Nursing Elites

1. 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.

2. What happens to the gravitational potential energy of an object as it falls freely?

• A. It decreases
• B. It increases
• C. It remains constant
• D. It becomes zero

Correct answer: A

Rationale: The correct answer is A: 'It decreases.' When an object falls freely, its height decreases, resulting in a decrease in gravitational potential energy. The potential energy is converted into kinetic energy as the object accelerates due to gravity. This conversion process continues until the object reaches the ground or its lowest point, where the gravitational potential energy is minimal or zero. Choice B is incorrect because gravitational potential energy decreases, not increases, during free fall. Choice C is incorrect as gravitational potential energy changes due to the change in height. Choice D is incorrect as the gravitational potential energy does not instantly become zero but decreases gradually as the object falls.

3. What does the innate immune system provide?

• A. Nonspecific, immediate defense against pathogens
• B. Specific, long-term immune response through memory cells
• C. Both (a) and (b)
• D. Neither (a) nor (b)

Correct answer: A

Rationale: The correct answer is A. The innate immune system provides nonspecific, immediate defense against pathogens. It is the body's first line of defense in responding to infections and does not involve memory cells or specific long-term immune responses like the adaptive immune system. Choice B is incorrect because specific, long-term immune responses through memory cells are characteristics of the adaptive immune system, not the innate immune system. Choice C is incorrect because the innate immune system does not provide specific, long-term immune responses. Choice D is incorrect because the innate immune system does provide an immediate defense against pathogens.

4. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

5. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole).
• D. The depolarization of the atria.

Correct answer: D

Rationale: The P wave on an ECG represents the depolarization of the atria. This electrical activity initiates the contraction of the atria, allowing blood to be pumped into the ventricles. The P wave is the first positive deflection seen on the ECG and signifies the beginning of atrial depolarization, which is a critical step in the cardiac cycle. Choices A, B, and C are incorrect. Option A (The repolarization of the ventricles) is represented by the T wave on the ECG. Option B (The electrical conduction through the AV node) is not represented by the P wave but rather by the PR interval on the ECG. Option C (The contraction phase of the ventricles (systole)) is more related to the QRS complex on the ECG, which represents ventricular depolarization and contraction.

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