Nokea
What is the primary function of white blood cells?
- A. Clotting and sealing damaged blood vessels
- B. Transporting oxygen and carbon dioxide
- C. Protecting the body from foreign substances
- D. Producing hormones
Correct Answer: C
Rationale: The primary function of white blood cells is to protect the body from foreign substances such as bacteria, viruses, and other pathogens. They do this by identifying and attacking these invaders to prevent infections and maintain overall health. White blood cells are a crucial part of the immune system and play a key role in defending the body against diseases. Clotting and sealing damaged blood vessels (choice A) is primarily done by platelets, not white blood cells. Transporting oxygen and carbon dioxide (choice B) is the function of red blood cells, not white blood cells. Producing hormones (choice D) is mainly performed by endocrine glands, not white blood cells.
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When the patient asks about the late effects of chemotherapy and high-dose radiation, what areas of teaching should the nurse plan to include when describing these effects?
- A. Third space syndrome
- B. Secondary malignancies
- C. Chronic nausea and vomiting
- D. Persistent myelosuppression
Correct Answer: B
Rationale: Late effects of chemotherapy and radiation include secondary malignancies due to long-term cellular damage.
What is an example of an IV solution that would be appropriate to treat an extracellular fluid volume deficit?
- A. D5W
- B. 3% saline
- C. Lactated Ringer’s solution
- D. D5W in ½ normal saline (0.45%)
Correct Answer: C
Rationale: Lactated Ringer’s solution replenishes extracellular fluids and electrolytes effectively.
Which of the following statements is NOT true?
- A. Plague or Black Death is the disease that devastated Europe in Medieval times (1350-1400) with about 50% of the European population having been wiped out.
- B. There are reports of Black Death dating as early as 1000 B.C. making plague probably the most ancient disease and the first recorded
- C. Plague is still endemic in some countries
- D. Plague can be cured with antibiotics
Correct Answer: B
Rationale: The correct answer is B because there are no reports of the Black Death dating back to 1000 B.C. The Black Death specifically refers to the pandemic outbreak of the bubonic plague in the 14th century. The first recorded pandemic of the Black Death occurred in the 14th century, not in 1000 B.C. The other choices are incorrect because A is true as the Black Death did devastate Europe in the 14th century, C is true as plague is still present in some countries, and D is true as plague can be treated with antibiotics if caught early.
Which of the following is not considered a virulence factor?
- A. Flagella
- B. Effector proteins manipulating host actin cytoskeleton
- C. Toxins
- D. Peptidoglycan
Correct Answer: D
Rationale: The correct answer is D: Peptidoglycan. Peptidoglycan is a structural component of bacterial cell walls and does not directly contribute to the pathogenicity or virulence of the bacterium. Flagella aid in motility and colonization, effector proteins manipulate host cells, and toxins damage host tissues, all of which are virulence factors. Peptidoglycan is essential for maintaining cell shape and integrity but does not directly enhance the ability of the bacteria to cause disease.
T regulatory cells are NOT
- A. Generated in the thymus upon expression of Foxp3
- B. Generated in the periphery in response to cytokines
- C. Able to inhibit effector T cells
- D. Able to cause immunity
Correct Answer: D
Rationale: The correct answer is D because T regulatory cells are known to suppress immune responses and promote immune tolerance, which is opposite to causing immunity. Choice A is incorrect because T regulatory cells are indeed generated in the thymus upon expression of Foxp3. Choice B is incorrect as T regulatory cells can also be generated in the periphery in response to cytokines. Choice C is incorrect as T regulatory cells are known to inhibit effector T cells to regulate immune responses.