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 blood type is considered a universal donor?

• A. A
• B. B
• C. AB
• D. O

Correct answer: D

Rationale: Blood type O is considered the universal donor because individuals with type O blood can donate red blood cells to individuals with any ABO blood type (A, B, AB, or O) without causing an adverse reaction. Type O blood lacks A or B antigens on the surface of red blood cells, minimizing the risk of an immune response when transfused into individuals with different blood types. Therefore, type O blood is in high demand for blood transfusions in emergency situations when the recipient's blood type is unknown or when there is a shortage of specific blood types. Choices A, B, and AB are not considered universal donors. Individuals with blood types A, B, or AB can only donate to individuals with compatible blood types to avoid adverse reactions since they have A and/or B antigens on the surface of their red blood cells, making them incompatible with all blood types.

3. Which type of blood cell is responsible for clotting?

• A. Red blood cells
• B. Platelets
• C. White blood cells
• D. Plasma

Correct answer: B

Rationale: Platelets are responsible for blood clotting. They help prevent excessive bleeding by forming clots at the site of blood vessel injuries. Platelets release chemicals that initiate the clotting process, leading to the formation of a stable clot that stops bleeding. Red blood cells are primarily responsible for carrying oxygen throughout the body and do not play a direct role in clotting. White blood cells are part of the immune system, fighting off infections and foreign invaders. Plasma is the liquid component of blood that carries various substances such as nutrients, hormones, and waste products, but it is not directly involved in clotting.

4. What is the main function of the pancreas?

• A. To store food and break it down into smaller pieces
• B. To absorb nutrients into the bloodstream
• C. To produce enzymes that help digest food
• D. To regulate blood sugar levels

Correct answer: C

Rationale: The main function of the pancreas is to produce digestive enzymes that aid in breaking down carbohydrates, fats, and proteins in food. These enzymes are essential for the digestion and absorption of nutrients in the small intestine. While the pancreas also plays a role in regulating blood sugar levels by producing insulin and glucagon, its primary function is to produce enzymes for food digestion. Options A and B are incorrect as the pancreas is not involved in storing food or absorbing nutrients into the bloodstream.

5. Which of the following is a common property of bases?

• A. Conductivity in aqueous solutions
• B. Sour taste
• C. Reactivity with metals to produce hydrogen gas
• D. Turns red litmus paper blue

Correct answer: D

Rationale: Bases are substances that can accept protons or donate hydroxide ions in a chemical reaction. One common property of bases is that they turn red litmus paper blue. This is a classic test to distinguish between acids (which turn blue litmus paper red) and bases. Conductivity in aqueous solutions (Option A) is a property of both acids and bases, but not unique to bases alone. Sour taste (Option B) is a property commonly associated with acids, not bases. Reactivity with metals to produce hydrogen gas (Option C) is a property of acids, particularly strong acids, but not bases.

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