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 the main function of valence electrons in chemical bonding?

• A. They are responsible for holding the nucleus together.
• B. They are involved in forming bonds with other atoms.
• C. They determine the element's physical properties.
• D. They play no role in chemical reactions.

Correct answer: B

Rationale: Valence electrons are the electrons in the outermost energy level of an atom. These electrons are involved in forming bonds with other atoms, which is crucial for chemical bonding. By participating in bonding, valence electrons determine an atom's ability to form compounds and engage in chemical reactions. Therefore, the primary function of valence electrons is to facilitate the formation of bonds between atoms, making option B the correct answer. Choices A, C, and D are incorrect because valence electrons primarily influence chemical bonding by participating in the formation of bonds between atoms, rather than holding the nucleus together, determining physical properties, or having no role in chemical reactions.

3. What is the name of the condition characterized by swelling caused by a buildup of lymph fluid?

• A. Anemia
• B. Edema
• C. Hypertension
• D. Diabetes

Correct answer: B

Rationale: Edema is the condition characterized by swelling caused by a buildup of lymph fluid. It occurs when excess fluid is trapped in the body's tissues. Anemia (A) is a condition characterized by a lack of healthy red blood cells, leading to a reduced ability to carry oxygen in the blood. Hypertension (C) is high blood pressure, a condition where the force of the blood against the artery walls is too high. Diabetes (D) is a condition characterized by high blood sugar levels, either due to insufficient insulin production or the body's resistance to insulin, leading to various complications.

4. Which property of a substance remains constant regardless of changes in its shape or size?

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

Correct answer: A

Rationale: The correct answer is 'Mass.' Mass is a measure of the amount of matter in an object and remains constant regardless of changes in its shape or size. Weight, volume, and density can all change depending on the conditions, but mass remains the same. Weight is the force exerted on an object due to gravity, which can change based on the gravitational pull. Volume is the amount of space an object occupies, which can change if the shape or size of the object changes. Density is the mass of a substance per unit volume, which can change if either the mass or volume changes. Therefore, in this scenario, mass is the property that remains constant regardless of changes in shape or size.

5. Which hormone is responsible for lowering blood sugar levels?

• A. Glucagon
• B. Insulin
• C. Adrenaline
• D. Cortisol

Correct answer: B

Rationale: Insulin is the hormone responsible for lowering blood sugar levels. It is produced by the pancreas and facilitates the entry of glucose into cells, thereby reducing blood sugar levels. Glucagon, adrenaline, and cortisol have roles in increasing blood sugar levels through various mechanisms. Glucagon raises blood sugar levels by stimulating the liver to release stored glucose, adrenaline increases blood sugar in fight-or-flight responses, and cortisol raises blood sugar levels as part of the stress response. Therefore, in the context of lowering blood sugar levels, insulin is the correct answer.

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