NSG 530 Exam 2 Advanced Pathophysiology-Wilkes
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A patient was diagnosed as HIV positive several years
ago. Which of the following blood tests is most clinically
useful for determining the stage and severity of her
disease? - Answer-CD4+ cell counts
When the maternal immune system becomes sensitized
against antigens expressed by the fetus, what type of
immune reaction occurs? (transfusions, transplant tissues,
pregnancy) - Answer-Alloimmune
A 10-year-old male is stung by a bee while playing in the
yard. He begins itching and develops pains, swelling,
redness and respiratory difficulties. He is suffering from: -
Answer-anaphylaxis
When a patient presents at the ED for an allergic reaction,
the nurse recognized the most severe consequences of a
type I hypersensitivity reaction is: - Answer-anaphylaxis
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A nurse recalls that an example of an immune-complex-
mediated disease is: - Answer-serum sickness
When a nurse cares for a patient with systemic lupus
erythematosus (SLE), the nurse remembers this disease
is an example of: - Answer-autoimmunity (disturbance in
immunologic tolerance of self-antigens)
A 30-year-old female c/o fatigue, arthritis, rash and
changes in urine color. Laboratory testing reveals anemia,
lymphopenia and kidney inflammation. Assuming a
diagnosis of SLE, which of the following is also likely to be
present? - Answer-Autoantibodies
A 40-year-old is diagnosed with SLE. Which of the
following findings would be considered a symptom of this
disease? - Answer-Photosensitivity + facial rash confined
to cheeks (malar rash)
A person is given an attenuated antigen as a vaccine.
When the person asks what was given in the vaccine, how
should the nurse respond? The antigen is: - Answer-alive,
but less infectious.
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An immunologist is discussing endotoxin production.
Which information should the immunologist include?
Endotoxins are produced by: - Answer-gram-negative
bacteria.
A 50-year-old female experiences decreased blood
pressure, decreased oxygen delivery, cardiovascular
shock and subsequent death. A complication of endotoxic
shock is suspected. Which of the following is the most
likely cause? - Answer-Gram-negative bacteria
Which information indicates a correct understanding of
viral vaccines? Most viral vaccines contain: - Answer-
attenuated viruses.
A 22-year-old was recently diagnosed with acquired
immunodeficiency syndrome (AIDS). Which decreased lab
finding would be expect to accompany this virus? -
Answer-CD4+ T-helper
A 30-year-old male was diagnosed with HIV. Which of the
following treatments would be most effective? - Answer-
Antiretroviral therapy (ART)