Nursing Elites

1. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: Physical barriers such as the skin and mucous membranes are crucial components of the innate immune system's first line of defense. These barriers act as physical obstacles that prevent pathogens from entering the body. Antibodies (option A) are produced by the adaptive immune system in response to specific pathogens and do not serve as physical barriers. Phagocytes (option B) are cells that engulf and digest pathogens, playing a role in the innate immune response but not as physical barriers. Memory B cells (option D) are part of the adaptive immune system and aid in mounting a faster and more effective immune response upon subsequent exposure to a specific pathogen, but they are not physical barriers against initial pathogen entry.

2. In the suburban neighborhood of Northwoods, there has been a large population of deer, and residents have complained about them eating flowers and garden plants. What would be a logical explanation for the large increase in the deer population over the last two seasons?

• A. There has been an increase in the quantity of food sources in surrounding areas.
• B. The population of natural predators in Northwoods has decreased.
• C. Deer have migrated from surrounding areas.
• D. There has been a recent increase in hunting licenses sold.

Correct answer: B

Rationale: The correct answer is B because a decrease in natural predators can lead to an increase in the deer population as there are fewer predators to control their numbers. This explanation aligns with the situation described in the question, where the deer population has increased, causing issues for residents. Choice A is incorrect because an increase in food sources would not directly explain the increase in the deer population. Choice C is incorrect as it introduces a new factor of migration which is not mentioned in the question. Choice D is incorrect as an increase in hunting licenses sold would likely have the opposite effect on the deer population.

3. What happens to the speed of a sound wave when it travels from air to water?

• A. It increases because water is denser.
• B. It decreases because water is denser.
• C. It remains the same.
• D. Speed depends on the frequency, not the medium.

Correct answer: B

Rationale: When a sound wave travels from air to water, the speed of sound decreases because sound travels faster in denser mediums. Water, being denser than air, causes the speed of sound to slow down. Choice A is incorrect because sound travels faster in denser mediums, so the speed would not increase. Choice C is incorrect because the speed of sound changes when transitioning between different mediums. Choice D is incorrect because while frequency does affect sound, the medium it travels through also plays a significant role in determining the speed of sound.

4. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

5. Which of the following is produced by Natural Killer Cells to create pores for target cell rupture?

• A. Interferon
• B. Apoptosis
• C. Perforin
• D. Antibody

Correct answer: C

Rationale: The correct answer is C, Perforin. Natural Killer cells release perforin, which forms pores in the membrane of target cells, leading to their lysis. Interferon (choice A) is a protein released by cells in response to viral infections, apoptosis (choice B) is programmed cell death, and antibodies (choice D) are produced by B cells to neutralize pathogens but are not directly involved in creating pores for cell rupture like perforin.

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