Nursing Elites

1. 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.

2. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

3. What type of energy is stored in food?

• A. Mechanical energy
• B. Kinetic energy
• C. Chemical potential energy
• D. Thermal energy

Correct answer: C

Rationale: Food stores energy in the form of chemical potential energy. This energy is released during digestion and metabolism to provide the body with the energy it needs to function. It is derived from the bonds within the molecules of food, such as carbohydrates, fats, and proteins. Choice A, mechanical energy, is incorrect as food does not store energy in the form of mechanical energy. Choice B, kinetic energy, is incorrect as kinetic energy is associated with the motion of objects, not stored in food. Choice D, thermal energy, is incorrect as thermal energy relates to heat energy, which is not the primary form of energy stored in food.

4. Which of the following is the intricate network of blood vessels responsible for transporting blood throughout the body?

• A. Lymphatic system
• B. Circulatory system
• C. Nervous system
• D. Respiratory system

Correct answer: B

Rationale: The circulatory system, comprising the heart, blood vessels (arteries, veins, and capillaries), and blood, is responsible for transporting blood, oxygen, nutrients, and waste products throughout the body. The lymphatic system aids in maintaining fluid balance and fighting infections; the nervous system transmits signals. The respiratory system facilitates the exchange of oxygen and carbon dioxide in the body, which is distinct from the circulatory system's role in blood transport. Therefore, the correct answer is the Circulatory system (Choice B). Choices A, C, and D are incorrect as they do not pertain to the intricate network of blood vessels responsible for transporting blood throughout the body.

5. Identify the INCORRECT function of the liver.

• A. Bile production to aid digestion.
• B. Synthesis of blood proteins, such as albumin.
• C. Storage of glucose for energy regulation.
• D. Filtration of waste products from the blood.

Correct answer: D

Rationale: A) Correct - The liver produces bile, which aids in the digestion and absorption of fats in the small intestine. B) Correct - The liver is responsible for synthesizing blood proteins, including albumin, which helps maintain osmotic pressure in the blood. C) Correct - The liver stores glucose in the form of glycogen and helps regulate blood sugar levels by releasing glucose when needed. D) Incorrect - The liver does not filter waste products from the blood. Instead, the kidneys are responsible for filtering waste products from the blood and excreting them in the form of urine.

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