Nursing Elites

1. Which of the following structures prevents food from entering the windpipe?

• A. Pharynx
• B. Esophagus
• C. Larynx
• D. Epiglottis

Correct answer: D

Rationale: The epiglottis is the structure that prevents food from entering the windpipe by covering the trachea during swallowing. When food is swallowed, the epiglottis folds over the opening of the trachea to ensure that food goes down the esophagus and not into the airway. The pharynx is a shared pathway for both food and air, leading to the esophagus and larynx respectively. The esophagus is the muscular tube that carries food from the throat to the stomach. The larynx is responsible for producing sound and protecting the airway during swallowing, but the epiglottis is specifically designed to prevent food from entering the windpipe.

2. What is the term for a solution that contains less solute than the maximum amount it could dissolve at a specific temperature and pressure?

• A. Saturated solution
• B. Unsaturated solution
• C. Supersaturated solution
• D. Concentrated solution

Correct answer: B

Rationale: An unsaturated solution is a solution that contains less solute than the maximum amount it could dissolve at a specific temperature and pressure. In an unsaturated solution, more solute can still be added and dissolved in the solvent. Choice A, a saturated solution, refers to a solution in which the maximum amount of solute has been dissolved at a specific temperature and pressure, leading to equilibrium. Choice C, a supersaturated solution, contains more solute than it can normally hold at a specific temperature and pressure, achieved through special conditions followed by rapid cooling or evaporation. Choice D, a concentrated solution, refers to a solution with a high amount of solute compared to the amount of solvent, regardless of reaching the saturation point.

3. How do vaccines primarily function within the body?

• A. Creating a physical barrier against pathogens
• B. Triggering an inflammatory response
• C. Developing immunological memory to a specific pathogen
• D. Activating phagocytes to engulf pathogens

Correct answer: C

Rationale: Vaccines primarily function by stimulating the immune system to develop immunological memory to a specific pathogen. When a vaccine is administered, it exposes the immune system to a harmless version of a pathogen or a piece of it. This exposure triggers the immune response, leading to the production of antibodies and memory cells specific to that pathogen. Choice A is incorrect because vaccines do not create a physical barrier; rather, they prepare the immune system to recognize and fight specific pathogens. Choice B is incorrect as vaccines do trigger an immune response, but the primary goal is to create memory rather than inflammation. Choice D is incorrect as vaccines do not directly activate phagocytes; instead, they stimulate the immune system to generate a targeted response against a particular pathogen.

4. Which of the following types of immunity is provided by the secretion of antibodies by B-cells?

• A. Cell-mediated
• B. Humoral
• C. Innate immunity
• D. Phagocytic

Correct answer: B

Rationale: The correct answer is B: Humoral. Humoral immunity involves B-cells secreting antibodies to fight pathogens. In this type of immunity, antibodies circulate in the blood and other body fluids to neutralize pathogens and prevent infections. Cell-mediated immunity, on the other hand, involves the activation of T-cells to directly attack infected or abnormal cells, not the secretion of antibodies. Innate immunity refers to the nonspecific defense mechanisms the body has in place from birth, such as physical barriers and inflammatory responses. Phagocytic immunity is not a recognized type of immunity; phagocytosis is a mechanism used by cells like macrophages to engulf and digest pathogens, but it is not a specific form of immunity like humoral or cell-mediated immunity.

5. Which layer of the skin is responsible for new skin cell production?

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B, Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis and is responsible for new skin cell production through cell division. It contains basal cells that continuously divide to produce new keratinocytes, which move up through the layers of the epidermis. Choice A, Stratum corneum, is the outermost layer of the epidermis consisting of dead cells filled with keratin. It serves a protective function but is not involved in new skin cell production. Choice C, Stratum granulosum, is a layer of the epidermis where keratinocytes undergo changes in their structure and composition. It is involved in the process of keratinization but not in new skin cell production. Choice D, Stratum spinosum, is a layer of the epidermis where cells become interconnected by desmosomes. While it plays a role in providing strength and support to the epidermis, it is not primarily responsible for new skin cell production.

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