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 of the following is an example of a long bone in the human body?

• A. Carpals
• B. Femur
• C. Tarsals
• D. Metacarpals

Correct answer: B

Rationale: The correct answer is B, Femur. The femur is the longest and strongest bone in the human body, located in the thigh region. Long bones are characterized by their elongated shape, such as the femur, which provides support, strength, and mobility. Choices A, C, and D are incorrect because carpal bones (A) are short bones found in the wrist, tarsal bones (C) are short bones found in the ankle, and metacarpal bones (D) are classified as long bones, but they are shorter than the femur and mainly found in the hand.

3. What is the balanced chemical equation for the reaction between sulfuric acid (H2SO4) and potassium hydroxide (KOH)?

• A. H2SO4 + KOH → K2SO4 + H2O
• B. 2H2SO4 + 2KOH → 2K2SO4 + 2H2O
• C. H2SO4 + 2KOH → K2SO4 + 2H2O
• D. H2SO4 + 2KOH → K2SO4 + H2O

Correct answer: C

Rationale: When sulfuric acid (H2SO4) reacts with potassium hydroxide (KOH), it forms potassium sulfate (K2SO4) and water (H2O). To balance the equation, 2 KOH molecules are required to react with 1 H2SO4 molecule, resulting in 1 K2SO4 molecule and 2 H2O molecules. Therefore, the balanced chemical equation is H2SO4 + 2KOH → K2SO4 + 2H2O, which corresponds to option C. Choice A is incorrect because it does not account for the correct stoichiometry between the reactants and products. Choice B incorrectly doubles all the molecules in the reaction, leading to an unbalanced equation. Choice D incorrectly balances the equation with 1 KOH molecule instead of the required 2 KOH molecules, making it unbalanced. Thus, option C is the correct balanced chemical equation for the reaction between sulfuric acid and potassium hydroxide.

4. Which type of tissue provides support and structure to the body?

• A. Muscle tissue
• B. Connective tissue
• C. Nervous tissue
• D. Epithelial tissue

Correct answer: B

Rationale: Connective tissue is the correct answer as it provides support, structure, and strength to the body by holding tissues and organs in place. Muscle tissue is primarily responsible for movement, nervous tissue for communication, and epithelial tissue for covering and lining surfaces. While muscle tissue allows for voluntary and involuntary movement, nervous tissue transmits electrical signals, and epithelial tissue acts as a protective barrier and is involved in absorption and secretion. Therefore, in the context of providing support and structure, connective tissue is the most appropriate choice.

5. What is the primary function of the liver?

• A. To produce bile, which aids in the digestion of fats
• B. To store energy in the form of glycogen
• C. To produce proteins that assist in blood clotting
• D. To detoxify harmful substances in the body

Correct answer: D

Rationale: The primary function of the liver is to detoxify harmful substances in the body. While the liver does produce bile to aid in the digestion of fats, this is not its primary function. Bile is stored in the gallbladder and released into the small intestine for fat digestion. Storing energy in the form of glycogen is a function of the liver, but not its primary one. Glycogen serves as a reserve of glucose. Although the liver produces proteins that assist in blood clotting, such as fibrinogen and prothrombin, this is not its main function. These proteins play a crucial role in blood clotting to prevent excessive bleeding. Therefore, the primary role of the liver is to detoxify harmful substances by processing and removing toxins, drugs, alcohol, and other harmful substances from the bloodstream, thereby reducing their harmful effects.

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