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. When light interacts with a perfectly smooth surface, like a mirror, the dominant interaction is:

• A. Refraction
• B. Diffraction
• C. Total internal reflection
• D. Specular reflection

Correct answer: D

Rationale: When light interacts with a perfectly smooth surface like a mirror, the dominant interaction is specular reflection. Specular reflection occurs when light rays are reflected off a smooth surface at the same angle as the incident angle, resulting in a clear and sharp reflection. Refraction, which involves the bending of light as it passes from one medium to another, is not the dominant interaction with a perfectly smooth surface. Diffraction, the bending of light waves around obstacles, is not the dominant interaction with smooth surfaces. Total internal reflection occurs when light is reflected back into a medium due to encountering a boundary at an angle greater than the critical angle, but it is not the dominant interaction on a perfectly smooth surface like a mirror.

3. Which muscular pouch in the upper left abdomen stores food after swallowing and begins mechanical and chemical digestion?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: B

Rationale: The correct answer is B: Stomach. The stomach is the muscular pouch in the upper left abdomen that stores food after swallowing and begins mechanical and chemical digestion. It secretes gastric juices containing enzymes and hydrochloric acid to break down food particles. The esophagus is a muscular tube that carries food from the mouth to the stomach, while the small intestine and large intestine are primarily involved in the absorption of nutrients and water, respectively. Therefore, the stomach is the organ responsible for the described functions, making it the correct answer in this context.

4. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

5. Which of the following areas has the least amount of sweat glands?

• A. Back
• B. Palms
• C. Axilla
• D. Forehead

Correct answer: B

Rationale: The correct answer is B - Palms. The palms have the least amount of sweat glands compared to the other options listed. The back, axilla (armpits), and forehead are all areas with a higher concentration of sweat glands in the body. The palms have fewer sweat glands to minimize water loss and maintain a better grip for activities requiring precise and controlled movement. The back, axilla, and forehead have more sweat glands to assist in thermoregulation and cooling of the body, while the palms have fewer sweat glands for functional reasons related to grip and dexterity.

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