Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. Identify the function NOT attributed to the lymphatic system.

• A. Fluid drainage from tissues
• B. Immune response via white blood cell production
• C. Nutrient transport throughout the body
• D. Waste removal through lymph nodes

Correct answer: C

Rationale: A) Fluid drainage from tissues: This function is attributed to the lymphatic system. Lymphatic vessels collect excess fluid from tissues and return it to the bloodstream. B) Immune response via white blood cell production: The lymphatic system plays a crucial role in the body's immune response by producing and transporting white blood cells, such as lymphocytes, which help fight infections. C) Nutrient transport throughout the body: Nutrient transport is primarily carried out by the circulatory system (blood vessels), not the lymphatic system. The circulatory system transports nutrients, oxygen, and hormones to cells and removes waste products. D) Waste removal through lymph nodes: The lymphatic system helps remove waste and toxins from the body by filtering lymph through lymph nodes, where harmful substances are trapped and destroyed by immune cells. Therefore, the function NOT attributed to the lymphatic system is C) Nutrient transport throughout the body.

3. Which of the following describes the general function of cytokines in the immune system?

• A. They communicate between cells to instigate an immune response.
• B. They inhibit blood clotting during inflammation responses.
• C. They bind to specific pathogens to increase pathogen mass.
• D. They transport pathogens trapped in mucus to be destroyed in the stomach.

Correct answer: A

Rationale: The correct answer is A: 'They communicate between cells to instigate an immune response.' Cytokines are signaling molecules that act as messengers between cells in the immune system, playing a vital role in coordinating and regulating immune responses. They communicate with various immune cells to initiate appropriate responses against pathogens. Choice B is incorrect because cytokines do not inhibit blood clotting but rather regulate immune responses. Choice C is incorrect as cytokines do not bind to specific pathogens to increase their mass; instead, they regulate the immune response. Choice D is also incorrect because cytokines do not transport pathogens trapped in mucus to the stomach for destruction; they primarily function as signaling molecules within the immune system.

4. Which of the following units is used to express concentration as a mass of solute per unit volume of solution?

• A. Molality (m)
• B. Molarity (M)
• C. Weight percent (%)
• D. Parts per million (ppm)

Correct answer: A

Rationale: Molality (m) is the unit used to express concentration as a mass of solute per unit volume of solution. It is calculated by dividing the mass of solute in grams by the mass of the solvent in kilograms. Molality is preferred over molarity when there are large temperature variations as it is temperature-independent, making it a more accurate measure of concentration. Molarity (B) is the unit used to express concentration as moles of solute per liter of solution, weight percent (C) is the mass of solute per 100 parts of the total mass of the solution, and parts per million (D) is used to express very small concentrations where 1 ppm is equivalent to 1 mg of solute per liter of solution.

5. How does the stability of an atom's nucleus influence its radioactive decay?

• A. Stable nuclei never undergo radioactive decay.
• B. Unstable nuclei are more likely to decay through various processes.
• C. Decay releases energy, making stable nuclei more prone to it.
• D. The element's position on the periodic table determines its decay rate.

Correct answer: B

Rationale: Unstable nuclei are more likely to decay through various processes. The stability of an atom's nucleus is a crucial factor in determining whether it will undergo radioactive decay. Unstable nuclei have an excess of either protons or neutrons, causing an imbalance in the nucleus. To achieve a more stable configuration, these nuclei will undergo radioactive decay by emitting particles or energy. On the contrary, stable nuclei are less likely to undergo radioactive decay as they possess a balanced number of protons and neutrons. Choice A is incorrect because stable nuclei can still undergo radioactive decay, albeit less frequently. Choice C is incorrect as decay does not make stable nuclei more prone to it; rather, it stabilizes them. Choice D is incorrect because an element's decay rate is primarily determined by the nucleus's stability, not its position on the periodic table.

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