Nokea
Smack' is a drug obtained from the:
- A. latex of Papaver somniferum
- B. leaves of Cannabis sativa
- C. flowers of Dhatura
- D. fruits of Erythroxylum coca
Correct Answer: A
Rationale: The correct answer is A. Smack is a street name for heroin, which is derived from the latex of Papaver somniferum, commonly known as the opium poppy. The latex of this plant contains morphine and codeine, which are the main components of heroin. Cannabis sativa (B) refers to marijuana, not smack. Dhatura (C) and Erythroxylum coca (D) are sources of other drugs like scopolamine and cocaine, respectively, not heroin. Therefore, A is the correct answer as it corresponds to the actual source of smack/heroin.
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Rolling circle replication refers to:
- A. DNA replication in every prokaryotic cell division
- B. DNA transfer during conjugation
- C. mitosis
- D. meiosis
Correct Answer: B
Rationale: Rolling circle replication is a mechanism commonly observed in DNA transfer during bacterial conjugation. The process involves the transfer of a single strand of DNA that acts as a template for the synthesis of a complementary strand in the recipient cell. This results in the formation of a circular DNA molecule in the recipient cell. This mechanism is distinct from the semiconservative replication seen in prokaryotic cell division (Choice A), the cell division process of mitosis (Choice C), and the reduction division of meiosis (Choice D). Rolling circle replication is specific to the transfer of genetic material between bacterial cells during conjugation, making Choice B the correct answer.
The patient was told she has carcinoma in situ, and the student nurse wonders what that is. How should the nurse explain this to the student nurse?
- A. Evasion of the immune system by cancer cells
- B. Lesion with histologic features of cancer except invasion
- C. Capable of causing cellular alterations associated with cancer
- D. Tumor cell surface antigens that stimulate an immune response
Correct Answer: B
Rationale: Carcinoma in situ refers to a lesion with histologic features of cancer but without invasion into surrounding tissues.
An allogenic hematopoietic stem cell transplant is considered as treatment for a patient with acute myelogenous leukemia. What information should the nurse include when teaching the patient about this procedure?
- A. There is no risk for graft-versus-host disease because the donated marrow is treated to remove cancer cells
- B. The patient’s bone marrow will be removed,treated stored and then reinfused after intensive chemotherapy
- C. Peripheral stem cells are obtained from a donor who has a human leukocyte antigen (HLA) match with the patient
- D. There is no need for posttransplant protective isolation because the stem cells are infused directly into the blood
Correct Answer: C
Rationale: Peripheral stem cells from an HLA-matched donor are used in allogenic transplants.
The Ig class found in breast milk is
- A. IgA
- B. IgM
- C. IgD
- D. IgG
Correct Answer: A
Rationale: The correct answer is A: IgA. IgA is found in breast milk and plays a crucial role in providing immunity to the infant. It helps protect against infections in the digestive and respiratory tracts. IgM is primarily found in the bloodstream, IgD is mainly on the surface of B cells, and IgG is transferred from the mother to the fetus during pregnancy. IgA is the specific immunoglobulin class present in breast milk, making it the correct choice.
A patient has come to the ambulatory care clinic with a sprain. The nurse correctly differentiates a grade 2 sprain from a grade 3 sprain with the assessment of which finding?
- A. Pain
- B. Swelling
- C. Bleeding into the joint
- D. Minor loss of function
Correct Answer: D
Rationale: The correct answer is D: Minor loss of function. A grade 2 sprain involves partial tearing of the ligament, leading to moderate pain, swelling, and a significant loss of function. In contrast, a grade 3 sprain involves complete tearing of the ligament, resulting in severe pain, significant swelling, and major loss of function. By assessing for minor loss of function, the nurse can differentiate between the two grades of sprains. Choices A, B, and C are incorrect because they do not specifically differentiate between a grade 2 and grade 3 sprain based on the level of functional impairment.