribute to kidney stone formation. Similarly, electrolytes becoming too concentrated (option C) is not a direct cause of kidney stone formation. The correct answer is B because the crystallization of minerals in the urine leads to the formation of kidney stones.

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