NUR 631 FINAL NEWEST 2026/2027 TEST BANK| COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+| NUR 631 FINAL EXAM PREP (BRAND NEW!!)

NUR 631 FINAL NEWEST 2026/2027
TEST BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|
NUR 631 FINAL EXAM PREP (BRAND
NEW!!)
Somemoldermadultsmhavemimpairedminflammationmandmwoundmhealingmbecausemofmwhichmproble
m?

Circulatorymsystemmcannotmadequatelymperfusemtissues.m

Complementmandmchemotaxismaremdeficient.m

Underlyingmchronicmillness(es)mexists.m

Numbermofmmastmcellsmisminsufficient.m-mCORRECTmANSWERmANS:mCm

Inmsomemcases,mimpairedmhealingmismnotmdirectlymassociatedmwithmaging,minmgeneral,mbutmcanminst
eadmbemlinkedmtomamchronicmillnessmsuchmasmcardiovascularmdiseasemormdiabetesmmellitus.mOlderma
dultsmmaymhavemcirculatorymproblems,mbutmthatmwouldmnotmleadmdirectlymtomimpairedminflammati
onmandmwoundmhealing.mOldermpeoplemdomnotmhavemdeficientmcomplementmandmchemotaxis,mnor
mdomtheymhaveminsufficientmmastmcellmnumbers.




InmwhichmstructuremdoesmBmlymphocytesmmaturemandmundergomchangesmthatmcommitmthemmtomb
ecomingmBmcells?m

Thymusmglandm

Regionalmlymphmnodesm

Bonemmarrowm

Spleenm-mCORRECTmANSWERmANS:mCm

,mBmlymphocytesmmaturemandmbecomemBmcellsminmspecializedm(primary)mlymphoidmorgans—
themthymusmglandmformTmcellsmandmthembonemmarrowmformBmcells.mNeithermregionalmlymphmnodesm
normthemspleenmareminvolvedminmchangingmBmlymphocytesmintomBmcells.



Anmindividual'smacquiredmimmunitymismdependentmonmthemfunctionmofmwhichmcells?m(Selectmallmth
atmapply.)m

Tmlymphocytesm

Bmlymphocytesm

Macrophagesm

Opsoninsm

Neutrophilsm-mCORRECTmANSWERmANS:mA,mB,mCm

Tmlymphocytes,mBmlymphocytes,mmacrophages,mandmdendriticmcellsmareminvolvedminmacquiredmim
munity.mOpsoninsmaremmoleculesmthatmtagmmicroorganismsmformdestructionmbymcellsmofmtheminfla
mmatorymsystem;mthesemcellsmaremprimarilymneutrophils.mNeutrophilsmaremwhitembloodmcells.



Themcommonmhaymfevermallergymismexpressedmthroughmamreactionmthatmismmediatedmbymwhichmcla
ssmofmimmunoglobulins?m

IgEm

IgGm

IgMm

Tmcellsm-mCORRECTmANSWERmANS:mAm

TypemImreactionsmaremmediatedmbymantigen-
specificmIgEmandmthemproductsmofmtissuemmastmcells.mThemmostmcommonmallergiesm(e.g.,mpollenmall
ergies)maremtypemImreactions.mInmaddition,mmostmtypemImreactionsmoccurmagainstmenvironmentalma
ntigensmandmaremthereforemallergic.mHaymfevermallergymismnotmmediatedmbymIgG,mIgM,mormTmcells.



DuringmanmIgE-mediatedmhypersensitivitymreaction,mwhichmleukocytemismactivated?

a.mNeutrophils

b.mMonocytes

,c.mEosinophils

d.mTmlymphocytesm-mCORRECTmANSWERmANS:mC

Ofmthemoptionsmprovided,monlymeosinophilsmaremactivatedmduringmIgE-
mediatedmhypersensitivitymreactions.



DuringmanmIgE-mediatedmhypersensitivitymreaction,mwhatmcausesmbronchospasm?

a.mBronchialmedemamcausedmbymthemchemotacticmfactormofmanaphylaxis

b.mBronchialmedemamcausedmbymbindingmofmthemcytotropicmantibody

c.mSmoothmmusclemcontractionmcausedmbymhistaminemboundmtomH1mreceptors

d.mSmoothmmusclemcontractionmcausedmbymhistaminemboundmtomH2mreceptorsm-
mCORRECTmANSWERmANS:mC



DuringmanmIgE-
mediatedmhypersensitivitymreaction,msmoothmmusclemcontractionmcausedmbymhistaminemboundmt
omH1mreceptorsmresultsminmbronchospasms.mThembronchospasmmismnotmcausedmbymedemamormbym
histaminembindingmtomH2mreceptors.



AmpatientmismhavingmanmIgE-
mediatedmhypersensitivitymreaction.mWhatmactionmbymthemhealthcaremprofessionalmismbest?

a.mGivemthempatientmanmantihistamine.

b.mPreparemtomgivemthempatientmambloodmtransfusion.

c.mAskmthempatientmismhe/shemismhavingmpainmatmthemsite.

d.mApplymwarm,mmoistmheatmtomthemaffectedmarea.m-mCORRECTmANSWERmANS:mA

HistaminemismthemmostmpotentmmediatorminmanmIgE-
mediatedmhypersensitivitymreactionm(Typem1).mHistaminemboundmtomH2mresultsminmthemdegranulati
onmofmmastmcellsmwithmthemreleasemofmhistamine.mBlockingmhistaminemreceptorsmwithmantihistami
nesmcanmcontrolmsomemtypemImresponses.mThemhealthcaremprofessionalmwouldmnotmneedmtomgivemt
hempatientmblood;mwarm;mmoistmheat;mormaskmaboutmpain.

, AmstudentmasksmaboutmthemmechanismmthatmresultsminmtypemIImhypersensitivitymreactions.mWhatm
descriptionmbymthemprofessormismbest?

a.mAntibodiesmcoatmmastmcellsmbymbindingmtomreceptorsmthatmsignalmitsmdegranulation,

followedmbymamdischargemofmpreformedmmediators.

b.mAntibodiesmbindmtomsolublemantigensmthatmweremreleasedmintombodymfluids,mandmthe

immunemcomplexesmaremthenmdepositedminmthemtissues.

c.mCytotoxicmTmlymphocytesmormlymphokine-producingmhelpermTm1mcellsmdirectlymattack

andmdestroymcellularmtargets.

d.mAntibodiesmbindmtomthemantigensmonmthemcellmsurface.m-mCORRECTmANSWERmANS:mD

ThemmechanismmthatmresultsminmamtypemIImhypersensitivitymreactionmbeginsmwithmantibodymbindin
gmtomtissue-
specificmantigensmormantigensmthatmhavemattachedmtomparticularmtissues.mThemcellmcanmbemdestroy
edmbymantibodymIgGmormIgMmandmactivationmofmthemcomplementmcascademthroughmthemclassicalmp
athway.



HowmaremtargetmcellsmdestroyedminmamtypemIImhypersensitivitymreaction?

a.mTissuemdamagemfrommmastmcellmdegranulation

b.mAntigen-antibodymcomplexesmdepositedminmvesselmwalls

c.mCytotoxicmTmlymphocytesmattackmthemcellmdirectly.

d.mNaturalmkillermcellsm-mCORRECTmANSWERmANS:mD

ThemmechanismmthatmresultsminmamtypemIImhypersensitivitymreactionminvolvesmamsubpopulationmofm
cytotoxicmcellsmthatmaremnotmantigenmspecificm(naturalmkillerm[NK]mcells).mAntibodymonmthemtargetm
cellmismrecognizedmbymFcmreceptorsmonmthemNKmcells,mwhichmreleasesmtoxicmsubstancesmthatmdestr
oymthemtargetmcell.mTissuemdamagemfrommmastmcellmdegranulationmoccursminmtypemImhypersensitivi
tymreactions.mAntigen-
antibodymcomplexesmaremactiveminmtypemIIImhypersensitivitymresponses.mCytotoxicmlymphocytesma
reminvolvedminmtypemIVmhypersensitivitymresponses.



Gravesmdiseasem(hyperthyroidism)mismanmexamplemofmwhichmtypemIImhypersensitivitymreaction?