Nursing Elites

1. 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.

2. An atom has 2 protons, 4 neutrons, and 2 electrons. What is the approximate atomic mass of this atom?

• A. 2
• B. 4
• C. 6
• D. 8

Correct answer: D

Rationale: The atomic mass of an atom is the sum of the protons and neutrons in its nucleus. In this case, the atom has 2 protons and 4 neutrons, totaling 6 particles in the nucleus. Therefore, the approximate atomic mass of this atom is 6, making choice C incorrect. The number of electrons does not significantly contribute to the atomic mass, as they are much lighter and located in the electron cloud surrounding the nucleus. Choices A, B, and C are incorrect as they do not reflect the correct calculation of atomic mass based on protons and neutrons only.

3. What is the product of the reaction between hydrochloric acid (HCl) and sodium hydroxide (NaOH)?

• A. NaCl + H2O
• B. NaOH + HCl
• C. Na2Cl + H2O
• D. NaClO3 + H2

Correct answer: A

Rationale: When hydrochloric acid (HCl) reacts with sodium hydroxide (NaOH), it forms sodium chloride (NaCl) and water (H2O) according to the following chemical equation: HCl + NaOH -> NaCl + H2O. Therefore, the correct answer is NaCl + H2O (Choice A). This reaction is a classic acid-base neutralization reaction where the acid (HCl) reacts with the base (NaOH) to form a salt (NaCl) and water (H2O). Choice B (NaOH + HCl) is incorrect because the order of the reactants matters in a chemical reaction, and in this case, HCl is the acid reacting with NaOH. Choices C (Na2Cl + H2O) and D (NaClO3 + H2) are incorrect because they do not represent the products of the reaction between HCl and NaOH as per the balanced chemical equation.

4. When sugar is heated, it breaks down into carbon and water vapor. This is an example of a:

• A. Combination reaction
• B. Decomposition reaction
• C. Double displacement reaction
• D. Single displacement reaction

Correct answer: B

Rationale: The correct answer is B: Decomposition reaction. When sugar is heated, it undergoes a decomposition reaction where it breaks down into simpler substances, carbon, and water vapor. In a decomposition reaction, a single compound breaks down into two or more simpler substances. This process is the opposite of a combination reaction where two or more substances combine to form a new compound. Choice A, Combination reaction, is incorrect because a combination reaction involves the combination of two or more substances to form a new compound, which is the opposite of what happens when sugar breaks down. Choices C and D, Double displacement reaction and Single displacement reaction, are incorrect as they involve different mechanisms where the atoms or ions of the reactants are exchanged, which is not the case in the breakdown of sugar into carbon and water vapor.

5. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

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