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 hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

3. How many amino acids can make up a protein?

• A. 10-20
• B. 50-100
• C. 100-500
• D. 1000+

Correct answer: A

Rationale: Proteins are made up of long chains of amino acids, and there are 20 standard amino acids commonly found in proteins. The sequence and arrangement of these amino acids determine the structure and function of a protein. While proteins can vary in size and complexity, the number of amino acids typically ranges from around 10 to 20 in smaller proteins to hundreds or even thousands in larger proteins. Therefore, the range of 10-20 amino acids is the most accurate representation of the number of amino acids that can make up a protein. Choices B, C, and D are incorrect as they provide ranges that are beyond the typical number of amino acids found in proteins and may lead to confusion. The correct answer is A (10-20).

4. Which blood type is known as the universal donor?

• A. Type A
• B. Type B
• C. Type AB
• D. Type O

Correct answer: D

Rationale: Type O blood is known as the universal donor because it lacks antigens on the surface of red blood cells. This characteristic makes it compatible with all blood types during transfusions. Type A, Type B, and Type AB blood types have specific antigens that can cause adverse reactions if transfused to an incompatible recipient.

5. What is the myelin sheath and what does it do?

• A. A group of nerve cells that perform a specific function.
• B. A fatty substance that insulates some nerve fibers.
• C. A fluid-filled cavity within the brain.
• D. The junction between two neurons.

Correct answer: B

Rationale: The myelin sheath is a fatty substance that insulates some nerve fibers. It is made up of specialized cells that wrap around the axons of neurons, providing insulation and speeding up the transmission of nerve impulses. Choice A is incorrect as the myelin sheath is not a group of nerve cells but rather a substance that surrounds nerve fibers. Choice C is incorrect as the myelin sheath is not a fluid-filled cavity within the brain. Choice D is incorrect as the myelin sheath is not the junction between two neurons.

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