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 type of joint connects the bones of the skull?

• A. Synovial
• B. Fibrous
• C. Cartilaginous
• D. Ball-and-socket

Correct answer: B

Rationale: Fibrous joints connect the bones of the skull. These joints are immovable or provide very limited movement, providing stability and protection to the brain. Synovial joints (Choice A) are found in the limbs and allow for a wide range of movements. Cartilaginous joints (Choice C) are connected by cartilage and allow limited movement. Ball-and-socket joints (Choice D) allow for a wide range of motion, such as the hip and shoulder joints, but they do not connect the bones of the skull.

3. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

4. Why is the simple columnar epithelium lining the small intestine crucial?

• A. Movement
• B. Support
• C. Absorption
• D. Insulation

Correct answer: C

Rationale: The simple columnar epithelium lining the small intestine is crucial for absorption. This type of epithelium is specialized for absorption due to its tall and closely packed cells, which increase the surface area available for nutrient absorption. The primary function of the small intestine is to absorb nutrients from digested food, and the simple columnar epithelium's structure aids in this process by providing a large surface area for absorption. Choices A, B, and D are incorrect because movement, support, and insulation are not primary functions associated with the simple columnar epithelium in the small intestine. While these functions are essential in other tissues or organs, absorption is the key role of the simple columnar epithelium in the small intestine.

5. In the human skeleton, which of the following lists some of the vertebrae in descending order?

• A. Atlas, axis, thoracic, lumbar, sacral, coccyx.
• B. Axis, sacral, coccyx, atlas, lumbar, thoracic.
• C. Thoracic, sacral, lumbar, axis, coccyx, atlas.
• D. Coccyx, lumbar, axis, sacral, thoracic, atlas.

Correct answer: A

Rationale: The correct order of some of the vertebrae in the human skeleton in descending order is Atlas, Axis, Thoracic, Lumbar, Sacral, Coccyx. This sequence follows the typical arrangement from the top of the spine down towards the pelvis. Choice B is incorrect as it does not follow the descending order of vertebrae. Choice C is incorrect as it starts with Thoracic which is not the first vertebra in the descending order. Choice D is incorrect as it starts with Coccyx which is the last vertebra in the descending order.

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