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 functional group is present in esters?

• A. Hydroxyl
• B. Carbonyl
• C. Ester
• D. Amine

Correct answer: C

Rationale: The functional group present in esters is -COO-, which represents a carbonyl group bonded to an oxygen atom. This group is responsible for the characteristic fruity aroma of esters. Choice A, 'Hydroxyl,' refers to -OH, which is a characteristic group of alcohols, not esters. Choice B, 'Carbonyl,' is a broad term that includes various compounds with a C=O group, but specifically in esters, it is a carbonyl group bonded to an oxygen atom. Choice D, 'Amine,' refers to compounds containing a nitrogen atom bonded to hydrogen atoms or alkyl groups, which is not present in esters. Therefore, the correct answer is 'C: Ester.'

3. How does urine flow through the urethra?

• A. Continuously
• B. Only when the bladder is completely full
• C. Under voluntary control of sphincter muscles
• D. A combination of B and C

Correct answer: C

Rationale: Urine flows through the urethra under voluntary control of sphincter muscles. These muscles can be consciously contracted or relaxed to control the flow of urine from the bladder to the outside of the body. Choice A is incorrect as urine flow is not continuous but rather regulated. Choice B is incorrect because urine flow is not restricted to only when the bladder is completely full. Choice D is incorrect as it inaccurately combines the two incorrect statements of choices B and C.

4. Which of the following situations represents work being done on an object?

• A. Pushing against a wall without moving it
• B. Carrying a heavy object without lifting it
• C. Lifting a box to place it on a shelf
• D. Holding a book stationary in your hand

Correct answer: C

Rationale: Work is defined as the product of the force applied to an object and the distance over which the force is applied. In the situation of lifting a box to place it on a shelf, work is being done on the object. This is because lifting the box involves applying a force over a distance (the height of the shelf). The force applied to lift the box results in work being done on the object by raising it against the force of gravity. Choices A, B, and D do not involve work being done on the object as they either do not involve movement against a force (A, D) or do not cover distance against a force (B).

5. Which of the following is a common property of bases?

• A. Conductivity in aqueous solutions
• B. Sour taste
• C. Reactivity with metals to produce hydrogen gas
• D. Turns red litmus paper blue

Correct answer: D

Rationale: Bases are substances that can accept protons or donate hydroxide ions in a chemical reaction. One common property of bases is that they turn red litmus paper blue. This is a classic test to distinguish between acids (which turn blue litmus paper red) and bases. Conductivity in aqueous solutions (Option A) is a property of both acids and bases, but not unique to bases alone. Sour taste (Option B) is a property commonly associated with acids, not bases. Reactivity with metals to produce hydrogen gas (Option C) is a property of acids, particularly strong acids, but not bases.

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