ATI RN
microbiology chapter 1 test bank Questions
Question 1 of 5
Which of the following is a characteristic of Gram-positive bacteria?
Correct Answer: C
Rationale: The correct answer is C: Thick peptidoglycan layer. Gram-positive bacteria have a thick peptidoglycan layer in their cell wall, which retains the crystal violet stain in the Gram staining process, leading to a purple color. This thick layer is a defining characteristic of Gram-positive bacteria. Rationale: A: Thin peptidoglycan layer is incorrect because Gram-positive bacteria have a thick peptidoglycan layer. B: Presence of an outer membrane is incorrect because Gram-positive bacteria lack an outer membrane. D: Presence of lipopolysaccharides is incorrect because lipopolysaccharides are typically found in the outer membrane of Gram-negative bacteria, not Gram-positive bacteria.
Question 2 of 5
A child with diarrhea had stool microscopy revealing flagellated protozoa with two nuclei. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Giardia lamblia. Giardia is a flagellated protozoa with two nuclei, causing diarrhea. It is commonly found in contaminated water sources. Entamoeba histolytica (B) causes amoebic dysentery with trophozoites in stool. Trichomonas vaginalis (C) causes sexually transmitted infections, not diarrhea. Balantidium coli (D) is a ciliated protozoa causing dysentery with ciliated trophozoites. Therefore, Giardia lamblia is the most likely causative agent in this case.
Question 3 of 5
Which of the following bacteria is responsible for causing the disease known as tetanus?
Correct Answer: A
Rationale: The correct answer is A: Clostridium tetani. Clostridium tetani is responsible for causing tetanus by producing a neurotoxin called tetanospasmin. This neurotoxin blocks inhibitory signals in the central nervous system, leading to muscle spasms and stiffness characteristic of tetanus. Clostridium perfringens (B) causes gas gangrene, Streptococcus pyogenes (C) causes strep throat, and Escherichia coli (D) can cause gastrointestinal infections but not tetanus. Therefore, based on the specific pathogen and its mechanism of action, Clostridium tetani is the correct answer.
Question 4 of 5
After its formation, the tetanus exotoxins:
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Tetanus exotoxins are produced by Clostridium tetani bacteria. 2. Once formed, the exotoxins can spread through the bloodstream. 3. Retrograde axonal transport allows the exotoxins to travel to the central nervous system (CNS). 4. In the CNS, the exotoxins can cause the symptoms of tetanus. 5. Options A, B, and C are incorrect as tetanus exotoxins do not follow those pathways. In summary, option D is correct as tetanus exotoxins can spread through the blood and reach the CNS via retrograde axonal transport, while the other options do not align with the known pathophysiology of tetanus.
Question 5 of 5
A patient with a respiratory infection had a sputum culture revealing Gram-negative diplococci. The bacteria were oxidase-positive and fermentative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Neisseria meningitidis. This bacterium is a Gram-negative diplococcus, oxidase-positive, and fermentative. Neisseria meningitidis is known to cause respiratory infections and is commonly found in sputum cultures of patients with such infections. Neisseria gonorrhoeae (B) is also a Gram-negative diplococcus but is not fermentative. Moraxella catarrhalis (C) is oxidase-positive but not fermentative. Haemophilus influenzae (D) is not a diplococcus and is not fermentative. Therefore, Neisseria meningitidis is the most likely causative agent based on the given characteristics.
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