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 hormone is responsible for the characteristic changes experienced during puberty, such as breast development and menstruation in females?

• A. Follicle-stimulating hormone (FSH)
• B. Luteinizing hormone (LH)
• C. Estrogen
• D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for the characteristic changes experienced during puberty in females, such as breast development and menstruation. Estrogen plays a crucial role in the development of secondary sexual characteristics and the regulation of the menstrual cycle. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are primarily involved in the regulation of the menstrual cycle and ovulation. Progesterone, on the other hand, is important for preparing the uterus for pregnancy and maintaining pregnancy, but it is not the primary hormone responsible for the changes seen during puberty in females.

3. Which test is commonly used to assess kidney function?

• A. Complete blood count (CBC)
• B. Blood sugar test
• C. Urinalysis
• D. Creatinine clearance test

Correct answer: D

Rationale: The creatinine clearance test is commonly used to assess kidney function. Creatinine, a waste product produced by muscles, is filtered out of the blood by the kidneys. The creatinine clearance test measures how efficiently the kidneys clear creatinine from the blood. Abnormal levels of creatinine in the blood can indicate kidney dysfunction, making this test crucial for evaluating kidney function. Choice A, a complete blood count (CBC), provides information about different blood cells and is not a specific test for kidney function. Choice B, a blood sugar test, assesses glucose levels in the blood and is not directly related to kidney function. Choice C, a urinalysis, evaluates the contents of urine and can provide information about kidney health but is not as specific for assessing kidney function as the creatinine clearance test.

4. What is the function of the alveoli in the lungs?

• A. To exchange carbon dioxide for oxygen
• B. To transport air to the lungs
• C. To filter blood
• D. To produce mucus

Correct answer: A

Rationale: The corrected answer is A: 'To exchange carbon dioxide for oxygen.' The alveoli in the lungs are responsible for facilitating gas exchange, where oxygen from inhaled air diffuses into the bloodstream, and carbon dioxide from the bloodstream diffuses into the alveoli to be exhaled. This process is vital for respiration and maintaining proper oxygen levels in the body. Choices B, C, and D are incorrect. Choice B is incorrect because the alveoli are not involved in transporting air to the lungs; they are primarily responsible for gas exchange. Choice C is incorrect because the alveoli do not filter blood; their main function is gas exchange. Choice D is incorrect because alveoli do not produce mucus; mucus is produced by other specialized cells in the respiratory system.

5. Which of the following is an example of an unsaturated fatty acid?

• A. Stearic acid
• B. Palmitic acid
• C. Oleic acid
• D. Butyric acid

Correct answer: C

Rationale: Oleic acid is an example of an unsaturated fatty acid because it contains one or more double bonds in its hydrocarbon chain, leading to kinks in the chain structure. This unsaturation gives it a lower melting point compared to saturated fatty acids. Stearic acid (A), Palmitic acid (B), and Butyric acid (D) are examples of saturated fatty acids as they do not contain any double bonds in their hydrocarbon chains, leading to a straight structure and higher melting points.

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