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 hormone, produced by the ovaries, is responsible for the development of the uterine lining during the menstrual cycle and supports early pregnancy?

• A. Estrogen
• B. Progesterone
• C. Testosterone
• D. Prolactin

Correct answer: B

Rationale: Progesterone, produced by the ovaries, is responsible for the development of the uterine lining during the menstrual cycle and supports early pregnancy. While estrogen also plays a crucial role in the menstrual cycle, progesterone is specifically known for its role in preparing the uterus for pregnancy and maintaining the uterine lining. Testosterone is primarily a male sex hormone and not directly involved in these processes. Prolactin is a hormone that is mainly associated with milk production and not related to the development of the uterine lining or early pregnancy.

3. Which type of tissue connects muscles to bones?

• A. Ligaments
• B. Tendons
• C. Cartilage
• D. Muscles

Correct answer: B

Rationale: The correct answer is B: Tendons. Tendons connect muscles to bones, not bones to muscles. They play a crucial role in transmitting the force generated by muscles to move bones, enabling movement. Ligaments (choice A) connect bones to bones, providing stability to joints. Cartilage (choice C) is a connective tissue found in joints, providing cushioning and flexibility. Muscles (choice D) are responsible for generating force through contraction but do not directly connect muscles to bones.

4. What is the recommended daily intake of protein for adults to maintain healthy muscle mass?

• A. 0.5 grams per kilogram of body weight
• B. 1 gram per kilogram of body weight
• C. 1.5 grams per kilogram of body weight
• D. 2 grams per kilogram of body weight

Correct answer: B

Rationale: The recommended daily intake of protein for adults to maintain healthy muscle mass is typically around 1 gram per kilogram of body weight. This amount can vary based on individual factors such as activity level, age, and overall health status. Consuming an adequate amount of protein is essential for muscle repair and growth, as well as overall health and functioning of the body. Choices A, C, and D are incorrect because they suggest protein intake levels that are either too low (A) or unnecessarily high (C and D) for maintaining healthy muscle mass. Excessive protein intake can strain the kidneys and may not provide additional benefits for muscle health beyond the recommended levels.

5. Which of the following organs is responsible for churning and mechanically breaking down food?

• A. Small intestine
• B. Large intestine
• C. Stomach
• D. Esophagus

Correct answer: C

Rationale: The correct answer is C, the stomach. The stomach is responsible for churning and mechanically breaking down food. It contains muscles that contract and relax to mix food with digestive juices, breaking it down into smaller particles. This mechanical digestion process helps prepare the food for further digestion and absorption in the small intestine. The small intestine is primarily responsible for the absorption of nutrients, not for mechanical digestion. The large intestine absorbs water and salts, and the esophagus is a muscular tube that transports food from the mouth to the stomach, not involved in churning or breaking down food.

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