Nursing Elites

1. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

2. 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.

3. Dietary fiber, although not fully digested by the body, plays a crucial role in digestion. What is one of the main benefits of consuming sufficient dietary fiber?

• A. Provides a concentrated source of energy
• B. Aids in the absorption of vitamins and minerals
• C. Promotes satiety and gut health
• D. Breaks down complex carbohydrates

Correct answer: C

Rationale: Consuming sufficient dietary fiber promotes satiety and gut health by adding bulk to the diet, helping with feelings of fullness, and supporting healthy digestion. Additionally, fiber aids in regulating bowel movements and maintaining a healthy gut microbiota, contributing to overall digestive wellness. It does not provide a concentrated source of energy as fiber is not fully digested for energy production, nor does it directly aid in the absorption of vitamins and minerals. Fiber does not break down complex carbohydrates but rather assists in their digestion and absorption by slowing down the process, which helps in maintaining stable blood sugar levels and promoting better overall health.

4. What is the role of RNA in the regulation of gene expression?

• A. Provides energy for the process
• B. Controls the timing and location of protein synthesis
• C. Translates the genetic code into amino acids
• D. Stores genetic information

Correct answer: B

Rationale: A) RNA does not provide energy for the process of gene expression. Energy is typically provided by molecules like ATP. B) RNA plays a crucial role in controlling the timing and location of protein synthesis through processes like transcriptional regulation, RNA splicing, and post-transcriptional modifications. It helps determine when and where specific proteins are produced in the cell. C) While mRNA translates the genetic code into amino acids during the process of translation, this is not the primary role of RNA in the regulation of gene expression. D) RNA does not store genetic information in the same way that DNA does. DNA is the molecule responsible for storing genetic information in the form of genes. Therefore, option B is the most appropriate choice as it accurately describes the role of RNA in regulating gene expression.

5. Which of the following statements is true about an allergic reaction?

• A. An allergic reaction, such as hives or wheezing, results from overactive body systems such as the integumentary and respiratory systems.
• B. An allergic reaction is a result of overactive B-cells in the body that release various immunoglobulins.
• C. An allergic reaction is caused by overactive mast cells in the body, which are stimulated by Immunoglobulin E.
• D. An allergic reaction involves substances like histamine, keratin, and collagen.

Correct answer: C

Rationale: The correct answer is C. Mast cells are responsible for releasing histamine and other chemicals during an allergic response. Choice A is incorrect because hives and wheezing are symptoms of an allergic reaction, not the causes. Choice B is incorrect as B-cells are not directly involved in allergic reactions. Choice D is incorrect as keratin and collagen are not typically involved in allergic reactions, and histamine is released by mast cells.

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