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NUR 121 Exam 1 Questions with Correct Answers| Latest Update 2026

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NUR 121 Exam 1 Questions with Correct Answers| Latest Update 2026 NUR 121 Exam 1 Questions with Correct Answers| Latest Update 2026

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NUR 121 Exam 1 Questions with Correct
Answers | Latest Update 2026
*Neurovascular Assessment* - CORRECT ANSWER -*6 p's (pain, pallor, paresthesia,
pulselessness, pressure, paralysis)

Peripheral vascular:

-Color/temperature -Pulses

-Capillary refill -Edema
Peripheral neurologic:

-Sensation and motor function -Pain



Immunity - CORRECT ANSWER -protection from disease or illness maintained by the
physiological defense mechanisms

Ex: skin, WBC, mucus membranes



Inflammation - CORRECT ANSWER -a localized response to an injury, allergy, or pathogen;
first line of protection, providing immediate protection; causes visible symptoms and tissue
damage if excessive; *does not always mean infection is present



What two components are critical in maintaining health and preventing disease? - CORRECT
ANSWER -immunity and inflammation



Human Leukocyte Antigens (HLA) - CORRECT ANSWER -on the surface of most somatic
cells; determines the tissue type of a person; "lock and key" recognition and self-tolerance



Parts of the Immune System - CORRECT ANSWER -WBCs, Stem cells, other body systems
(nervous/endocrine/GI)

,Factors that Effect Immunity in Older Adults - CORRECT ANSWER -Nutrition, Meds, pre-
existing conditions

*immunity is ↓



Infection - CORRECT ANSWER -response to tissue injury; usually triggers inflammation but
not all the time



Neutrophils - CORRECT ANSWER -bacteria fighters; phagocytosis


Macrophages - CORRECT ANSWER -phagocytosis; stimulate long lasting immunity



Basophils - CORRECT ANSWER -act of blood vessels; excrete heparin/histamine/serotonin



Eosinophils - CORRECT ANSWER -fight against parasites



5 Steps of Inflammation - CORRECT ANSWER -1. Warmth
2. Redness

3. Swelling

4. Pain

5. ↓ func.


Stages of Inflammation - CORRECT ANSWER -1. Vascular (constriction then
hyperemia/edema)

2. Cellular Exudate from neutrophils

3. Tissue Repair from WBCS thru angiogenesis


Acquire Immunity - CORRECT ANSWER -second line of immunity; specific and long-term
resistance to microorganisms

,Agglutination - CORRECT ANSWER -↑ action of macrophages and neutrophils



Active Immunity - CORRECT ANSWER -when antigen enters body and makes specific
antibodies against the antigen



Natural Active Immunity - CORRECT ANSWER -*most effective and long lasting


Artificial Active Immunity - CORRECT ANSWER -vaccines/immunizations to prevent fatal
illnesses



Passive Immunity - CORRECT ANSWER -short-term; antibodies transferred from another
human/animal after its made in their body



Natural Passive Immunity - CORRECT ANSWER -mom to baby; acquired through
placenta/breastfeeding



Artificial Passive Immunity - CORRECT ANSWER -given to prevent rabies/tetanus/COVID



Cell-Mediated Immunity (CMI) - CORRECT ANSWER -involves WBCs; watches to attack any
foreign cells; able to differentiate self v. nonself; prevents development of cancer after exposure
to carcinogens; total immunocompetence-CMI must function optimally



Hyperacute Transplant Rejection - CORRECT ANSWER -immediate; widespread phagocytosis
and lost of clotting; need to remove it and use a different transplant



Acute Transplant Rejection - CORRECT ANSWER -weeks-months; (ex: back pain from kidney
transplant);

CI: chronic inflammatory diseases/unable to follow med regimen

, Antirejection Medications - CORRECT ANSWER -Maintenance therapy: Prednisone,
cyclosporine, azathioprine --> immunosuppressants

Rescue therapy: (acute) monoclonal/polyclonal antibodies



Chronic Transplant Rejection - CORRECT ANSWER -chronic inflammation and scarring of
transplant with some function



Transplant Rejection Teaching - CORRECT ANSWER -↑ risk for infection/cancer development
w/ immunosuppressants longterm



General Autoimmunity - CORRECT ANSWER -antibodies/lymphocytes turn on itself and
attacks own healthy cells; disorders are common, chronic, progressive, self-perpetuating



Systemic Lupus Erythematosus (SLE) - CORRECT ANSWER -chronic autoimmune
inflammatory disorder; tissue integrity lost --> organ failure --> death; spontaneous
exacerbations; caused by strong genetic connection, triggers
(infection/injury/meds/hormones/env exposures); women>men, blacks>whites



SLE Assessment - CORRECT ANSWER -Hx, "butterfly" rash (red facial rash), photosensitivity,
chronic lesions on mucous membranes, nonerosive arthritis (joint swelling chronically),
psychosocial- fear/anxiety/coping mechanisms

*fever=exacerbation



SLE Diagnostics - CORRECT ANSWER -Labs: ESR (erythrocyte sedimentation rate)/Serum
complement C3/C4 assessing inflammation, ANAs/antibodies (rule out SLE), blood/urine tests
(for any renal involvement)



SLE Interventions - CORRECT ANSWER -Topical cortisone (↓ inflammation),
hydroxychloroquine (effective/affordable; ↓ UV light absorption --> ↓ risk of skin lesions),
NSAIDS/acetaminophen, chronic steroids, immunosuppressants, Belimumab (1st drug) --> No
vaccines 30 days prior to Tx

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