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 are the seven components of the digestive system?

• A. Mouth, esophagus, stomach, small intestine, large intestine, liver, pancreas
• B. Mouth, pharynx, esophagus, stomach, small intestine, large intestine, rectum
• C. Esophagus, stomach, liver, pancreas, small intestine, large intestine, rectum
• D. Pharynx, stomach, liver, pancreas, small intestine, large intestine, rectum

Correct answer: B

Rationale: The correct answer is B. The seven components of the digestive system are the mouth, pharynx, esophagus, stomach, small intestine, large intestine, and rectum. The mouth begins the process of digestion by chewing and mixing food with saliva. The pharynx serves as a passageway for food and air. The esophagus transports food from the mouth to the stomach. The stomach aids in digestion and acts as a temporary storage site. The small intestine is where most of the digestion and absorption of nutrients occur. The large intestine absorbs water and salts, forming feces. The rectum stores feces until they are eliminated through the anus. The other choices are incorrect as they do not list all seven essential components of the digestive system.

3. What is the term for the pressure exerted by blood against the walls of blood vessels?

• A. Heart rate
• B. Blood pressure
• C. Cardiac output
• D. Stroke volume

Correct answer: B

Rationale: Blood pressure is the term for the pressure exerted by blood against the walls of blood vessels. It is measured in millimeters of mercury (mmHg) and consists of two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). Heart rate (A) is the number of times the heart beats per minute, cardiac output (C) is the volume of blood pumped by the heart per minute, and stroke volume (D) is the volume of blood pumped by the heart in one contraction. Understanding blood pressure is crucial in assessing cardiovascular health and the risk of various conditions like hypertension.

4. Which of the following terms describes stem cells that have the ability to develop into any cell found in the human body?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: A

Rationale: Totipotent stem cells have the unique ability to differentiate into any cell type in the human body and can generate a complete organism. They are considered the most versatile type of stem cells, capable of developing into all cell types, including extraembryonic tissues. Choice A, Totipotent stem cells, is the correct answer as it specifically describes stem cells with the broadest differentiation potential. Choice B, Multipotent stem cells, refers to stem cells that can differentiate into a limited range of cell types. Choice C, Pluripotent stem cells, can give rise to almost all cell types, but not the complete organism like totipotent stem cells. Choice D, Hematopoietic stem cells, are a type of multipotent stem cells that give rise to various blood cell types, but do not have the same broad differentiation potential as totipotent stem cells.

5. During which phase of the cell cycle does cytokinesis typically occur?

• A. Interphase
• B. Mitosis
• C. Meiosis
• D. G2 phase

Correct answer: B

Rationale: Cytokinesis is the process of dividing the cytoplasm of a cell into two daughter cells after the nucleus has divided during mitosis. In the cell cycle, cytokinesis typically occurs at the end of the mitotic phase, following the separation of the duplicated chromosomes into two identical sets in the daughter nuclei. Interphase (option A) is the phase where the cell grows, carries out its normal functions, and prepares for cell division, but cytokinesis does not occur during this phase. Meiosis (option C) is a specialized type of cell division that occurs in sexually reproducing organisms to produce gametes, and cytokinesis occurs at the end of meiosis II, not meiosis I. G2 phase (option D) is the phase of the cell cycle following DNA replication in S phase and preceding mitosis, where the cell prepares for cell division, but cytokinesis occurs during mitosis, not in the G2 phase.

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