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 plane divides the body into superior (top) and inferior (bottom) halves?

• A. Sagittal/Median Plane
• B. Frontal/Coronal Plane
• C. Transverse/Cross-Section Plane
• D. Horizontal Plane

Correct answer: C

Rationale: The Transverse or Cross-Section Plane is the correct answer as it divides the body into superior (top) and inferior (bottom) halves. This plane runs horizontally across the body, perpendicular to the long axis, separating the body into upper and lower sections. Choice A, the Sagittal/Median Plane, divides the body into left and right halves, not superior and inferior halves. Choice B, the Frontal/Coronal Plane, divides the body into anterior (front) and posterior (back) halves. Choice D, the Horizontal Plane, is not a standard anatomical plane used to divide the body into specific sections.

3. What is the unit of measurement for power?

• A. Joule (J)
• B. Newton (N)
• C. Watt (W)
• D. Kilogram-meter (kg·m)

Correct answer: C

Rationale: Power is the rate at which work is done or energy is transferred. The unit of measurement for power is the watt (W), named after James Watt, the inventor of the steam engine. The watt is defined as one joule per second, where a joule (J) is the unit of energy. Choice A, Joule (J), is incorrect because a joule is a unit of energy, not power. Choice B, Newton (N), is incorrect as a Newton is a unit of force, not power. Choice D, Kilogram-meter (kg·m), is incorrect as it represents a unit of torque, not power. Therefore, the correct answer is C: Watt (W).

4. What is the path of oxygenated blood flow in our body?

• A. From the heart directly to the brain
• B. From the lungs to the left atrium, then to the left ventricle, and out through the aorta
• C. From the body to the right atrium to the lungs
• D. From the left atrium directly to the aorta

Correct answer: B

Rationale: Oxygenated blood flows from the lungs to the left atrium, then to the left ventricle, and is pumped out through the aorta to the body. This pathway ensures efficient oxygen delivery to the body's tissues and organs. Choice A is incorrect as oxygenated blood does not flow directly from the heart to the brain. Choice C is incorrect as it suggests a route from the body to the right atrium and then to the lungs, which is the pathway for deoxygenated blood. Choice D is incorrect as it describes a direct pathway from the left atrium to the aorta, skipping the left ventricle, which is essential for pumping blood to the body.

5. What happens when the diaphragm contracts?

• A. Air is expelled from the lungs.
• B. The lungs expand to allow air intake.
• C. The vocal cords vibrate to produce sound.
• D. The trachea narrows to control airflow.

Correct answer: B

Rationale: When the diaphragm contracts, it moves downward, creating more space in the chest cavity. This expansion of the chest cavity causes the lungs to expand as well, allowing air to be drawn into the lungs during inhalation. Therefore, the correct answer is that the lungs expand to allow air intake when the diaphragm contracts. Choices A, C, and D are incorrect because when the diaphragm contracts, it does not expel air from the lungs, cause the vocal cords to vibrate, or narrow the trachea to control airflow.

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