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 is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

3. Which property of matter remains constant regardless of changes in gravity?

• A. Mass
• B. Weight
• C. Volume
• D. Density

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in gravity. This is because mass is an intrinsic property of an object and does not depend on the gravitational field it is in. Weight, on the other hand, is the force of gravity acting on an object's mass and can vary depending on the strength of gravity. Volume is the amount of space an object occupies, which can change depending on the environment. Density is the mass of an object per unit volume, which can also change with variations in gravity. Therefore, the correct answer is Mass as it remains the same regardless of gravitational changes.

4. Which organelle is responsible for carrying out photosynthesis in plant cells?

• A. Golgi apparatus
• B. Mitochondria
• C. Chloroplasts
• D. Lysosomes

Correct answer: C

Rationale: A) Golgi apparatus: The Golgi apparatus is responsible for modifying, sorting, and packaging proteins for secretion or for use within the cell. It is not involved in photosynthesis. B) Mitochondria: Mitochondria are known as the powerhouse of the cell and are responsible for generating energy in the form of ATP through cellular respiration. They are not involved in photosynthesis. C) Chloroplasts: Chloroplasts are the organelles responsible for carrying out photosynthesis in plant cells. They contain chlorophyll, a pigment that captures light energy and converts it into chemical energy in the form of glucose. D) Lysosomes: Lysosomes are membrane-bound organelles that contain digestive enzymes to break down waste materials and cellular debris. They are not involved in photosynthesis. Therefore, the correct answer is C) Chloroplasts, as they are specifically responsible for carrying out photosynthesis in plant

5. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

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