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 does the concept of punctuated equilibrium suggest?

• A. Evolution occurs gradually through the continuous accumulation of small changes over long periods.
• B. Evolution is characterized by long periods of relative stasis punctuated by rapid bursts of evolutionary change.
• C. The fossil record is a complete and accurate representation of all past life forms.
• D. Natural selection primarily favors extreme phenotypes within a population.

Correct answer: B

Rationale: Punctuated equilibrium suggests that evolution is characterized by long periods of relative stasis punctuated by rapid bursts of evolutionary change. This concept, proposed by Stephen Jay Gould and Niles Eldredge, implies that species remain relatively unchanged for extended periods, followed by sudden bursts of rapid evolution. Option A describes the gradualism model, which is different from punctuated equilibrium. Option C is inaccurate as the fossil record is incomplete and biased. Option D is unrelated to the concept of punctuated equilibrium.

3. What is the fatty sheath that insulates some nerve fibers and speeds up signal transmission called?

• A. Myelin sheath
• B. Dura mater
• C. Pia mater
• D. Arachnoid mater

Correct answer: A

Rationale: The correct answer is A: Myelin sheath. The myelin sheath is a fatty layer that surrounds and insulates some nerve fibers, facilitating the rapid transmission of signals along the nerve fibers. Choices B, C, and D (Dura mater, Pia mater, and Arachnoid mater) are layers of the meninges, protective membranes that surround the brain and spinal cord. The primary function of the meninges is to protect and support the central nervous system, not to insulate nerve fibers for signal transmission.

4. What is a temporary loss of consciousness due to insufficient blood flow to the brain called?

• A. Stroke
• B. Seizure
• C. Syncope (fainting)
• D. Coma

Correct answer: C

Rationale: Syncope, also known as fainting, is a temporary loss of consciousness caused by insufficient blood flow to the brain. It results from a brief interruption in the brain's blood supply, leading to a temporary loss of consciousness. The correct answer is C. A stroke, option A, is caused by a blockage or rupture of blood vessels in the brain, not insufficient blood flow. Seizure, option B, involves a sudden surge of electrical brain activity, not reduced blood flow. Coma, option D, is characterized by prolonged unconsciousness, not a temporary loss of consciousness due to insufficient blood flow.

5. An atom has 5 protons, 5 neutrons, and 6 electrons. What is the electric charge of this atom?

• A. Neutral
• B. Positive
• C. Negative
• D. Undetermined

Correct answer: C

Rationale: The correct answer is 'Negative.' An atom becomes negatively charged when it has more electrons than protons. In this case, the atom has 6 electrons and 5 protons, resulting in a net negative charge. Choice A 'Neutral' is incorrect because the atom is not balanced in terms of protons and electrons. Choice B 'Positive' is incorrect because having more electrons than protons results in a negative charge. Choice D 'Undetermined' is incorrect, as the charge can be determined based on the relative number of protons and electrons.

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