Nursing Elites

1. What is the basic structure of an atom?

• A. Protons, neutrons, electrons
• B. Protons, electrons, ions
• C. Neutrons, electrons, ions
• D. Protons, ions, molecules

Correct answer: A

Rationale: The basic structure of an atom consists of protons and neutrons located in the nucleus, with electrons orbiting around the nucleus in specific energy levels or shells. Protons carry a positive charge, neutrons carry no charge, and electrons carry a negative charge. This arrangement maintains the overall neutrality of the atom, with the number of protons equaling the number of electrons. Therefore, the correct answer is 'Protons, neutrons, electrons.' Choices B, C, and D are incorrect as they do not accurately represent the fundamental components of an atom. Choice B includes 'ions,' which are charged particles, not fundamental components of an atom. Choice C includes 'ions' and lacks protons. Choice D includes 'ions' and 'molecules,' which are not part of the basic structure of an atom.

2. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

3. What is the primary function of the large intestine?

• A. Digesting and absorbing nutrients
• B. Storing and mixing food
• C. Breaking down carbohydrates
• D. Absorbing water and electrolytes

Correct answer: D

Rationale: The primary function of the large intestine is to absorb water and electrolytes from the indigestible food matter that passes through it. This absorption process aids in the formation of solid waste (feces) before it is excreted from the body. Choices A, B, and C are incorrect because the large intestine does not primarily digest and absorb nutrients, store and mix food, or break down carbohydrates. These functions are primarily carried out by the small intestine.

4. What is the term for the maximum amount of solute that can dissolve in a solvent at a specific temperature and pressure?

• A. Molarity
• B. Solubility
• C. Concentration
• D. Saturation

Correct answer: B

Rationale: Solubility is the correct term for the maximum amount of solute that can dissolve in a solvent at a specific temperature and pressure. Molarity is a measure of concentration, not the maximum amount that can dissolve. Concentration is a general term for the amount of solute present in a given amount of solvent. Saturation is related to solubility but specifically refers to a state where no more solute can be dissolved in the solvent.

5. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

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