Nursing Elites

1. Which of the following is an example of aseptic technique?

• A. Washing hands with soap and water before surgery
• B. Coughing into your elbow
• C. Sharing a stethoscope without cleaning
• D. Leaving a wound dressing exposed

Correct answer: A

Rationale: Aseptic technique refers to practices that help prevent the introduction of harmful microorganisms into a sterile environment. Washing hands with soap and water before surgery is an essential component of aseptic technique as it helps reduce the number of microorganisms on the hands, decreasing the risk of introducing pathogens into the surgical site. Coughing into your elbow is a good hygiene practice to prevent the spread of respiratory infections but is not specifically related to aseptic technique. Sharing a stethoscope without cleaning can introduce microorganisms from one patient to another, compromising aseptic conditions. Leaving a wound dressing exposed can lead to contamination and infection, which is contrary to aseptic technique.

2. 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.

3. In an oxidation reaction,

• A. an oxidizing agent gains electrons.
• B. an oxidizing agent loses electrons.
• C. a reducing agent gains electrons.
• D. a reducing agent loses electrons.

Correct answer: B

Rationale: In an oxidation reaction, the substance being oxidized loses electrons, not gains them. An oxidizing agent is responsible for causing oxidation in another substance by accepting electrons, hence it undergoes reduction and loses electrons. Therefore, the correct statement is 'an oxidizing agent loses electrons,' making choice B the correct answer. Choices A, C, and D are incorrect because in an oxidation reaction, the oxidizing agent does not gain electrons, a reducing agent does not gain electrons, and a reducing agent does not lose electrons.

4. What does the term 'solute' refer to in a solution?

• A. The substance present in the largest amount
• B. The substance that dissolves in the solvent
• C. The liquid portion of the solution
• D. The temperature at which the solution freezes

Correct answer: B

Rationale: In a solution, the term 'solute' specifically refers to the substance that dissolves in the solvent to create a solution. The solute is typically present in a smaller amount compared to the solvent. Option B correctly identifies the solute as the substance that undergoes dissolution in the solvent, making it the correct choice. Choices A, C, and D are incorrect. Choice A is actually describing the solvent, which is the substance present in the largest amount in a solution. Choice C refers to the solvent, not the solute. Choice D is unrelated to the term 'solute' as it describes the colligative property of freezing point depression, not the solute itself.

5. Which of the following statements is correct based on anatomical terms?

• A. The shoulder joint is proximal to the neck.
• B. The elbow joint is superior to the shoulder.
• C. The thoracic vertebrae are superior to the cervical vertebrae.
• D. The thumb is on the lateral aspect of the hand.

Correct answer: D

Rationale: Option D is the correct answer based on anatomical terms. The thumb is indeed located on the lateral aspect of the hand, following anatomical positioning. The terms 'proximal,' 'superior,' and 'inferior' are used in relation to the center of the body or a specific point of reference, while 'lateral' and 'medial' describe positions further away or closer to the midline of the body. Therefore, the thumb being on the lateral side of the hand is an accurate anatomical description. Choices A, B, and C are incorrect because they do not align with anatomical terminology. In anatomical terms, 'proximal' refers to a position closer to the center of the body, 'superior' indicates a position above or higher than another part, and 'inferior' signifies a position below or lower than another part. The shoulder joint is distal to the neck, the elbow is inferior to the shoulder, and the cervical vertebrae are superior to the thoracic vertebrae.

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