Nursing Elites

1. 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.

2. What is a primary function of red blood cells?

• A. To fight infection
• B. To carry oxygen
• C. To produce antibodies
• D. To transport waste

Correct answer: B

Rationale: The main function of red blood cells is to carry oxygen from the lungs to all the body's tissues and organs, where it is needed for cellular functions and metabolism. This process is essential for sustaining life and providing energy to cells. Choice A is incorrect because fighting infection is primarily done by white blood cells. Choice C is incorrect because antibody production is mainly carried out by specialized white blood cells. Choice D is incorrect as the primary role of red blood cells is not to transport waste, but rather to transport oxygen and some carbon dioxide.

3. Melanin, the pigment responsible for skin color, is produced by

• A. Keratinocytes (These cells produce keratin)
• B. Melanocytes
• C. Sebocytes (These cells produce sebum)
• D. Langerhans cells (These cells are part of the immune system)

Correct answer: B

Rationale: Melanocytes are the cells responsible for producing melanin, the pigment that determines skin color. Melanin gives skin its color and protects it from the harmful effects of UV radiation. Keratinocytes produce keratin, a tough protein that forms the outer layer of the skin, hair, and nails. Sebocytes produce sebum, an oily substance that helps moisturize and protect the skin. Langerhans cells are a type of immune cell found in the skin that play a role in protecting against infections and foreign substances but do not produce melanin.

4. Which of the following organs functions as both an endocrine and exocrine gland?

• A. The kidney
• B. The spleen
• C. The pancreas
• D. The stomach

Correct answer: C

Rationale: The pancreas is the correct answer as it functions as both an endocrine and exocrine gland. The endocrine function involves secreting insulin and glucagon into the bloodstream to regulate blood sugar levels, while the exocrine function involves releasing digestive enzymes into the small intestine to aid in digestion. The kidney (Choice A) primarily functions in the excretory system by filtering blood and producing urine. The spleen (Choice B) is involved in the immune system and blood storage but does not have endocrine or exocrine functions. The stomach (Choice D) is mainly an organ of the digestive system, secreting gastric juices to aid in digestion, but it does not have a dual endocrine and exocrine function like the pancreas.

5. How many mL of a 0 M stock solution of HCl should be added to water to create 250 mL of a 50 M solution of HCl?

• A. 31.25 mL
• B. 32 mL
• C. 30 mL
• D. 31.3 mL

Correct answer: B

Rationale: To prepare 250 mL of a 50 M solution of HCl, the formula V1 x C1 = V2 x C2 is used, where V1 is the volume of the stock solution, C1 is the concentration of the stock solution, V2 is the final volume of the desired solution, and C2 is the final concentration of the desired solution. Given V1 x 0 M = 250 mL x 50 M, solving for V1 results in V1 = (250 mL x 50 M) / 0 M = 32 mL. Therefore, 32 mL of the 0 M stock solution of HCl needs to be added to water to create a 250 mL solution of 50 M HCl. Choices A, C, and D are incorrect because they do not represent the accurate volume required for the dilution calculation based on the given concentrations and volumes in the problem.

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