Nursing Elites

1. What is the difference between active and passive immunity?

• A. Active immunity is short-lived, while passive immunity is long-lasting.
• B. Active immunity involves the body's own immune response, while passive immunity provides immediate protection through antibodies from another source.
• C. Active immunity only protects against bacterial infections, while passive immunity works against both bacteria and viruses.
• D. Passive immunity requires repeated vaccinations, while active immunity is a one-time process.

Correct answer: B

Rationale: Active immunity involves the body's own immune response, where the individual's immune system produces antibodies in response to exposure to a pathogen or vaccine. This type of immunity is long-lasting because the immune system 'remembers' the pathogen and can mount a rapid response upon re-exposure. In contrast, passive immunity provides immediate protection through the transfer of pre-formed antibodies from another source, such as through maternal antibodies crossing the placenta or receiving antibodies through an injection. Passive immunity is short-lived because the transferred antibodies eventually degrade and are not produced by the recipient's immune system. Choice A is incorrect because active immunity is generally long-lasting, as it involves the production of antibodies by the individual's immune system. Choice C is incorrect as both active and passive immunity can work against various pathogens, not limited to bacteria or viruses. Choice D is incorrect as passive immunity does not require repeated vaccinations but provides temporary protection through the transfer of antibodies from an external source.

2. At what stage is urine formed in the kidney?

• A. After fluid reaches the bladder.
• B. When fluid fills the collecting duct.
• C. Before blood enters the glomerulus.
• D. During fluid transport to the urethra.

Correct answer: B

Rationale: Urine is formed when fluid fills the collecting duct in the kidney. The collecting duct is where the final concentration of urine occurs after the filtration process in the nephron. Choice A is incorrect because urine formation happens before fluid reaches the bladder. Choice C is incorrect because urine formation occurs after blood has been filtered in the glomerulus. Choice D is incorrect because urine formation happens before fluid is transported to the urethra for elimination.

3. What is the term for the reaction between an acid and a base to produce water and a salt?

• A. Combustion
• B. Neutralization
• C. Oxidation
• D. Decomposition

Correct answer: B

Rationale: Neutralization is the correct term for the reaction between an acid and a base to produce water and a salt. During neutralization, the hydrogen ions from the acid react with the hydroxide ions from the base to form water, and the remaining ions combine to form a salt. Combustion involves a reaction with oxygen, oxidation is the loss of electrons, and decomposition is the breakdown of a compound into simpler substances. These processes do not accurately describe the reaction between an acid and a base to produce water and a salt.

4. Which hormone regulates the sleep-wake cycle?

• A. Cortisol
• B. Melatonin
• C. Thyroxine
• D. Insulin

Correct answer: B

Rationale: The correct answer is B: Melatonin. Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. It helps signal to the body when it's time to sleep and wake up, playing a crucial role in maintaining a healthy sleep pattern. Choice A, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, not specifically in regulating the sleep-wake cycle. Choice C, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle. Choice D, Insulin, is a hormone produced by the pancreas that regulates blood sugar levels, not the sleep-wake cycle.

5. What is the 3D structure of a protein called?

• A. Tertiary structure
• B. Secondary structure
• C. Primary structure
• D. Quaternary structure

Correct answer: A

Rationale: - Primary structure refers to the linear sequence of amino acids in a protein. - Secondary structure refers to local folded structures within a protein, such as alpha helices and beta sheets. - Tertiary structure is the overall 3D shape of a protein, which is determined by interactions between amino acid side chains and the environment. - Quaternary structure refers to the arrangement of multiple protein subunits in a protein complex. Therefore, the 3D structure of a protein is called the tertiary structure because it represents the overall folding of the protein into a specific shape.

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