E1 Q2 Bank Flashcards
Which of the following statements indicates more teaching is needed regarding secondary lymph organs? ________ is/are a secondary lymphoid organ.
a. The spleen
b. Peyer patches
c. Adenoids
d. The liver
D. The liver
After teaching the staff about the clotting system, which statement indicates teaching was successful? The end product of the clotting system is
a. plasmin
b. fibrin
c. collagen
d. factor x
B. Fibrin
Physical barriers that offer the body protection from damage and infection are located in the: (select all that apply)
A. Gastrointestinal
B. Genitourinary,
C. Respiratory
A. Gastrointestinal
B. Genitourinary,
C. Respiratory
A 10-year-old female is on her way to a spelling bee and begins sweating. Which of the following describes her response?
Anticipatory response
Reactive response
Exhaustion stage
Homeostasis
A. Anticipatory response
A runner has depleted all of the oxygen available for muscle energy. Which of the following will facilitate his continued muscle performance?
Oxidative phosphorylation
Aerobic Glycolysis
Anaerobic glycolysis
Electron-transport chain
C. Anaerobic glycolysis
An athlete runs a marathon, after which his muscles feel fatigued and unable to contract. The athlete asks the nurse why this happened. The nurse’s response is based on the knowledge that the problem is result of a deficiency of:
GTP
AMP
ATP
GMP
A. GTP
A newborn male is diagnosed with albinism based on skin, eye, and hair appearance. Which finding will support this diagnosis?
Inability to convert tyrosine to DOPA (3,4-dihydroxyphenylalanine)
Inability to convert bile to bilirubin
Increased melanin
Increased hemoproteins
A. Inability to convert tyrosine to DOPA (3,4 -dihydroxyphenylalanine)
Which of the following buffer pairs is considered the major plasma buffering system?
protein/fat
amylase/albumin
sodium/potassium
Carbonic acid/bicarbonate
D. Carbonic acid/bicarbonate
After a geneticist talks to a patient about being a chromosomal mosaic, the patient asks the nurse what this means. How should the nurse respond? You may ______ genetic disease(s)
Have two
Have a mild form of the
Only be a carrier of the
Be sterile as result of the
B. Have a mild for of the
A 24 year old female presents with excessive menstrual bleeding. The physician identified endometrial changes that are due to hormonal imbalances. These cellular changes would be referred to as:
Pathologic hyperplasia
Dysplasia
Pathologic dysplasia
Hyperplasia
A. Pathologic hyperplasia
A nurse is instructing the staff about cellular functions. Which cellular function is the nurse describing when an isolated cell absorbs oxygen and uses it to transform nutrients into energy?
Metabolic absorption
Respiration
Communication
secretion
B. Respiration
A 60-year-old male with a 30-year history of smoking is diagnosed with a hormone-secreting lung tumor. Further testing indicates that the tumor secretes ADH. Which of the following assessment findings should the nurse expect? (Select all that apply.)
Increased reflexes
Confusion
Nausea
Weakness
Muscle twitching
B. Confusion
C. Nausea
D. Weakness
E. Muscle twitching
A 54-year-old male intravenous (IV) drug user is diagnosed with chronic hepatitis C. Testing revealed that he is a candidate for treatment. Which of the following could be used to treat his condition?
Interleukins-1
INFs
Interleukins-10
Interleukins-6
B. INFs
A 3 year old is making play cakes in a sandbox and is eating the play cakes. The sand was also being used by cats as a litter box and was contaminated with toxoplasmosis. Which of the following would most likely also be present?
Blood clots
Degranulation
Granuloma formation
Exudate production
C. Granuloma formation
A 25-year-old female has sexual relations with her boyfriend. Later she is told that the boyfriend is infected with Neisseria gonorrhoeae. Testing reveals that she does not have the disease. How is it possible that she did not contract the disease?
Antibodies covered sites of attachment
She was vaccinated against it
Platelets provided protection
IgEwas released
A. Antibodies covered sites of attachment
Direct effects of antibodies include: select all that apply
Division
Neutralization
Aggulation
Precipitation
Phagocytosis
B. Neutralization
C. Aggulation
D. Precipitation
A 40-year-old female is diagnosed with SLE. which of the following findings would be considered a symptom of this disease?
Rash on trunk and extremities
Decreased glomerular filtration rate
Gastrointestinal ulcers
Photosensitivity
D. Photosensitivity
Which of the following is a characteristic of human immunodeficiency virus (HIV), which causes AIDS?
Infection does not require a host cell receptor
HIV only infects B cells
After infection, cell death is immediate
HIV is a retrovirus
D. HIV is a retrovirus
What common symptoms should be assessed in individuals with immunodeficiency?
Recurrent infections
Anemia
Hypersensitivity
Autoantibody production
A. Recurrent infections
An immunologist is discussing endotoxin production. Which information should the immunologist include? Endotoxins are produced by:
Gram-negative fungi
Gram-positive fungi
Gram-positive bacteria
Gram-negative bacteria
D. Gram-negative bacteria
Stress induces sympathetic stimulation of the adrenal medulla. This causes the secretion of catecholamines, which include:
Norepinephrine and cortisol
Epinephrine and aldosterone
Cortisol and aldosterone
Epinephrine and norepinephrine
D. Epinephrine and norepinephrine
A 35-year-old male is diagnosed with a hormone-secreting tumor of the adrenal medulla. He experiences elevated blood pressure and increased anxiety. Which of the following hormones is the predominant one released by the tumor?
Acetylcholine
Cortisol
Antidiuretic hormone
norepinephrine
D. Norepinephrine
An infant develops a fever secondary to a bacterial infection. Which of the following most likely triggered the fever?
Interleukin-1
Interleukin-6
Interferons (IFNs)
Interleukin-10
A. Interleukin-1
A 25-year old male is in a car accident and sustains a fracture to his left femur with extensive soft tissue injury. The pain associated with the injury is related to:
Vasoconstriction
Immune complex formation
Histamine
Prostaglandins
D. Prostaglandins
The predominant antibody of a typical primary immune response is:
IgE
IgA
IgM
IgG
C. IgM
A nurse recalls that an example of an immune-complex-mediated disease is:
Serum sickness
Contact dermatitis
Rheumatoid arthritis
Bronchial asthma
A. Serum sickness
Which information indicates a good understanding of bacterial vaccines? Most bacterial vaccines contain:
Fully active bacteria
Dead bacteria
Bacterial toxins
Synthetic bacteria
B. Dead bacteria
When the immunologist says that pathogens possess infectivity, what is the immunologist explaining? Infectivity allows pathogens to:
Induce an immune response
Damage tissue
Invade & multiply in the host
Spread from one individual to others and cause disease
C. Invade and multiply in the host
Exhaustion occurs if stress continues and ______ is not successful.
Arousal
Adaptation
Alarm
Flight or fight response
B. Adaptation
A 35-year-old male is diagnosed with lobar pneumonia (lung infection). Which of the following exudates would be present in highest concentration at the site of this advanced inflammatory response?
Fibrinous
Hemorrhagic
Serous
Purulent
A. Fibrinous
The nurse is reviewing the lab data of a newly admitted patient. The nurse notes the patient had an erythrocyte sedimentation done, and the results are quite elevated. The nurse would focus the care plan on which of the following conditions?
Infection
Anemia
Inflammation
Electrolyte imbalance
C. Inflammation
An immunology nurse is caring for a patient. While planning care, which principle will the nurse remember? The primary role of IgA1 is to prevent infections in the:
Kidneys
Mucous membranes
Blood
Lungs
C. Blood
A 5-month-old child is admitted to the hospital with recurring respiratory infections. A possible cause of this condition is:
Immune insufficiency
Decreased maternal antibody breakdown, resulting in hyposensitivity
Hypergammaglobulinemia
Increased maternal IgG
A. Immune insufficiency
When a nurse notices that a patient has type O blood, the nurse realizes that anti-_____ antibodies are present in the patient’s body.
a. O
b. A and B
c. B only
d. A only
B. A and B
Which information would indicate more teaching is needed regarding hypersensitivity reactions? Type _______ hypersensitivity reactions involve an antibody response.
a. II
b. III
c. IV
d. I
C. IV
What common symptom should be assessed in individuals with immunodeficiency? DOUBLE
Recurrent infections
Hypersensitivity
Autoantibody production
Anemia
A. Recurrent infections
An immunologist is discussing endotoxin production. Which information should the immunologist include? Endotoxins are produced by: DOUBLE
Gram-positive bacteria
Gram-positive fungi
gram-negative bacteria
Gram-negative bacteria
D. Gram-negative bacteria
Which of the following hormones enhances myocardial contractility?
Prolactin
Epinephrine
Oxytocin
Somatotropin
B. Epinephrine
When assessing the effects of elevated β-endorphins in a patient, which of the following should the nurse monitor?
Peripheral vasoconstriction
Hyperglycemia
Decreased immune cell activity
Pain inhibition
D. Pain inhibition
The predominant phagocyte of early inflammation is the:
neutrophil.
eosinophil.
Macrophage
lymphocytes.
A. Neutrophil
During inflammation, the liver is stimulated to release plasma proteins, collectively known as:
Antibodies
Opsonins
Phagolysosomes
acute phase reactants.
D. Acute phase reactants
A 6-year-old female is diagnosed with a bacterial infection of the respiratory system. Which of the following will most likely try to fight the antigen?
Helper T cells
Antibodies
Self-antigens
Cytotoxic T cells
B. Antibodies