Nursing Elites

1. What property of a substance refers to its ability to undergo a chemical change and form new substances?

• A. Density
• B. Mass
• C. Reactivity
• D. Volume

Correct answer: C

Rationale: Reactivity is the property of a substance that describes its ability to undergo a chemical change and form new substances. Density (A), mass (B), and volume (D) are physical properties of a substance and do not directly relate to its ability to undergo chemical changes. Density is the measure of how much mass is contained in a given volume, mass is the amount of matter in an object, and volume is the amount of space an object occupies. Therefore, reactivity (C) is the correct answer as it specifically addresses the substance's ability to undergo chemical changes.

2. Most catalysts found in biological systems are which of the following?

• A. Special lipids called cofactors.
• B. Special proteins called enzymes.
• C. Special lipids called enzymes.
• D. Special proteins called cofactors.

Correct answer: B

Rationale: Enzymes are special proteins that act as catalysts in biological systems. They accelerate chemical reactions by lowering the activation energy required for the reaction to occur. Enzymes play a critical role in the regulation of metabolic pathways and are essential for various biological processes. While some enzymes may require cofactors for activity, the enzymes themselves are the catalysts in biological systems. Therefore, choice B, special proteins called enzymes, is the most suitable answer. Choices A, C, and D are incorrect because enzymes, not lipids, are the primary catalysts in biological systems.

3. Which organelle is responsible for breaking down macromolecules, such as proteins, carbohydrates, and lipids, into their smaller building blocks?

• A. Golgi apparatus
• B. Mitochondria
• C. Lysosomes
• D. Endoplasmic reticulum

Correct answer: C

Rationale: Lysosomes are membrane-bound organelles containing digestive enzymes that break down macromolecules, such as proteins, carbohydrates, and lipids, into their smaller building blocks. These enzymes help in the process of intracellular digestion and recycling of cellular components. The Golgi apparatus is involved in processing and packaging proteins for secretion or for use within the cell. Mitochondria are responsible for producing energy in the form of ATP through cellular respiration. The endoplasmic reticulum is involved in protein synthesis and lipid metabolism. Therefore, the correct answer is 'C: Lysosomes' as they specifically function in the breakdown of macromolecules into smaller components, distinguishing them from the other organelles mentioned.

4. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

5. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

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