Nursing Elites

1. Which of the following describes the general function of cytokines in the immune system?

• A. They communicate between cells to instigate an immune response.
• B. They inhibit blood clotting during inflammation responses.
• C. They bind to specific pathogens to increase pathogen mass.
• D. They transport pathogens trapped in mucus to be destroyed in the stomach.

Correct answer: A

Rationale: The correct answer is A: 'They communicate between cells to instigate an immune response.' Cytokines are signaling molecules that act as messengers between cells in the immune system, playing a vital role in coordinating and regulating immune responses. They communicate with various immune cells to initiate appropriate responses against pathogens. Choice B is incorrect because cytokines do not inhibit blood clotting but rather regulate immune responses. Choice C is incorrect as cytokines do not bind to specific pathogens to increase their mass; instead, they regulate the immune response. Choice D is also incorrect because cytokines do not transport pathogens trapped in mucus to the stomach for destruction; they primarily function as signaling molecules within the immune system.

2. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

3. Which organelle in the cell is responsible for protein synthesis?

• A. Ribosome
• B. Nucleus
• C. Mitochondrion
• D. Golgi apparatus

Correct answer: A

Rationale: The correct answer is A: Ribosome. Ribosomes are the organelles responsible for protein synthesis in the cell. They are the cellular machinery where translation, the process of assembling proteins from amino acids based on mRNA sequences, occurs. Ribosomes can be found floating freely in the cytoplasm or attached to the endoplasmic reticulum. The nucleus (choice B) houses DNA but is not directly involved in protein synthesis. Mitochondria (choice C) are responsible for energy production through cellular respiration, not protein synthesis. The Golgi apparatus (choice D) is involved in modifying, sorting, and packaging proteins for secretion, not in the synthesis of proteins.

4. Which of the following is a correctly punctuated simple sentence?

• A. Leah and Jerry spent the last few hours in the garden smelling the roses and tulips.
• B. Leah stopped to smell the roses in the garden, but her allergies made her eyes water.
• C. Because it was now spring, Leah could stop to smell the roses.
• D. As Leah jogged in the park, she noticed the smell of roses.

Correct answer: A

Rationale: The sentence in option A is a correctly punctuated simple sentence with a compound predicate ('spent... smelling'). It consists of a subject 'Leah and Jerry' and a compound predicate 'spent... smelling,' making it a complete sentence. Option B contains a comma splice, joining two independent clauses incorrectly with just a comma. Option C is a complex sentence with a dependent clause ('Because it was now spring') and an independent clause, not a simple sentence. Option D is a complex sentence with a dependent clause ('As Leah jogged in the park') and an independent clause, not a simple sentence. Therefore, option A is the only choice that represents a correctly punctuated simple sentence.

5. Memory B cells and memory T cells are crucial for immunological memory. How does immunological memory enhance the immune response upon re-exposure to a pathogen?

• A. It increases the production of the same ineffective antibodies.
• B. It allows for a quicker and more robust immune response.
• C. It suppresses the immune system to prevent overreaction.
• D. It triggers a completely different immune response.

Correct answer: B

Rationale: Immunological memory enhances the immune response upon re-exposure to a pathogen by allowing for a quicker and more robust immune response. Memory B cells and memory T cells are primed to recognize the pathogen quickly and mount a faster and more effective response, leading to a more efficient clearance of the pathogen. Choice A is incorrect because immunological memory does not increase the production of ineffective antibodies but rather promotes the production of specific antibodies that are effective against the pathogen. Choice C is incorrect as immunological memory does not suppress the immune system; instead, it enhances the response. Choice D is incorrect because immunological memory leads to a recall of the specific immune response mounted during the initial exposure, not a completely different response.

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