Nursing Elites

1. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

2. What are the components of the male external genitalia and their functions?

• A. Prostate gland: produces seminal fluid
• B. Scrotum: protects and maintains the temperature of the testes
• C. Penis: delivers sperm to female reproductive tract
• D. Urethra: conducts urine out of the body

Correct answer: C

Rationale: The correct answer is C. The penis is responsible for delivering sperm to the female reproductive tract during sexual intercourse. The scrotum is not involved in producing sperm but rather protects and regulates the temperature of the testes, which is essential for sperm production. The prostate gland is involved in producing seminal fluid, not sperm. The urethra serves the purpose of conducting urine out of the body and also acts as a passage for semen during ejaculation.

3. Which of the following is NOT a risk factor for developing atherosclerosis?

• A. High blood pressure
• B. High levels of LDL cholesterol
• C. Regular physical activity
• D. Smoking

Correct answer: C

Rationale: Regular physical activity is not a risk factor for developing atherosclerosis; in fact, it is associated with a reduced risk. High blood pressure, high levels of LDL cholesterol, and smoking are all known risk factors for atherosclerosis. Regular physical activity plays a crucial role in improving cardiovascular health, reducing the risk of atherosclerosis, and maintaining overall well-being. Therefore, the correct answer is regular physical activity (choice C).

4. What causes lymphedema, a chronic condition, to occur?

• A. Inflammation of lymph nodes
• B. Blockage of lymph vessels
• C. Malfunction of the spleen
• D. Decrease in bone marrow production

Correct answer: B

Rationale: Lymphedema is a chronic condition that occurs when lymph vessels become blocked, leading to swelling and fluid retention in the affected area. Inflammation of lymph nodes, spleen malfunction, or decreased bone marrow production are not directly associated with the development of lymphedema. Lymph vessels play a crucial role in carrying lymphatic fluid, and when they are blocked, it disrupts the normal flow of fluid, resulting in lymphedema. Therefore, the correct answer is that lymphedema occurs when lymph vessels become blocked.

5. Memory B cells and memory T cells are crucial for immunological memory. How does immunological memory enhance the immune response upon re-exposure to a pathogen?

• A. It increases the production of the same ineffective antibodies.
• B. It allows for a quicker and more robust immune response.
• C. It suppresses the immune system to prevent overreaction.
• D. It triggers a completely different immune response.

Correct answer: B

Rationale: Immunological memory enhances the immune response upon re-exposure to a pathogen by allowing for a quicker and more robust immune response. Memory B cells and memory T cells are primed to recognize the pathogen quickly and mount a faster and more effective response, leading to a more efficient clearance of the pathogen. Choice A is incorrect because immunological memory does not increase the production of ineffective antibodies but rather promotes the production of specific antibodies that are effective against the pathogen. Choice C is incorrect as immunological memory does not suppress the immune system; instead, it enhances the response. Choice D is incorrect because immunological memory leads to a recall of the specific immune response mounted during the initial exposure, not a completely different response.

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