Nokea
Match the following:
- A. 1-c, 2-d, 3-b, 4-a
- B. 1-b, 2-d, 3-c, 4-a
- C. 1-b, 2-d, 3-a, 4-c
- D. 1-d, 2-c, 3-a, 4-b
Correct Answer: C
Rationale: The correct answer is C: 1-b, 2-d, 3-a, 4-c. To determine this, we need to match each item correctly. Step by step: 1) First item is matched with b because it corresponds to the correct sequence. 2) Second item is matched with d as it follows the order. 3) Third item is matched with a as it aligns with the pattern. 4) Fourth item is matched with c to complete the sequence. Other choices lack logical consistency in matching the items as per their correct order, making them incorrect.
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Which of the following is a clinical feature of Grave's disease?
- A. Pulmonary fibrosis
- B. Exophthalmos and goiter
- C. Skin vasculitis
- D. Eczematous reaction
Correct Answer: B
Rationale: The correct answer is B: Exophthalmos and goiter. In Grave's disease, there is an overproduction of thyroid hormones leading to hyperthyroidism. Exophthalmos (bulging eyes) and goiter (enlarged thyroid gland) are classic clinical features due to autoimmune stimulation of thyroid-stimulating hormone receptors. Pulmonary fibrosis (A) is not typically associated with Grave's disease. Skin vasculitis (C) and eczematous reaction (D) are also not commonly seen in Grave's disease.
When was the first vaccine for smallpox developed?
- A. 1726
- B. 1796
- C. 1882
- D. 1895
Correct Answer: B
Rationale: The correct answer is B: 1796. This is because the first vaccine for smallpox was developed by Edward Jenner in 1796. He used cowpox virus to create immunity against smallpox. Choices A, C, and D are incorrect because they do not align with historical records of the development of the smallpox vaccine. Choice A (1726) is too early, choices C (1882) and D (1895) are much later dates and do not correspond to the actual timeline of the smallpox vaccine's discovery.
Select the property that applies only to pathogens:
- A. Replicate in (or on) a host
- B. Infect host cells
- C. Cause disease in a host with normal immune functions
- D. Are transmitted between individuals of a given species
Correct Answer: C
Rationale: The correct answer is C because pathogens are microorganisms that specifically cause disease in a host with normal immune functions. Pathogens have mechanisms to evade or overcome the host's immune system, leading to the development of diseases. Choices A and B are characteristics of both pathogens and non-pathogenic organisms. Choice D is incorrect because not all pathogens are transmitted between individuals of the same species; some pathogens can be transmitted from animals to humans or through environmental sources.
Why must clients,who will undergo diagnostic skin tests,avoid taking antihistamine or cold preparations for at least 48 to 72 hours before testing?
- A. Antihistamines may increase the potential for excessive bleeding.
- B. Antihistamines may aggravate the allergic reaction.
- C. Antihistamines may increase the potential for false-negative test results.
- D. Antihistamines may cause wheezing.
Correct Answer: C
Rationale: Antihistamines can suppress the allergic response,leading to false-negative results in skin tests.
While caring for an HIV-positive patient who is hospitalized with Pneumocystis carinii pneumonia,you note that all of these drug therapies are scheduled for 10:00 AM. Which nursing action is most essential to accomplish at the scheduled time?
- A. Administer the protease inhibitor indinavir (Crixivan) 800 mg PO.
- B. Infuse pentamidine (Pentam-300) 300 mg IV over 60 minutes.
- C. Have the patient “swish and swallow” nystatin (Mycostatin) 5 mL.
- D. Apply acyclovir (Zovirax) cream to oral herpes simplex lesions.
Correct Answer: B
Rationale: Pentamidine is a critical medication for treating Pneumocystis carinii pneumonia and must be administered on time to ensure therapeutic levels. The other medications while important can be administered slightly later if necessary without significantly impacting the patient’s condition.