MS SEMIS Flashcards
A test that will detect the presence of autoantibodies in the skin or mucous membrane tissue
a. direct immunofluorescence
b. Skin Biopsy
c. ELISA
d. indirect immunofluorescence
A. direct immunofluorescence
It is the period of time between initial infection of HIV and development of antibody.
a. incubation period
b. window period
c. serologic period
d. infectious stage
b. window period
Immune responses are:
a. non-specific defense mechanism
b. Specific defense mechanism
b. Specific defense mechanism
The nurse understands that due to Increased permeability of the blood vessels results in an exudation (leakage) of plasma proteins and fluid into the tissue, one of the inflammatory s/sx will appear which is
a. loss of function
b. redness and heat
c. pain
d. Swelling
d. Swelling
These tests are considered as inflammatory markers:
a. direct immunofluorescence
b. C-reactive protein and ESR
c. CBC
d. skin biopsy
b. C-reactive protein and ESR
Which of the following laboratory results support the diagnosis of bacterial infection?
a. increase WBC
b. decrease WBC
c. negative blood culture
d. decrease sedimentation rate
a. increase WBC
The cicatricial pemphigoid primarily affects the:
a. eyes
b. nose
c. skin and mucous membrane
d. mouth
c. skin and mucous membrane
Play a major role in humoral immunity
a. T cells
b. antibodies
c. B cells
d. granulocytes
c. B cells
Immunity that is acquired in response to vaccines
a. artificial passive acquired immunity
b. artificial active acquired immunity
c. Natural passive acquired immunity
d. Natural active acquired immunity
b. artificial active acquired immunity
The nurse is caring for a patient with human immunodeficiency virus (HIV). Which of the following precautions is best in the care of the patient?
a. Gown, gloves, and mask if splashing with body fluids is likely
b. Only hand washing is needed
c. Gown, gloves, mask, and placement into a negative-pressure room
d. Gloves and an N-95 mask
a. Gown, gloves, and mask if splashing with body fluids is likely
When a client receives incompatible blood:
a. Type 2
b. Type 4
c. Type 3
d. Type 1
a. Type 2
Blood screening tests of the immune system of a client with AIDS would indicate:
a. An increase in thymic hormones
b. A decrease in the serum level of glucose
c. An increase in immunoglobulin E
d. A decrease in CD4 T cells
d. A decrease in CD4 T cells
A client tested positive with the EIA test. This means:
a. he definitely has HIV
b. he should not be worried, its false positive
c. another test will still be done to confirm HIV-AIDS
d. it means he has early infection
c. another test will still be done to confirm HIV-AIDS
The normal result of an EIA test is:
a. positive
b. negative
c. false positive
d. false negative
b. negative
lt is the predominant cell type in the epidermis, the outermost layer of the skin, constituting 90% of the cells found there:
a. desmosomes
b. acantholysis
c. keratinocytes
d. desmogleins
c. keratinocytes
When the inflammation is localized, it means to say that the inflammatory response is:
a. non-specific symptoms develop
b. neutrophils and macrophages are released
c. injurious agents persists
d. confined to the site
d. confined to the site
A client hospitalized with AIDS who has a white blood cell count of 1500 mm3 is scheduled for a chest x-ray. The best action of the nurse would be to:
a. Have the x-ray staff wear gowns, gloves, and mask while doing the x-ray
b. Have housekeeping clean the x-ray room thoroughly before the client arrives.
c. Arrange for an x-ray to be done with a portable machine in the client’s room
d. Put a mask and a gown to the client before transporting to the x-ray department
c. Arrange for an x-ray to be done with a portable machine in the client’s room
The individual has no risk of exposure to HIV when that individual:
a. Makes a donation of a pint of whole blood b. Has intercourse with just the spouse
c. Limits sexual contact to those without HIV antibodies
d. Uses a condom each time there is sexual intercourse
a. Makes a donation of a pint of whole blood
Results when immune system no longer recognizes certain body tissues as “self” and attempts to destroy those tissues.
a. autoimmune diseases
b. inflammation
c. immunity
d. hypersensitivity reactions
a. autoimmune diseases
An immunosuppressed client has a WBC count of 12,000/mm3. The instruction that should receive the highest priority by the nurse is:
a. Omit the daily dose of prednisone
b. Increase the intake of high-protein foods
c. Shave with an electric rather than a safety razor
d. Avoid large crowds and persons with infections
d. Avoid large crowds and persons with infections
The nurse knows that a positive diagnosis for HIV infection is made based on:
a. Positive EIA and Western blot tests
b. Evidence of extreme weight loss and high fever
c. A History of high risk sexual behaviors
d. Identification of an associated opportunistic infection
a. Positive EIA and Western blot tests
Presence of autoantibodies against the connections between epidermal cells.
a. pemphigus
b. desmosomes
c. pemphigoid
d. acantholysis
a. pemphigus
Lymphocytes that decrease B cell activity to a level at which the immune system is compatible with life
a. natural killer T cells
b. null lymphocytes
c. memory cells
d. suppressor T cells
d. suppressor T cells
Breastfeeding will provide:
a. Natural passive acquired immunity
b. artificial active acquired immunity
c. Natural active acquired immunity
d. artificial passive acquired immunity
a. Natural passive acquired immunity
Removes foreign material from the lymph system before it enters the bloodstream
a. bone marrow
b. stem cells
c. lymph nodes
d. spleen
c. lymph nodes
Artificial passive acquired immunity would result from:
a. ingesting colostrums
b. having measles
c. receiving gamma globulins
d. receiving an attenuated vaccines
c. receiving gamma globulins
It is the loss of cohesion between keratinocytes
a. acantholysis
b. pemphigus
c. apoptosis
d. pemphigoid
a. acantholysis
Involves different cell types including macrophages, T cells etc:
a. cell mediated immunity
b. non-specific immunity
c. Humoral immunity
a. cell mediated immunity
Dennis was tested positive in EIA, meaning:
a. DNA levels are present in the plasma
b. Trackings of viral load in the blood
c. antibodies are identiFled directed specifically against HIV
d. Measures viral burden in the blood
c. antibodies are identified directed specifically against HIV
The following can help manage and reduce the risk of flare-ups EXCEPT:
a. Reduce stress
b. smoking and alcohol
c. balanced diet
d. gentle skin care
b. smoking and alcohol
An increasing CD4 T cell count of an HIV positive client indicates:
a. The need for aggressive therapy
b. Improvement in the client’s condition
c. That infection is likely to develop
d. That the count is normal pattern in HIV infection
b. Improvement in the client’s condition
Presence of autoantibodies against some parts of the dermis
a. desmosomes
b. pemphigoid
c. acantholysis
d. pemphigus
b. pemphigoid
When taking the blood pressure of a client who has AIDS, the nurse must:
a. Use barrier techniques
b. wear a mask and a gown
c. wash the hands thoroughly
d. Wear clean gloves
b. wear a mask and a gown
If the immune system is not functioning properly it is said to be:
a. immunosuppressed
b. B and C
c. immunocompromised
d. immunocompetent
c. immunocompromised
Ways in which the body protects itself from pathogens
a. Febrile reactions
b. host defense mechanisms
c. General body responses
d. chemical factors
b. host defense mechanisms
Diana develops drug induced SLE. When reviewing her medication history, what drug could have specifically caused her SLE?
a. nifedipine
b. Chlorpromazine
c. insulin
d. furosemide
b. Chlorpromazine
This test can measure specific autoantibodies in the blood.
a. direct immunofluorescence
b. ELISA
c. indirect immunofluorescence
d. SKIN BIOPSY
b. ELISA
When discussing immunity with a client who has returned from living in a foreign country for 10 years, the nurse recalls that active immunity occurs when:
a. Protein substances are formed within the body to neutralize antigens
b. Protein antigens are formed in the blood to Bght invading antibodies
c. Sensitized lymphocytes from an immune donor act as antibodies against invading pathogens
d. Blood antigens are aided by the phagocytes in defending the body against pathogens
a. Protein substances are formed within the body to neutralize antigens
Structure that ensures the epidermal keratinocyte cells stick to the dermis
a. dystonin
b. hemidesmosomes
c. desmosomes
d. keratinocytes
b. hemidesmosomes
Patient Ana has been diagnose to have SLE, clinical manifestation that least expected is:
a. pruritus
b. arthritis
c. pericarditis
d. skin lesions
a. pruritus