Nokea
A patient’s documentation indicates he has a stage III pressure ulcer on his right hip. What should the nurse expect to find on assessment of the patient’s right hip?
- A. Exposed bone, tendon, or muscle
- B. An abrasion, blister, or shallow crater
- C. Deep crater through subcutaneous tissue to fascia
- D. Persistent redness (or bluish color in darker skin tones)
Correct Answer: C
Rationale: Stage III pressure ulcers penetrate through all layers of the skin but do not expose underlying structures such as bone or muscle.
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Tropism is a phenomenon by which
- A. plants response to stimulation
- B. reducing lateral branching
- C. Affected by the length of the day and night
- D. All above
Correct Answer: A
Rationale: The correct answer is A: plants response to stimulation. Tropism refers to the growth or movement of an organism in response to a stimulus. Plants exhibit tropisms such as phototropism (response to light) and geotropism (response to gravity). This choice accurately defines the phenomenon.
Choice B is incorrect because reducing lateral branching is not a defining characteristic of tropism.
Choice C is incorrect because the length of day and night does not directly relate to tropism.
Choice D is incorrect because not all options listed are characteristics of tropism.
In a patient with a positive Chvostek’s sign, the nurse would anticipate the IV administration of which medication?
- A. Calcitonin
- B. Vitamin D
- C. Loop diuretics
- D. Calcium gluconate
Correct Answer: D
Rationale: Chvostek’s sign indicates hypocalcemia, so calcium gluconate is administered to restore normal calcium levels.
Match the immunoglobulins with their primary functions:
- A. 1-C, 2-A, 3-B, 4-D
- B. 1-B, 2-C, 3-D, 4-A
- C. 1-D, 2-B, 3-C, 4-A
- D. 1-A, 2-D, 3-B, 4-C
Correct Answer: A
Rationale: The correct answer is A: 1-C, 2-A, 3-B, 4-D. Immunoglobulins are antibodies with different functions:
1. IgG (C) - Main antibody in secondary immune response.
2. IgA (A) - Found in mucosal areas, neutralizes pathogens.
3. IgM (B) - First antibody produced in primary immune response.
4. IgE (D) - Involved in allergic reactions and defense against parasites. Other choices are incorrect as they mismatch the immunoglobulins with their functions.
Which of the following represents a typical match between pathogen type and Th subset response?
- A. Virus : TH1
- B. Intracellular bacteria : TH2
- C. Virus : TH17
- D. Parasitic worm : TH1
Correct Answer: A
Rationale: The correct answer is A. Virus typically triggers a Th1 response because Th1 cells are specialized in combating intracellular pathogens like viruses. Th2 response is more common for extracellular parasites, making choice B incorrect. TH17 response is usually associated with fungal infections and autoimmune diseases, making choice C incorrect. Parasitic worms usually induce a Th2 response due to their extracellular nature, making choice D incorrect.
What is the lag phase of the primary antibody response?
- A. 1-3 days
- B. 5-10 days
- C. 10-15 days
- D. No lag phase
Correct Answer: B
Rationale: The lag phase of the primary antibody response refers to the time it takes for the immune system to generate specific antibodies after initial exposure to an antigen. The correct answer is B (5-10 days) because during this period, B cells are activated, undergo proliferation, differentiate into plasma cells, and start producing antibodies. This process takes time as the immune system needs to recognize the antigen, mount a response, and produce sufficient antibodies. Option A (1-3 days) is too short for the full activation and differentiation of B cells. Option C (10-15 days) is too long for the typical lag phase duration. Option D (No lag phase) is incorrect because there is always a lag phase before the peak antibody production in the primary immune response.