Nursing Elites

1. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

2. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

3. Which of the following is an effect of high blood pressure?

• A. Smoking
• B. Excessive dietary salt
• C. Renal vessel damage
• D. Older age

Correct answer: C

Rationale: The correct answer is C: Renal vessel damage. High blood pressure can lead to damage in blood vessels throughout the body, including the kidneys. When blood vessels in the kidneys are affected, it can impair kidney function and potentially lead to kidney disease. Smoking (Choice A) and excessive dietary salt (Choice B) can contribute to high blood pressure but are not direct effects of high blood pressure itself. Older age (Choice D) is a risk factor for developing high blood pressure but is not a direct effect of high blood pressure.

4. What is the name of the strong acid produced by the stomach to help break down food?

• A. Hydrochloric acid
• B. Lactic acid
• C. Bile
• D. Fatty acid

Correct answer: A

Rationale: The correct answer is A, hydrochloric acid. The stomach produces hydrochloric acid to aid in the digestion process by breaking down food, particularly proteins. This acid is crucial for the proper absorption of nutrients in the stomach. Lactic acid is produced in muscles during intense exercise, not in the stomach. Bile is produced by the liver to assist in digestion, primarily in the small intestine, not in the stomach. Fatty acids are molecules found in fats with different functions in the body, but they are not the primary acid produced by the stomach for digestion.

5. Electrons occupy specific energy levels around the nucleus, but not in fixed orbits. This concept is captured by the:

• A. Bohr model
• B. Quantum mechanical model
• C. Lewis structure
• D. Octet rule

Correct answer: B

Rationale: The correct answer is the Quantum mechanical model. Unlike the Bohr model with its defined electron paths, the quantum mechanical model uses probability distributions to describe electron locations within energy levels. Choice A, the Bohr model, describes fixed electron orbits, which is not in line with the concept of electron distribution in energy levels. Choices C and D, Lewis structure and Octet rule respectively, are not related to the description of electron distribution around the nucleus in energy levels, making them incorrect answers.

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