Nursing Elites

1. Which of the following types of immunity is provided by the secretion of antibodies by B-cells?

• A. Cell-mediated
• B. Humoral
• C. Innate immunity
• D. Phagocytic

Correct answer: B

Rationale: The correct answer is B: Humoral. Humoral immunity involves B-cells secreting antibodies to fight pathogens. In this type of immunity, antibodies circulate in the blood and other body fluids to neutralize pathogens and prevent infections. Cell-mediated immunity, on the other hand, involves the activation of T-cells to directly attack infected or abnormal cells, not the secretion of antibodies. Innate immunity refers to the nonspecific defense mechanisms the body has in place from birth, such as physical barriers and inflammatory responses. Phagocytic immunity is not a recognized type of immunity; phagocytosis is a mechanism used by cells like macrophages to engulf and digest pathogens, but it is not a specific form of immunity like humoral or cell-mediated immunity.

2. What is the main function of the epiglottis?

• A. To store bile
• B. To absorb nutrients
• C. To prevent food from entering the trachea
• D. To produce digestive enzymes

Correct answer: C

Rationale: The epiglottis is a flap of cartilage located at the base of the tongue that covers the opening of the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food and liquids into the esophagus, which leads to the stomach for digestion, while also protecting the respiratory system from potential blockages that could lead to choking or aspiration pneumonia. Options A, B, and D are incorrect as the epiglottis is not involved in storing bile, absorbing nutrients, or producing digestive enzymes. Understanding the role of the epiglottis in the swallowing process is crucial for maintaining proper respiratory and digestive functions.

3. Which of the following choices best describes the location of the trachea in relation to the esophagus?

• A. Lateral
• B. Anterior
• C. Posterior
• D. Dorsal

Correct answer: B

Rationale: The trachea is situated in front of the esophagus, making it anterior to the esophagus. This anatomical relationship is crucial to understand in clinical practice, particularly regarding airway management and esophageal intubation. Therefore, the correct answer is B: 'Anterior.' Choices A, C, and D are incorrect because the trachea is not located to the side (lateral), behind (posterior), or on the back (dorsal) of the esophagus.

4. Which type of bond is exemplified by KCl?

• A. Ionic bond
• B. Covalent bond
• C. Hydrogen bond
• D. Polar covalent bond

Correct answer: A

Rationale: KCl exemplifies an ionic bond. In an ionic bond, electrons are transferred between atoms, resulting in the formation of ions. In the case of KCl, potassium (K) donates an electron to chlorine (Cl), leading to the creation of K+ and Cl- ions, which are held together by electrostatic forces of attraction. Choice B, covalent bond, is incorrect because covalent bonds involve the sharing of electrons between atoms, not the transfer of electrons as seen in KCl. Choice C, hydrogen bond, is incorrect as hydrogen bonds are a type of intermolecular force, not a bond formed by the transfer or sharing of electrons between atoms. Choice D, polar covalent bond, is also incorrect because although it involves the sharing of electrons with an unequal distribution of charge, KCl is a clear example of ionic bonding where electrons are completely transferred.

5. Which process allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

• A. Endocytosis
• B. Exocytosis
• C. Active transport
• D. Facilitated diffusion

Correct answer: A

Rationale: Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism facilitates the movement of large molecules like proteins and polysaccharides across the cell membrane. Exocytosis involves the release of large molecules or particles from the cell, opposite to the scenario described in the question. Active transport requires energy to move molecules against their concentration gradient and is not primarily used for transporting proteins and polysaccharides. Facilitated diffusion entails the movement of molecules aided by transport proteins but is not the primary mechanism for transporting large molecules such as proteins and polysaccharides.

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