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 are glands that release hormones directly into the bloodstream without ducts called?

• A. Exocrine glands
• B. Endocrine glands
• C. Apocrine glands
• D. Merocrine glands

Correct answer: B

Rationale: Endocrine glands release hormones directly into the bloodstream without the use of ducts. This allows the hormones to be distributed throughout the body to target organs or tissues. Exocrine glands, on the contrary, release their secretions through ducts to the external environment or onto a surface, such as sweat glands. Apocrine and merocrine glands are both types of exocrine glands that release their secretions through different mechanisms. Apocrine glands release their secretions along with portions of the cell itself, while merocrine glands release their secretions through exocytosis without loss of cellular material.

3. What is the formula to calculate work?

• A. Work = Force × Distance
• B. Work = Mass × Velocity
• C. Work = Power × Time
• D. Work = Energy ÷ Time

Correct answer: A

Rationale: Work is defined as the product of the force applied to an object and the distance over which the force is applied. The formula to calculate work is represented by Work = Force × Distance, where force is the applied force on an object and distance is the displacement over which the force is applied. Therefore, the correct formula to calculate work is Work = Force × Distance. Choice B, 'Work = Mass × Velocity,' is incorrect because work involves force and distance, not mass and velocity. Choice C, 'Work = Power × Time,' is incorrect because work is not directly calculated using power and time. Choice D, 'Work = Energy ÷ Time,' is incorrect because work is not typically calculated by dividing energy by time; rather, it involves the product of force and distance.

4. According to the wave theory of light, the bright fringes observed in a double-slit experiment correspond to:

• A. Constructive interference
• B. Destructive interference
• C. Increased diffraction
• D. Total internal reflection

Correct answer: A

Rationale: In a double-slit experiment based on the wave theory of light, the bright fringes are the result of constructive interference. Constructive interference occurs when light waves from the two slits arrive at a point in phase, reinforcing each other and creating a bright fringe. This reinforcement leads to the constructive addition of the wave amplitudes, resulting in a bright spot on the screen. Destructive interference, which would result in dark fringes, occurs when waves are out of phase and cancel each other out. Increased diffraction and total internal reflection are not related to the formation of bright fringes in a double-slit experiment. Therefore, the correct answer is constructive interference.

5. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

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