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 primary source of energy entering most ecosystems?

• A. Chemical energy stored in bonds
• B. Thermal energy from the Earth's core
• C. Light energy from the sun
• D. Kinetic energy from wind and water

Correct answer: C

Rationale: In most ecosystems, the primary source of energy is sunlight. This energy is captured by plants and other photosynthetic organisms through the process of photosynthesis. These organisms convert light energy into chemical energy stored in the bonds of organic molecules, such as glucose. This stored chemical energy is then passed on to other organisms in the ecosystem through the food chain, making sunlight the fundamental source of energy for most ecosystems. Thermal energy from the Earth's core (option B) is not a primary source of energy for ecosystems, as it is not readily accessible to most organisms. Kinetic energy from wind and water (option D) can play a role in some ecosystems, but it is not the primary source of energy. Chemical energy stored in bonds (option A) is a form of energy that is ultimately derived from the sun through photosynthesis, making it a product of the primary energy source rather than the primary source itself.

3. Which type of chemical reaction produces a salt?

• A. An oxidation reaction
• B. A neutralization reaction
• C. A synthesis reaction
• D. A decomposition reaction

Correct answer: B

Rationale: The correct answer is B, a neutralization reaction. In a neutralization reaction, an acid and a base react to produce a salt and water. This process involves the combination of H+ ions from the acid and OH- ions from the base to form water, while the remaining ions combine to form a salt. Therefore, a neutralization reaction is the specific type of chemical reaction that produces a salt. Choices A, C, and D are incorrect. An oxidation reaction involves the loss of electrons, a synthesis reaction involves the formation of a compound from simpler substances, and a decomposition reaction involves the breakdown of a compound into simpler substances. None of these reactions directly lead to the production of a salt, making them incorrect choices in this context.

4. Which of the following is a function of the skeletal system?

• A. To produce red blood cells
• B. To provide structural support
• C. To transport nutrients
• D. To store fat

Correct answer: B

Rationale: The correct answer is B: To provide structural support. The skeletal system is primarily responsible for supporting the body's structure, protecting internal organs, facilitating movement, and storing minerals. While bones do play a role in producing red blood cells (hematopoiesis) in the bone marrow, the main function related to the question is providing structural support. Choices C and D are incorrect as the skeletal system is not involved in transporting nutrients or storing fat. The main functions of the skeletal system are related to support, protection, movement facilitation, mineral storage, and hematopoiesis.

5. The pH scale is used to indicate the concentration of:

• A. Hydrogen ions
• B. Oxygen
• C. Salts
• D. Sugar molecules

Correct answer: A

Rationale: The pH scale is a measure of the concentration of hydrogen ions in a solution, representing its acidity or basicity. A lower pH value indicates higher hydrogen ion concentration and acidity, while a higher pH value indicates lower hydrogen ion concentration and basicity. Choice A, 'Hydrogen ions,' is the correct answer because the pH scale specifically measures the concentration of hydrogen ions in a solution. Choices B, C, and D are incorrect as the pH scale is not used to indicate the concentration of oxygen, salts, or sugar molecules.

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