Nursing Elites

1. Which represents the correct order of airflow in the lungs?

• A. Bronchi, trachea, alveoli, bronchioles
• B. Alveoli, bronchioles, bronchi, trachea
• C. Trachea, bronchi, bronchioles, alveoli
• D. Bronchioles, alveoli, trachea, bronchi

Correct answer: C

Rationale: The correct order of airflow in the lungs starts with air entering through the trachea, moving into the bronchi, then proceeding to the bronchioles, and finally reaching the alveoli where gas exchange occurs. Therefore, the correct sequence is Trachea, Bronchi, Bronchioles, Alveoli, making choice C the accurate representation of the airflow in the lungs. Choices A, B, and D are incorrect because they do not follow the anatomical path of airflow in the lungs as air moves from the trachea to the bronchi, then bronchioles, and finally the alveoli for gas exchange.

2. Which of the following is most different from the others?

• A. Thyroid gland
• B. Stomach
• C. Intestines
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B, 'Stomach.' The stomach is an organ of the digestive system responsible for breaking down food through mechanical and chemical digestion. In contrast, the thyroid, intestines, and pancreas are glands. The thyroid gland regulates metabolism through hormone secretion, the intestines aid in digestion and nutrient absorption, and the pancreas secretes digestive enzymes and hormones. Therefore, the stomach is functionally different from the other options as it is an organ involved in digestion, while the others are glands with specific secretory functions.

3. Which of the following stimulates adaptive immunity?

• A. Peptides
• B. Phagocytes
• C. Prions
• D. Platelets

Correct answer: C

Rationale: The correct answer is C: Prions. Prions are infectious proteins that can stimulate an adaptive immune response by triggering the production of specific antibodies. Peptides are fragments of proteins and can be processed and presented by antigen-presenting cells to activate T cells, which play a role in adaptive immunity. Phagocytes, such as macrophages, are part of the innate immune system and are involved in engulfing and destroying pathogens, but they do not directly stimulate adaptive immunity. Platelets are primarily involved in blood clotting and are not directly related to stimulating adaptive immunity.

4. Which type of immunity does the MMR vaccine provide?

• A. Artificial/active
• B. Artificial/passive
• C. Natural/active
• D. Natural/passive

Correct answer: A

Rationale: The correct answer is A: Artificial/active. The MMR vaccine provides artificial/active immunity. It works by introducing a weakened or killed form of the virus to trigger the body's immune response, leading to the production of antibodies that offer long-lasting protection against measles, mumps, and rubella. Artificial immunity is obtained through medical intervention, such as vaccination, while active immunity involves the immune system's direct response to an antigen. Choices B, C, and D are incorrect because the MMR vaccine does not provide passive immunity nor is it acquired naturally; instead, it stimulates the body to actively produce its immune response.

5. Which of the following enzymes unwinds the double-stranded DNA during replication?

• A. Helicase
• B. Ligase
• C. Nuclease
• D. Polymerase

Correct answer: A

Rationale: Helicase is the enzyme responsible for unwinding the double-stranded DNA during replication by breaking the hydrogen bonds between the base pairs. This process creates the replication fork where DNA polymerase can then synthesize new DNA strands. Ligase functions to join Okazaki fragments on the lagging strand, not unwind DNA. Nuclease is involved in DNA repair by removing damaged DNA segments. Polymerase is responsible for synthesizing new DNA strands based on the existing template strands, not for unwinding the DNA.

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