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 the three layers of the skin?

• A. Epidermis, dermis, subdermis
• B. Epidermis, dermis, hypodermis
• C. Dermis, subdermis, hypodermis
• D. Epidermis, dermis, adipose layer

Correct answer: B

Rationale: The correct answer is B: Epidermis, dermis, hypodermis. The three layers of the skin are the epidermis (outer layer), dermis (middle layer), and hypodermis (inner layer of fat and connective tissue). The hypodermis is also known as the subcutaneous tissue and is primarily composed of adipose (fat) tissue, providing insulation and padding to the body. Choice A is incorrect as 'subdermis' is not a recognized layer of the skin. Choice C is incorrect as 'dermis' is the middle layer, not the outer layer. Choice D is incorrect as the layer below the dermis is the hypodermis, not specifically an 'adipose layer.'

3. What is the name for the flexible connection between bones at the wrist or ankle?

• A. Ligament
• B. Tendon
• C. Fascia
• D. Synovial joint

Correct answer: A

Rationale: The correct answer is A: Ligament. Ligaments are tough bands of tissue that connect bones to other bones at joints, providing stability and support. In the case of the wrist or ankle, ligaments play a crucial role in maintaining the structural integrity and allowing for proper movement of these joints. Tendons (option B) connect muscles to bones, not bones to bones. Fascia (option C) is a connective tissue that surrounds muscles and other structures, not connecting bones at joints. A synovial joint (option D) is a type of joint that allows for movement between bones, but it is not the flexible connection between bones at the wrist or ankle.

4. Which of the following nucleobases does not exist in RNA?

• A. Uracil
• B. Thymine
• C. Cytosine
• D. Guanine

Correct answer: B

Rationale: The correct answer is 'B: Thymine'. Thymine is a nucleobase found in DNA but is replaced by uracil in RNA. RNA contains Uracil, Cytosine, and Guanine as its nucleobases. Cytosine and Guanine are present in both DNA and RNA, while Thymine is exclusive to DNA and Uracil is specific to RNA.

5. What is the term for the process of a gas changing directly into a solid?

• A. Condensation
• B. Deposition
• C. Sublimation
• D. Evaporation

Correct answer: B

Rationale: The correct term for the process of a gas changing directly into a solid is deposition. During deposition, gas particles lose energy and transition directly into the solid state without passing through the liquid phase. Sublimation, on the other hand, is the process in which a solid changes directly into a gas without going through the liquid phase. Condensation is the process where gas changes into a liquid state. Evaporation, on the contrary, is the conversion of a liquid to a gas. Therefore, the correct answer is B, deposition.

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