Nursing Elites

1. Which of the following is NOT an example of an intermolecular force?

• A. Hydrogen bonding
• B. Dipole-dipole interactions
• C. Ionic bonding
• D. London dispersion forces

Correct answer: C

Rationale: Ionic bonding is not considered an intermolecular force but an intramolecular force. Intermolecular forces occur between different molecules, while intramolecular forces act within a molecule. Hydrogen bonding, dipole-dipole interactions, and London dispersion forces are intermolecular forces. Hydrogen bonding involves a hydrogen atom bonded to a highly electronegative atom, dipole-dipole interactions occur between polar molecules, and London dispersion forces are temporary attractions between nonpolar molecules.

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. What causes stretch marks?

• A. The epidermis layer becomes inflamed
• B. The dermis layer becomes inflamed
• C. The dermis layer tears due to rapid stretching
• D. Sebaceous glands become clogged

Correct answer: C

Rationale: Stretch marks occur when the dermis layer tears due to rapid stretching of the skin. This tearing leads to the appearance of stretch marks, which are often red or purple at first and then fade to a silvery-white color over time. Inflammation of the dermis or clogging of sebaceous glands are not directly related to the formation of stretch marks. Therefore, choices A, B, and D are incorrect as they do not describe the actual cause of stretch marks.

4. Which of the following glands produces hormones that regulate metabolism?

• A. Adrenal gland
• B. Pituitary gland
• C. Thyroid gland
• D. Liver

Correct answer: C

Rationale: The thyroid gland is responsible for producing hormones that play a crucial role in regulating metabolism. One of the key hormones produced by the thyroid gland is thyroxine, which directly influences the body's metabolic rate. Therefore, the correct answer is the thyroid gland. The adrenal gland produces hormones like adrenaline, which are associated with the stress response and not primarily metabolic regulation. The pituitary gland regulates various other hormones but is not primarily responsible for metabolic regulation. The liver has a role in metabolism, mainly in processes like detoxification and nutrient storage, but it is not a gland that primarily produces hormones for metabolic regulation, making it an incorrect choice in this context.

5. Which term refers to the relaxation of the heart muscle?

• A. Diastole
• B. Systole
• C. Asystole
• D. Cardiastole

Correct answer: A

Rationale: The correct answer is A: Diastole. Diastole is the phase of the heartbeat when the heart muscle relaxes, allowing the chambers to fill with blood. Systole, on the other hand, refers to the contraction phase of the heart when it pumps blood out. Asystole is the absence of heart contractions, often referred to as cardiac arrest. Cardiastole is not a recognized medical term in relation to heart muscle relaxation, making it an incorrect choice.

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