Nursing Elites

1. What is the difference between active and passive immunity?

• A. Active immunity is short-lived, while passive immunity is long-lasting.
• B. Active immunity involves the body's own immune response, while passive immunity provides immediate protection through antibodies from another source.
• C. Active immunity only protects against bacterial infections, while passive immunity works against both bacteria and viruses.
• D. Passive immunity requires repeated vaccinations, while active immunity is a one-time process.

Correct answer: B

Rationale: Active immunity involves the body's own immune response, where the individual's immune system produces antibodies in response to exposure to a pathogen or vaccine. This type of immunity is long-lasting because the immune system 'remembers' the pathogen and can mount a rapid response upon re-exposure. In contrast, passive immunity provides immediate protection through the transfer of pre-formed antibodies from another source, such as through maternal antibodies crossing the placenta or receiving antibodies through an injection. Passive immunity is short-lived because the transferred antibodies eventually degrade and are not produced by the recipient's immune system. Choice A is incorrect because active immunity is generally long-lasting, as it involves the production of antibodies by the individual's immune system. Choice C is incorrect as both active and passive immunity can work against various pathogens, not limited to bacteria or viruses. Choice D is incorrect as passive immunity does not require repeated vaccinations but provides temporary protection through the transfer of antibodies from an external source.

2. An investigator wishes to test the effect of temperature on the durability of a certain material. He places five blocks of this material in a sunny area in a meadow and five more in a cold area high in the mountains. He then monitors them over time. What is the main problem with this experiment?

• A. Ten subjects are far too small a number to obtain effective results.
• B. It is impossible to control for the fact that the blocks in the mountains were placed later.
• C. There are too many variables that are not being controlled for.
• D. Nothing is wrong with this experiment; this demonstrates good experimental procedure.

Correct answer: C

Rationale: The main problem with this experiment is that there are too many variables that are not being controlled for. The investigator is only changing one variable (temperature) while there are other variables at play such as humidity, exposure to light, and potential differences in the material itself. Without controlling or accounting for these additional variables, it would be difficult to determine if any observed differences in durability are solely due to temperature. Choice A is incorrect because the issue is not solely about the number of subjects but about the lack of control over variables. Choice B is not the main problem as the order of placement may not significantly impact the results. Choice D is incorrect as the experiment lacks proper control over variables, which is a crucial aspect of good experimental procedure.

3. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

4. Which type of cartilage allows for smooth movement at joints and absorbs shock?

• A. Hyaline cartilage
• B. Fibrocartilage
• C. Elastic cartilage
• D. None of the above

Correct answer: B

Rationale: Fibrocartilage is the correct answer. It is found in areas requiring both support and resilience, such as the intervertebral discs and knee joints. Fibrocartilage contains collagen fibers for strength and proteoglycans for resilience, making it suitable for functions that involve smooth movement at joints and shock absorption. Hyaline cartilage, while providing structural support, is not primarily responsible for smooth movement and shock absorption. Elastic cartilage is more flexible and is found in locations like the ear and epiglottis, but it is not known for its shock-absorbing properties. Choosing 'None of the above' disregards the correct option of fibrocartilage, which is specifically designed for the functions described in the question.

5. Which term refers to a position farther from the midline of the body? For example, the little toe is lateral to the big toe on the same foot.

• A. Lateral
• B. Medial
• C. Proximal
• D. Distal

Correct answer: A

Rationale: The correct answer is A: Lateral. Lateral refers to a position farther away from the midline of the body. In the example provided, the little toe is indeed lateral to the big toe on the same foot. This is in contrast to 'medial,' which means closer to the midline. 'Proximal' refers to a position closer to the point of attachment or the trunk of the body, while 'distal' refers to a position farther from the point of attachment or the trunk of the body.

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