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 nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

3. The hypodermis is primarily composed of which tissue?

• A. Adipose
• B. Connective
• C. Epithelial
• D. Muscle

Correct answer: A

Rationale: The hypodermis, also known as the subcutaneous layer, is primarily composed of adipose (fat) tissue. Adipose tissue in the hypodermis serves as an insulator, energy reserve, and cushioning for the body. Choice B, Connective tissue, is a broad category that includes various types of tissue like adipose, but the hypodermis is specifically rich in adipose tissue. Choice C, Epithelial tissue, is not the primary component of the hypodermis; it is mainly found covering body surfaces and lining cavities. Choice D, Muscle tissue, is not a major component of the hypodermis; muscle tissue is mainly located deeper in the body and serves in movement and support functions.

4. What is the main function of the skeletal system?

• A. To regulate blood pressure
• B. To protect internal organs
• C. To produce hormones
• D. To fight infection

Correct answer: B

Rationale: The main function of the skeletal system is to provide structural support for the body, protect internal organs, facilitate movement, and produce blood cells in the bone marrow. Choice A, 'To regulate blood pressure,' is incorrect as blood pressure regulation is primarily controlled by the circulatory and endocrine systems. Choice C, 'To produce hormones,' is incorrect as hormone production is mainly carried out by the endocrine system. Choice D, 'To fight infection,' is incorrect as the immune system is responsible for fighting infections, not the skeletal system.

5. What is the valve that prevents blood from flowing back from the left ventricle into the left atrium?

• A. Tricuspid valve
• B. Mitral valve
• C. Aortic valve
• D. Pulmonic valve

Correct answer: B

Rationale: The correct answer is the Mitral valve. The mitral valve is located between the left atrium and the left ventricle of the heart. Its function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. Choice A, the Tricuspid valve, is incorrect as it is located between the right atrium and right ventricle. Choice C, the Aortic valve, and Choice D, the Pulmonic valve, are also incorrect as they are involved in the circulation of blood leaving the heart rather than preventing backflow within the atria and ventricles.

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