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. Which represents the correct order of airflow in the lungs?

• A. Bronchi, trachea, alveoli, bronchioles
• B. Alveoli, bronchioles, bronchi, trachea
• C. Trachea, bronchi, bronchioles, alveoli
• D. Bronchioles, alveoli, trachea, bronchi

Correct answer: C

Rationale: The correct order of airflow in the lungs starts with air entering through the trachea, moving into the bronchi, then proceeding to the bronchioles, and finally reaching the alveoli where gas exchange occurs. Therefore, the correct sequence is Trachea, Bronchi, Bronchioles, Alveoli, making choice C the accurate representation of the airflow in the lungs. Choices A, B, and D are incorrect because they do not follow the anatomical path of airflow in the lungs as air moves from the trachea to the bronchi, then bronchioles, and finally the alveoli for gas exchange.

3. A light ray travels from air (refractive index 1.00) into water (refractive index 1.33). What happens to its speed and direction?

• A. Speed increases, direction bends towards the normal.
• B. Speed increases, direction bends away from the normal.
• C. Speed decreases, direction bends towards the normal.
• D. Speed and direction remain unchanged.

Correct answer: C

Rationale: When a light ray travels from air (lower refractive index) to water (higher refractive index), its speed decreases due to the change in the medium. This is because light travels slower in denser mediums. As the light ray enters the denser medium, water in this case, it bends towards the normal (the line perpendicular to the surface of the water). This phenomenon is known as refraction. Choice A is incorrect as the speed of light decreases when entering a denser medium. Choice B is incorrect as the direction bends towards the normal, not away from it. Choice D is incorrect as the speed and direction of the light ray do change when moving from air to water.

4. Which of the following is NOT a symptom of asthma, a chronic respiratory condition?

• A. Wheezing
• B. Difficulty breathing
• C. Chest tightness
• D. Fever

Correct answer: D

Rationale: The correct answer is 'Fever.' Fever is not a symptom commonly associated with asthma. Asthma symptoms typically include wheezing, difficulty breathing, and chest tightness due to inflammation and narrowing of the airways. Fever is more commonly seen in conditions such as infections or inflammatory diseases rather than asthma. Choices A, B, and C are common symptoms of asthma and are related to the constriction and inflammation of the airways, leading to breathing difficulties and chest discomfort.

5. Which phenomenon describes the separation of light into its component colors when passing through a prism?

• A. Refraction
• B. Diffraction
• C. Dispersion
• D. Reflection

Correct answer: C

Rationale: Dispersion is the phenomenon that describes the separation of light into its component colors when passing through a prism. When white light enters a prism, it is refracted at different angles depending on its wavelength, causing the colors to spread out. Refraction is the bending of light as it passes from one medium to another, not the separation of colors. Diffraction is the bending of light around obstacles, not the separation of colors. Reflection is the bouncing back of light rays from a surface, not the separation of colors. In the context of a prism, dispersion plays a key role in the creation of a spectrum of colors by separating the different wavelengths present in white light.

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