Nursing Elites

1. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

2. What is the role of the diaphragm in respiration?

• A. To regulate air pressure in the lungs
• B. To contract and expand the lungs
• C. To store oxygen
• D. To break down carbon dioxide

Correct answer: B

Rationale: The correct answer is B. The diaphragm plays a crucial role in respiration by contracting and expanding the lungs. When the diaphragm contracts, it moves downward, creating more space in the chest cavity and allowing the lungs to expand. This expansion leads to a decrease in pressure inside the lungs, causing air to rush in. When the diaphragm relaxes, it moves back up, decreasing the space in the chest cavity and causing the lungs to deflate. This action increases the pressure in the lungs, leading to air being pushed out. Therefore, the diaphragm's main function is to facilitate the inhalation and exhalation of air by contracting and expanding the lungs. Choices A, C, and D are incorrect because the diaphragm's primary function is not to regulate air pressure in the lungs, store oxygen, or break down carbon dioxide. Instead, its main purpose is to aid in the mechanical process of breathing.

3. What is the term for a solution that has a higher concentration of solute compared to another solution?

• A. Saturated solution
• B. Unsaturated solution
• C. Dilute solution
• D. Concentrated solution

Correct answer: D

Rationale: The correct answer is D, a concentrated solution. A concentrated solution contains a higher concentration of solute compared to another solution. This means there is a large amount of solute dissolved in the solvent, making it more concentrated than other solutions. Choices A, B, and C are incorrect. A saturated solution is one in which no more solute can be dissolved at a given temperature, an unsaturated solution can dissolve more solute at the given conditions, and a dilute solution has a low concentration of solute relative to the solvent.

4. Which of the following is an example of a zoonotic disease?

• A. The common cold
• B. Influenza (the flu)
• C. Malaria
• D. HIV/AIDS

Correct answer: B

Rationale: A zoonotic disease is a disease that can be transmitted from animals to humans. Influenza is an example of a zoonotic disease as it can be transmitted from animals such as birds and pigs to humans. The common cold (option A) is caused by human rhinoviruses and is not considered a zoonotic disease. Malaria (option C) is transmitted through the bite of infected mosquitoes and is not considered a zoonotic disease. HIV/AIDS (option D) is caused by the human immunodeficiency virus and is not considered a zoonotic disease.

5. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

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