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. Which of the following is an example of a tissue?

• A. chloroplasts
• B. liver
• C. mammal
• D. hamstring

Correct answer: B

Rationale: The correct answer is 'B: liver.' The liver is an example of a tissue. Tissues are groups of cells that work together to perform specific functions in the body. The liver is made up of different types of cells that work together to carry out various essential functions, such as detoxification, metabolism, and storage of nutrients. Option A (chloroplasts) refers to organelles, not tissues. Option D (hamstring) is a muscle, not a tissue. Option C (mammal) represents a higher level of organization than tissues, as it refers to a classification of organisms, not a specific tissue type.

3. Which macromolecules are composed of nucleotides and store information and energy?

• A. Lipids
• B. Proteins
• C. Carbohydrates
• D. Nucleic acids

Correct answer: D

Rationale: The correct answer is D: Nucleic acids. Nucleic acids, such as DNA and RNA, are composed of nucleotides and are responsible for storing genetic information and energy (e.g., ATP). Lipids, proteins, and carbohydrates are distinct macromolecules with varying functions and structures. Lipids primarily serve as energy reservoirs, structural components, and cell signaling molecules. Proteins play crucial roles in cellular functions like enzyme activity, structural support, and intracellular signaling. Carbohydrates are mainly utilized as an energy source and for structural purposes within cells.

4. Which system's primary function is protection, sensory reception, thermoregulation, osmoregulation, insulation, and vitamin D absorption?

• A. Nervous system
• B. Integumentary system
• C. Endocrine system
• D. Digestive system

Correct answer: B

Rationale: The correct answer is the Integumentary system (Option B). The integumentary system, which includes the skin, hair, nails, and glands, serves various functions such as providing protection against external factors, sensory reception, regulating body temperature (thermoregulation), maintaining water balance (osmoregulation), insulating the body, and absorbing vitamin D from sunlight. The nervous system (Option A) is responsible for transmitting signals throughout the body. The endocrine system (Option C) produces and secretes hormones to regulate bodily functions. The digestive system (Option D) is involved in breaking down food for nutrient absorption. Therefore, the primary functions described in the question align with those of the integumentary system, making it the correct choice.

5. Which of the following meninges is a thin membrane containing numerous nerves and blood vessels that supply nourishment to the underlying brain cells and spinal cord?

• A. Arachnoid mater
• B. Dura mater
• C. Periosteum
• D. Pia mater

Correct answer: D

Rationale: The pia mater is the correct answer. It is a thin, innermost layer of the meninges that contains numerous nerves and blood vessels, providing nourishment to the underlying brain cells and spinal cord. The arachnoid mater (Choice A) is the middle layer of the meninges and does not contain as many nerves and blood vessels as the pia mater. The dura mater (Choice B) is the tough, outermost layer of the meninges and is not responsible for supplying nourishment. The periosteum (Choice C) is a connective tissue membrane covering bones, not part of the meninges.

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