Nokea
What is included in the humoral immune response?
- A. Surveillance for malignant cell changes
- B. Production of antigen-specific immunoglobulins
- C. Direct attack of antigens by activated B lymphocytes
- D. Releasing cytokines responsible for destruction of antigens
Correct Answer: B
Rationale: The humoral immune response involves the production of antigen-specific antibodies (immunoglobulins) by B cells, which neutralize pathogens.
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Which of the following is an example of passive immunization?
- A. The protection against smallpox that is provided by inoculation with cowpox
- B. The rapid protection that is provided by the primary immune response to a vaccine
- C. The immune protection provided to an individual after receiving serum from someone previously exposed to a pathogen
- D. Immunization of a child under the supervision of a parent or guardian
Correct Answer: C
Rationale: Passive immunization involves the transfer of pre-formed antibodies to confer immediate protection. Choice C is correct as it describes receiving serum containing antibodies from an immune individual. Choice A is incorrect because it describes active immunization. Choice B is incorrect as it refers to the primary immune response, which is part of active immunization. Choice D is incorrect as it describes the process of immunization itself, not passive immunization.
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.
A client with AIDS is terminally ill and wants to name a person as a beneficiary to his life insurance in exchange for immediate cash. What is the term that best describes this arrangement?
- A. Power of attorney
- B. Beneficiary settlement
- C. Viatical settlement
- D. Life insurance guardianship
Correct Answer: C
Rationale: A viatical settlement allows a terminally ill client to sell their life insurance policy for immediate cash naming a beneficiary.
The nurse is caring for a patient who just returned from surgical decompression of the carpal tunnel. Which finding requires the nurse's immediate action?
- A. The patient's fingers swollen and warm.
- B. The patient complains of generalized pain 5/10.
- C. The capillary refill time is 8 seconds.
- D. The patient's fingers are pink and cool bilaterally.
Correct Answer: C
Rationale: The correct answer is C because a capillary refill time of 8 seconds indicates poor perfusion, which could be a sign of compromised blood flow to the fingers post-surgical decompression. This finding requires immediate action to prevent complications such as ischemia or impaired wound healing.
A: Swollen and warm fingers are expected after surgery due to inflammation.
B: Generalized pain can be managed with appropriate pain relief measures and is not an immediate concern post-surgery.
D: Pink and cool fingers indicate adequate perfusion and are normal findings post-surgery.
A patient who has received a kidney transplant has been admitted to the medical unit with acute rejection and is receiving IV cyclosporine (Sandimmune) and methylprednisolone (Solu-Medrol). Which staff member is best to assign to care for this patient?
- A. An RN who floated to the medical unit from the coronary care unit for the day.
- B. An RN with 3 years of experience in the operating room who is orienting to the medical unit.
- C. An RN who has worked on the medical unit for 5 years and is working a double shift today.
- D. A new graduate RN who needs experience with IV medication administration.
Correct Answer: C
Rationale: An experienced RN who is familiar with the medical unit and its protocols is the best choice for caring for a patient with acute rejection. This patient requires close monitoring and skilled care which an experienced RN can provide. The other options involve RNs who may not be as familiar with the unit or are less experienced.