NEWEST UPDATE STUDY QUESTIONS WITH CORRECT
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The nurse knows that the response of natural immunity is enhanced by processes that are
inherent in the physical and chemical barriers of the body. What is a chemical barrier that
enhances the response of natural immunity?
A) Cell cytoplasm
B) Interstitial fluid
C) Gastric secretions
D) Cerebrospinal fluid - Answer>>> C) Gastric secretions
Chemical barriers, such as mucus, acidic gastric secretions, enzymes in tears and saliva, and
substances in sebaceous and sweat secretions, act in a nonspecific way to destroy invading
bacteria and fungi. Not all body fluids are chemical barriers, however. Cell cytoplasm, interstitial
fluid, and CSF are not normally categorized as chemical barriers to infection.
A patient is admitted with cellulitis and experiences a consequent increase in white blood cell
count. The nurse is aware that during the immune response, pathogens are engulfed by white
blood cells that ingest foreign particles. What is this process known as?
A) Apoptosis
B) Phagocytosis
C) Antibody response
D) Cellular immune response - Answer>>> B) Phagocytosis
,During the first mechanism of defense, white blood cells, which have the ability to ingest foreign
particles, move to the point of attack, where they engulf and destroy the invading agents. This is
known as phagocytosis.
A patient with a recent diagnosis of HIV infection expresses an interest in exploring alternative
and complementary therapies. How should the nurse best respond?
A) Complementary therapies generally have not been approved, so patients are usually
discouraged from using them.
B) Researchers have not looked at the benefits of alternative therapy for patients with HIV, so
we suggest that you stay away from these therapies until there is solid research data available.
C) Many patients with HIV use some type of alternative therapy and, as with most health
treatments, there are benefits and risks.
D) You'll need to meet with your doctor to choose between an alternative approach to treatment
and a medical approach. - Answer>>> C) Many patients with HIV use some type of alternative
therapy and, as with most health treatments, there are benefits and risks.
The nurse should approach the topic of alternative or complementary therapies from an open-
ended, supportive approach, emphasizing the need to communicate with care providers.
You are the nurse planning to teach tracheostomy care to a patient who will be discharged home
following a spinal cord injury. When preparing your teaching, which of the following is the most
important component of your teaching plan?
,A) Citing the evidence that underlies each of your teaching points
B) Alleviating the patients guilt associated with not knowing appropriate self-care
C) Determining the patients readiness to learn new information
D) Including your nursing colleagues in the planning process - Answer>>> C) Determining the
patients readiness to learn new information
Assessment in the teachinglearning process is directed toward the systematic collection of data
about the person and familys learning needs and readiness to learn. Patient readiness is critical to
accepting and integrating new information. Unless the patient is ready to accept new
information, patient teaching will be ineffective.
A nurse is working with a patient with rheumatic disease who is being treated with salicylate
therapy. What statement would indicate that the patient is experiencing adverse effects of this
drug?
A) I have this ringing in my ears that just wont go away.
B) I feel so foggy in the mornings and it takes me so long to wake up.
C) When I eat a meal thats high in fat, I get really nauseous.
D) I seem to have lost my appetite, which is unusual for me. - Answer>>> A) I have this ringing
in my ears that just wont go away.
, Tinnitus is associated with salicylate therapy. Salicylates do not normally cause drowsiness,
intolerance of high-fat meals, or anorexia.
The nurse has taken shift report on her patients and has been told that one patient has an ocular
condition that has primarily affected the rods in his eyes. Considering this information, what
should the nurse do while caring for the patient?
A) Ensure adequate lighting in the patients room.
B) Provide a dimly lit room to aid vision by limiting contrast.
C) Carefully point out color differences for the patient.
D) Carefully point out fine details for the patient. - Answer>>> A) Ensure adequate lighting in
the patients room.
The nurse should provide adequate lighting in the patients room, as the rods are mainly
responsible for night vision or vision in low light.
A patient who presents for an eye examination is diagnosed as having a visual acuity of 20/40.
The patient asks the nurse what these numbers specifically mean. What is a correct response by
the nurse?
A) A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20
vision can see from 20 feet away.