Nursing Elites

1. The adaptive immune system has two main branches: humoral and cell-mediated immunity. Which type of immune cell is primarily responsible for antibody production?

• A. Helper T cells
• B. Cytotoxic T cells
• C. B cells
• D. Natural killer cells

Correct answer: C

Rationale: B cells are primarily responsible for antibody production in the adaptive immune system. When activated, B cells differentiate into plasma cells, which are specialized to produce antibodies. Helper T cells play a crucial role in activating B cells, but they do not directly produce antibodies. Cytotoxic T cells are involved in cell-mediated immunity by killing infected cells, while natural killer cells are part of the innate immune system and target virus-infected and cancerous cells. Therefore, the correct answer is C (B cells) as they are directly involved in the production of antibodies, essential for humoral immunity.

2. Which types of glial cells are found in the CNS?

• A. Schwann cells, satellite cells
• B. Astrocytes, microglia, ependymal cells, oligodendrocytes
• C. Satellite cells, microglia, oligodendrocytes
• D. Astrocytes, Schwann cells, satellite cells

Correct answer: B

Rationale: The correct answer is B. Glial cells in the CNS include astrocytes, microglia, ependymal cells, and oligodendrocytes. Schwann cells and satellite cells are found in the PNS. Astrocytes are the most abundant type of glial cells and are involved in nutrient support, repair, and maintenance of the extracellular environment. Microglia are the resident immune cells of the CNS, playing a role in immune defense. Ependymal cells line the ventricles of the brain and the central canal of the spinal cord, contributing to the production and circulation of cerebrospinal fluid. Oligodendrocytes are responsible for producing myelin, which insulates axons in the CNS. Understanding the specific functions of each type of glial cell is essential in grasping the complexity of the central nervous system's support and protective mechanisms.

3. What are the small, finger-like projections in the small intestines called?

• A. Cilia
• B. Rugae
• C. Trachea
• D. Villi

Correct answer: D

Rationale: The correct answer is D: Villi. Villi are small, finger-like projections in the small intestine that increase the surface area for absorption, aiding in the absorption of nutrients. Cilia (Choice A) are tiny hair-like structures found in various parts of the body but are not present in the small intestine. Rugae (Choice B) are folds in the mucosa of the stomach that allow for its expansion during digestion. The trachea (Choice C) is part of the respiratory system, responsible for carrying air to and from the lungs, and is not related to the small intestine.

4. Acids are generally characterized by a sour taste and the ability to:

• A. Turn litmus paper red
• B. Conduct electricity in solution
• C. Neutralize bases
• D. React explosively with metals

Correct answer: C

Rationale: Acids are known for their sour taste and their ability to neutralize bases, which is a defining characteristic of their acidic nature. When acids neutralize bases, salts and water are formed, highlighting the unique property of acids. The other options are incorrect: Option A, 'Turn litmus paper red,' is a test for acidity but not a defining characteristic of acids; Option B, 'Conduct electricity in solution,' pertains to the electrolytic properties of acids rather than their defining trait; Option D, 'React explosively with metals,' is not a general characteristic of acids. Therefore, the correct feature associated with acids is their capability to neutralize bases, making option C, 'Neutralize bases,' the correct answer.

5. Which structure serves as the electrical stimulator of the cardiac muscle?

• A. The sinoatrial node
• B. The left ventricle
• C. The aorta
• D. The tricuspid valve

Correct answer: A

Rationale: The correct answer is the sinoatrial node. This node, also referred to as the pacemaker of the heart, is responsible for initiating the electrical impulses that stimulate cardiac muscle contractions. It plays a crucial role in setting the pace and rhythm of the heart's contractions. Choices B, C, and D (the left ventricle, the aorta, and the tricuspid valve, respectively) do not serve as the primary electrical stimulator of the cardiac muscle. While the left ventricle is a chamber of the heart that pumps oxygenated blood to the body, the aorta is the main artery that carries blood away from the heart, and the tricuspid valve is a one-way valve that ensures blood flows properly through the heart, none of these structures initiate the electrical impulses that cause the cardiac muscle to contract.

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