Nursing Elites

1. What type of immunity does a vaccine provide? Choose only ONE best answer.

• A. Naturally acquired passive immunity
• B. Artificially acquired passive immunity
• C. Naturally acquired active immunity
• D. Artificially acquired active immunity

Correct answer: D

Rationale: The correct answer is D: Artificially acquired active immunity. Vaccines work by stimulating the immune system to produce an active response, leading to the development of immunity against specific pathogens. Choice A, naturally acquired passive immunity, is incorrect as it refers to the temporary immunity passed from mother to child, not through vaccines. Choice B, artificially acquired passive immunity, is also incorrect because passive immunity involves the transfer of pre-formed antibodies, not the stimulation of the immune system by vaccines. Choice C, naturally acquired active immunity, is incorrect since it is acquired through natural exposure to pathogens, not through vaccines.

2. Which of the following statements regarding macrophages is incorrect?

• A. They are found abundantly in the blood
• B. They are larger than neutrophils
• C. They are long-lived
• D. They are made in the bone marrow as monocytes, called macrophages once they reach organs

Correct answer: A

Rationale: The correct answer is A. Macrophages are not found abundantly in the blood; they are present in tissues and organs. Macrophages are tissue-resident immune cells that play a key role in immune responses and are derived from monocytes produced in the bone marrow. Choice B is correct as macrophages are larger than neutrophils. Choice C is correct as macrophages are long-lived cells. Choice D is correct as macrophages originate in the bone marrow as monocytes and differentiate into macrophages once they migrate to various tissues and organs.

3. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

4. What is the function of white blood cells?

• A. To transport oxygen
• B. To fight infection
• C. To carry oxygen
• D. To produce antibodies

Correct answer: B

Rationale: White blood cells play a crucial role in the immune system by fighting infection and protecting the body from foreign invaders. Choice A, 'To transport oxygen,' is incorrect because red blood cells are responsible for transporting oxygen. Choice C, 'To carry oxygen,' is also inaccurate for the same reason. Choice D, 'To produce antibodies,' while related to the immune system, is not the primary function of white blood cells, as their main role is to directly combat infections.

5. Which of the following is the main organ responsible for storing energy?

• A. Liver
• B. Heart
• C. Kidneys
• D. Adipose tissue

Correct answer: D

Rationale: Adipose tissue, commonly known as body fat, is the main organ responsible for storing energy in the form of triglycerides. It serves as a reserve of energy that can be utilized when needed. The liver primarily regulates glucose levels and stores glycogen for short-term energy needs but is not the main organ for long-term energy storage. The heart's main function is to pump blood throughout the body and is not involved in energy storage. The kidneys are essential for filtering blood and maintaining fluid balance but are not responsible for storing energy.

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