Nokea
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.
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Which group(s) of microorganisms is (are) thought to be the oldest living organisms?
- A. eukaryotes
- B. heterotrophic prokaryotes
- C. Archaea
- D. viruses
Correct Answer: C
Rationale: The correct answer is C: Archaea. Archaea are thought to be the oldest living organisms due to their unique characteristics and genetic similarities to the earliest forms of life. They are known for thriving in extreme environments, resembling conditions on early Earth. Other choices are incorrect because eukaryotes are more complex and evolved later, heterotrophic prokaryotes came after autotrophic prokaryotes, and viruses are not considered living organisms.
What is the typical outcome of a C1q deficiency in the complement system?
- A. Enhanced inflammation
- B. Reduced phagocytosis
- C. Autoimmune diseases such as SLE
- D. Increased cancer risk
Correct Answer: C
Rationale: The correct answer is C: Autoimmune diseases such as SLE. C1q is essential for the classical pathway of the complement system, which plays a crucial role in clearing immune complexes. A deficiency in C1q can lead to impaired immune complex clearance, resulting in the development of autoimmune diseases like Systemic Lupus Erythematosus (SLE).
Choice A (Enhanced inflammation) is incorrect because a deficiency in C1q would actually lead to decreased inflammation due to impaired complement activation.
Choice B (Reduced phagocytosis) is incorrect because phagocytosis is primarily mediated by the alternative pathway of the complement system, not the classical pathway involving C1q.
Choice D (Increased cancer risk) is incorrect as C1q deficiency is not directly associated with an increased risk of cancer.
Which one of the following processes emerged earliest during the course of evolution?
- A. Antigen presentation
- B. Antibody production
- C. Phagocytosis
- D. Thymic education
Correct Answer: C
Rationale: The correct answer is C: Phagocytosis. Phagocytosis is a fundamental process that emerged early in evolution for cellular organisms to engulf and digest particles. This process is essential for basic survival and defense mechanisms.
A: Antigen presentation and B: Antibody production are more advanced immune responses that occur in higher organisms and require a complex immune system.
D: Thymic education is a process specific to vertebrates involving the maturation and selection of T cells, which is a more evolved mechanism compared to phagocytosis.
Therefore, phagocytosis is the earliest process among the options listed as it is essential for basic cellular survival and predates the development of advanced immune responses.
For which type of malignancy should the nurse expect the use of the intravesical route of regional chemotherapy delivery?
- A. Bladder
- B. Leukemia
- C. Osteogenic sarcoma
- D. Metastasis to the brain
Correct Answer: A
Rationale: Intravesical chemotherapy is used for bladder cancer to deliver drugs directly into the bladder.
A cytokine polarizing activated T cells towards a TH2 subset is
- A. IL-12
- B. IL-2
- C. IL-10
- D. IL-5
Correct Answer: C
Rationale: The correct answer is C: IL-10. IL-10 is known to polarize activated T cells towards a TH2 subset by suppressing TH1 cytokine production. IL-12 (A) promotes TH1 differentiation, IL-2 (B) supports T cell proliferation, and IL-5 (D) is involved in eosinophil activation and differentiation, not in polarizing T cells towards a TH2 subset.