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NURS 5315/ NURS5315 Exam 2 – Advanced Pathophysiology Review| UTA (Latest 2026 Update) 100% Verified Questions & Answers | Grade A

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NURS 5315/ NURS5315 Exam 2 – Advanced Pathophysiology Review| UTA (Latest 2026 Update) 100% Verified Questions & Answers | Grade A QUESTION Which statement is true regarding atopic individuals? a. If one parent has allergies, then a 4% chance exists that the offspring will have similar allergies. b. If two parents have allergies, then a 50% chance exists that their offspring will have similar allergies. c. Atopic individuals tend to produce higher quantities of IgE. d. No genes are associated with an atopic state. Answer: c. Atopic individuals tend to produce higher quantities of IgE. Higher quantities of IgE are present in atopic individuals. If one parent has an allergy, then the individual has a 40% of having allergies; with two parents, the individual has an 80% of having allergies. Multiple genes have been associated with the atopic state. QUESTION Which term describes an agent's ability to produce disease? a. Virulence b. Pathogenicity c. Infectivity d. Immunogenicity Answer: b. Pathogenicity Pathogenicity is the ability of an agent to produce disease and depends on the speed of reproduction, the extent of tissue damage, and the production of toxins. Virulence is the capacity of a pathogen to cause severe disease. Infectivity is the ability of the pathogen to invade and multiply in the host. Immunogenicity is the ability of pathogens to induce an immune response. QUESTION Which statement is true regarding bacteremia? a. It occurs with a normal defense system of the body. b. Gram-positive organisms typically cause bacteremia. c. Endotoxins often cause symptoms such as vasodilation. d. Symptoms include increased blood pressure. Answer: c. Endotoxins often cause symptoms such as vasodilation. Endotoxins are often produced by bacteria that grow in the blood. Common symptoms include vasodilation, hypotension (reduced blood pressure), and decreased oxygen delivery and can produce cardiovascular shock. Bacteremia is often caused by gram-negative bacteria and usually occurs with a failure of the body's defense mechanisms. QUESTION Which statement regarding viruses is true? a. Viruses are less common than bacterial infections. b. Viruses actively produce exotoxins. c. Viruses bypass many defense mechanisms by developing intracellularly. d. Viruses contain all their genetic information in ribonucleic acid (RNA). Answer: c. Viruses bypass many defense mechanisms by developing intracellularly. Viruses enter the cell and may bypass many defense mechanisms. Viruses are the most common form of infection. They contain deoxyribonucleic acid (DNA) and RNA for their genetic information. They do not produce exotoxins or endotoxins. QUESTION Which statement regarding fever is true? a. Fever is a failure of the body to regulate temperature. b. An endogenous pyrogen may produce fever. c. The body's central thermostat is the pituitary gland. d. Fever is a failure of the body's defense system. Answer: b. An endogenous pyrogen may produce fever. A pyrogen is a substance that causes fever. Exogenous and endogenous pyrogens exist and affect the regulatory set point in the hypothalamus, which is the body's thermostat. Fever is not a failure of the body's defense system but may actually be beneficial. The body does not fail to regulate temperature; rather, the temperature is regulated at a higher level than normal with a fever. QUESTION What contributes to antibiotic-resistant pathogens? a. Inadequate sanitation b. Genetic mutation c. Loss of multidrug transporters d. Limited use of antibiotics Answer: b. Genetic mutation Antibiotic resistance usually results from genetic mutations in the microorganism that can be directly transmitted to neighboring microorganisms. Sanitation and clean drinking water can help control infection. Multidrug transporters on the microorganism's membrane affect the rate of intracellular accumulation of antibiotics by preventing entrance or increasing the efflux of the antibiotic into the cell. Overuse of antibiotics can lead to the destruction of the normal flora and selective overgrowth of antibiotic-resistant strains. QUESTION When does secondary vaccine failure occur? a. When toxoids are not administered

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NURSl 5315/l NURS5315l Examl 2l –l
Advancedl Pathophysiologyl Review|l UTAl
(Latestl 2026l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A

Q:l Whichl statementl isl truel regardingl atopicl individuals?
a.l l Ifl onel parentl hasl allergies,l thenl al 4%l chancel existsl thatl thel offspringl willl havel
similarl allergies.l
b.l l Ifl twol parentsl havel allergies,l thenl al 50%l chancel existsl thatl theirl offspringl willl
havel similarl allergies.l
c.l l Atopicl individualsl tendl tol producel higherl quantitiesl ofl IgE.l
d.l l Nol genesl arel associatedl withl anl atopicl state.l

Answer:
c.l l Atopicl individualsl tendl tol producel higherl quantitiesl ofl IgE.l

Higherl quantitiesl ofl IgEl arel presentl inl atopicl individuals.l Ifl onel parentl hasl anl allergy,l
thenl thel individuall hasl al 40%l ofl havingl allergies;l withl twol parents,l thel individuall hasl
anl 80%l ofl havingl allergies.l Multiplel genesl havel beenl associatedl withl thel atopicl state.l



Q:l Whichl terml describesl anl agent'sl abilityl tol producel disease?
a.l l Virulence
b.l l Pathogenicity
c.l l Infectivity
d.l l Immunogenicity

Answer:
b.l l Pathogenicity


Pathogenicityl isl thel abilityl ofl anl agentl tol producel diseasel andl dependsl onl thel speedl
ofl reproduction,l thel extentl ofl tissuel damage,l andl thel productionl ofl toxins.l Virulencel isl
thel capacityl ofl al pathogenl tol causel severel disease.l Infectivityl isl thel abilityl ofl thel

,pathogenl tol invadel andl multiplyl inl thel host.l Immunogenicityl isl thel abilityl ofl pathogensl
tol inducel anl immunel response.l



Q:l Whichl statementl isl truel regardingl bacteremia?
a.l l Itl occursl withl al normall defensel systeml ofl thel body.l
b.l l Gram-positivel organismsl typicallyl causel bacteremia.l
c.l l Endotoxinsl oftenl causel symptomsl suchl asl vasodilation.l
d.l l Symptomsl includel increasedl bloodl pressure.l

Answer:
c.l l Endotoxinsl oftenl causel symptomsl suchl asl vasodilation.l

Endotoxinsl arel oftenl producedl byl bacterial thatl growl inl thel blood.l Commonl symptomsl
includel vasodilation,l hypotensionl (reducedl bloodl pressure),l andl decreasedl oxygenl
deliveryl andl canl producel cardiovascularl shock.l Bacteremial isl oftenl causedl byl gram-
negativel bacterial andl usuallyl occursl withl al failurel ofl thel body'sl defensel mechanisms.l



Q:l Whichl statementl regardingl virusesl isl true?
a.l l Virusesl arel lessl commonl thanl bacteriall infections.l
b.l l Virusesl activelyl producel exotoxins.l
c.l l Virusesl bypassl manyl defensel mechanismsl byl developingl intracellularly.l
d.l Virusesl containl alll theirl geneticl informationl inl ribonucleicl acidl (RNA).l

Answer:
c.l l Virusesl bypassl manyl defensel mechanismsl byl developingl intracellularly.l



Virusesl enterl thel celll andl mayl bypassl manyl defensel mechanisms.l Virusesl arel thel mostl
commonl forml ofl infection.l Theyl containl deoxyribonucleicl acidl (DNA)l andl RNAl forl
theirl geneticl information.l Theyl dol notl producel exotoxinsl orl endotoxins.l



Q:l Whichl statementl regardingl feverl isl true?
a.l l Feverl isl al failurel ofl thel bodyl tol regulatel temperature.l
b.l l Anl endogenousl pyrogenl mayl producel fever.l
c.l l Thel body'sl centrall thermostatl isl thel pituitaryl gland.l
d.l l Feverl isl al failurel ofl thel body'sl defensel system.l

,Answer:
b.l l Anl endogenousl pyrogenl mayl producel fever.l

Al pyrogenl isl al substancel thatl causesl fever.l Exogenousl andl endogenousl pyrogensl existl
andl affectl thel regulatoryl setl pointl inl thel hypothalamus,l whichl isl thel body'sl thermostat.l
Feverl isl notl al failurel ofl thel body'sl defensel systeml butl mayl actuallyl bel beneficial.l Thel
bodyl doesl notl faill tol regulatel temperature;l rather,l thel temperaturel isl regulatedl atl al
higherl levell thanl normall withl al fever.l



Q:l Whatl contributesl tol antibiotic-resistantl pathogens?
a.l l Inadequatel sanitation
b.l l Geneticl mutation
c.l l Lossl ofl multidrugl transporters
d.l l Limitedl usel ofl antibiotics

Answer:
b.l l Geneticl mutation

Antibioticl resistancel usuallyl resultsl froml geneticl mutationsl inl thel microorganisml thatl
canl bel directlyl transmittedl tol neighboringl microorganisms.l Sanitationl andl cleanl drinkingl
waterl canl helpl controll infection.l Multidrugl transportersl onl thel microorganism'sl
membranel affectl thel ratel ofl intracellularl accumulationl ofl antibioticsl byl preventingl
entrancel orl increasingl thel effluxl ofl thel antibioticl intol thel cell.l Overusel ofl antibioticsl
canl leadl tol thel destructionl ofl thel normall floral andl selectivel overgrowthl ofl antibiotic-
resistantl strains.l



Q:l Whenl doesl secondaryl vaccinel failurel occur?
a.l l Whenl toxoidsl arel notl administered
b.l l Whenl bacteriophagesl arel administered
c.l l Whenl routinel vaccinationsl arel notl administered
d.l Whenl boosterl immunizationsl arel notl administered

Answer:
d.l Whenl boosterl immunizationsl arel notl administered

, Secondaryl vaccinel failurel resultsl ifl appropriatel boosterl immunizationsl arel notl
administered.l Manyl adultsl vaccinatedl againstl diseasesl thatl arel morel severel inl childhoodl
willl notl getl routinel boosters.l Althoughl notl developingl debilitatingl illness,l theyl mayl
becomel asymptomaticl carriersl andl infectl unvaccinatedl children.l Toxoidsl arel purifiedl
toxinsl thatl havel beenl chemicallyl detoxifiedl withoutl lossl ofl immunogenicity.l
Bacteriophagesl arel virusesl thatl specificallyl infectl bacteria;l thesel arel usedl tol treatl
antibioticl resistance.l



Q:l Whichl arel thel stagesl ofl pathologicl infection?l (Selectl alll thatl apply.l )
a.l l Invasion
b.l l Death
c.l l Colonization
d.l l Metastasis
e.l l Multiplication

Answer:
a.l l Invasionl
c.l l Colonizationl
e.l l Multiplicationl

Thel stagesl ofl pathologicl infectionl includel colonization,l invasion,l spread,l andl
multiplication.l Deathl andl metastasisl arel notl stagesl ofl pathologicl infection.l Awardedl 1.l 0l
pointsl outl ofl 1.l 0l possiblel points.l



Q:l Whichl arel mechanismsl ofl antigenicl variation?l (Selectl alll thatl apply.l )
a.l l Siderophoricl switching
b.l l Mutation
c.l l Recombination
d.l l Genel switching

Answer:
b.l l Mutationl
c.l l Recombinationl
d.l l Genel switchingl

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