Nursing Elites

1. Which of the following is the main organ responsible for producing antibodies?

• A. Thymus gland
• B. Spleen
• C. Bone marrow
• D. Lymph nodes

Correct answer: C

Rationale: Antibodies are proteins produced by specialized white blood cells called B lymphocytes (B cells). These B cells mature in the bone marrow, where they undergo a process of differentiation and maturation to become plasma cells that secrete antibodies. The bone marrow is the primary site for the production of B cells and antibodies in the immune system. The thymus gland is responsible for the maturation of T lymphocytes (T cells), not antibody production. The spleen and lymph nodes play roles in filtering and trapping pathogens but are not the main organs responsible for producing antibodies.

2. What potential consequences can chromosomal nondisjunction have on offspring?

• A. Down syndrome, caused by an extra copy of chromosome 21.
• B. Turner syndrome, characterized by the absence of one X chromosome in females.
• C. Klinefelter syndrome, featuring one or more extra X chromosomes in males.
• D. All of the above.

Correct answer: D

Rationale: - Chromosomal nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division, leading to an abnormal number of chromosomes in the resulting cells. - Down syndrome is caused by an extra copy of chromosome 21, resulting from nondisjunction during meiosis. Individuals with Down syndrome have three copies of chromosome 21 instead of the usual two. - Turner syndrome is characterized by the absence of one X chromosome in females, leading to a variety of physical and developmental features. - Klinefelter syndrome features one or more extra X chromosomes in males, typically resulting in infertility and other physical characteristics. Therefore, chromosomal nondisjunction can lead to various genetic disorders such as Down syndrome, Turner syndrome, and Klinefelter syndrome, making option D the correct answer.

3. What is the body's primary defense against pathogens?

• A. Phagocytes
• B. Antibodies
• C. Memory B cells
• D. T lymphocytes

Correct answer: A

Rationale: The correct answer is A: Phagocytes. Phagocytes are the body's first line of defense against pathogens. They are innate immune cells that engulf and digest foreign particles like bacteria and viruses, preventing infections. Phagocytes act as the initial barrier to invading pathogens and are part of the innate immune response. Choice B, Antibodies, are produced by B cells in the adaptive immune response. Choice C, Memory B cells, are also part of the adaptive immune response and provide a faster and stronger response upon re-exposure to pathogens. Choice D, T lymphocytes, are part of the adaptive immune response, particularly involved in cell-mediated immunity.

4. What is the purpose of genetic counseling?

• A. To treat genetic disorders.
• B. To diagnose genetic diseases in newborns.
• C. To provide information and support to individuals and families with genetic risks.
• D. To collect DNA samples for research purposes.

Correct answer: C

Rationale: The purpose of genetic counseling is to provide information and support to individuals and families with genetic risks. Genetic counselors aim to explain the implications of genetic testing, discuss risks and options, and offer emotional and psychological support to help individuals make informed decisions regarding their genetic health. Choice A is incorrect because genetic counseling is not focused on treatment but rather on providing information and support. Choice B is incorrect as genetic counselors do not primarily diagnose genetic diseases in newborns but rather provide guidance and support based on existing diagnoses. Choice D is not the purpose of genetic counseling; genetic counselors do not collect DNA samples for research purposes but instead focus on assisting individuals and families in understanding and managing their genetic risks.

5. What is the bottom number in a blood pressure reading?

• A. Diastolic pressure
• B. Systolic pressure
• C. Pulse rate
• D. Mean arterial pressure

Correct answer: A

Rationale: The correct answer is A: Diastolic pressure. The bottom number in a blood pressure reading represents the diastolic pressure, which indicates the lowest pressure in the arteries when the heart is resting between beats. This value is important in understanding the overall health of the cardiovascular system. Choice B, Systolic pressure, is the top number in a blood pressure reading and represents the pressure in the arteries when the heart is contracting. Choice C, Pulse rate, refers to the number of times the heart beats in a minute. Choice D, Mean arterial pressure, is a calculated value using both systolic and diastolic pressures to provide an average pressure in the arteries during a cardiac cycle, but it is not the bottom number in a blood pressure reading.

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