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. In an oxidation reaction,

• A. an oxidizing agent gains electrons.
• B. an oxidizing agent loses electrons.
• C. a reducing agent gains electrons.
• D. a reducing agent loses electrons.

Correct answer: B

Rationale: In an oxidation reaction, the substance being oxidized loses electrons, not gains them. An oxidizing agent is responsible for causing oxidation in another substance by accepting electrons, hence it undergoes reduction and loses electrons. Therefore, the correct statement is 'an oxidizing agent loses electrons,' making choice B the correct answer. Choices A, C, and D are incorrect because in an oxidation reaction, the oxidizing agent does not gain electrons, a reducing agent does not gain electrons, and a reducing agent does not lose electrons.

3. What is the approximate composition of blood?

• A. 45% plasma, 55% formed elements
• B. 55% plasma, 45% formed elements
• C. 55% water, 45% blood cells
• D. 45% water, 55% plasma

Correct answer: B

Rationale: Blood is composed of approximately 55% plasma (mostly water with proteins, electrolytes, and nutrients) and 45% formed elements (red blood cells, white blood cells, and platelets). Choice B is the correct answer. Choice A is incorrect as it reverses the percentages. Choice C is incorrect because it incorrectly states that blood cells make up 45% of blood, while they are part of the formed elements along with platelets. Choice D is incorrect as it suggests that water makes up 45% of blood, which is not accurate.

4. Which of the following is a unit of measurement for energy?

• A. Watt (W)
• B. Joule (J)
• C. Newton (N)
• D. Kilogram (kg)

Correct answer: B

Rationale: The unit of measurement for energy is the Joule (J). Energy is defined as the capacity to do work or produce heat, and the Joule is the standard unit used to measure energy in the International System of Units (SI). A Watt (A) is a unit of power, measured in joules per second, Newton (C) is a unit of force, and Kilogram (D) is a unit of mass. The Joule (J) is the appropriate unit for quantifying energy, making it the correct answer in this context.

5. Which of the following water-soluble vitamins is NOT synthesized in the large intestine?

• A. B6
• B. Biotin
• C. Pantothenic acid (Vitamin B5)
• D. Vitamin K

Correct answer: A

Rationale: The correct answer is A: B6. Vitamin B6 is not synthesized in the large intestine, while biotin, pantothenic acid (Vitamin B5), and Vitamin K can be synthesized by gut microflora. Biotin, B5, and K are examples of water-soluble vitamins that can be produced in the large intestine, but B6 needs to be obtained through dietary sources. Therefore, B6 is the correct answer as it is not synthesized within the large intestine, unlike the other options.

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