NURS 316 Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
The nurse can anticipate which of the following B, C
interventions to be prescribed for a client with AIDS
who is experiencing involuntary weight loss of more
than 10% of baseline body weight and frequent diarrhea
daily? Select all that apply.
a) Benadryl, an antihistamine
b) order for megestrol acetate
c) enteral or parental nutrition
d) prenatal vitamins
e) calcium carbonate for mineral replacement
Which of the following is an example of how B
international travel has contributed to increased
prevalence and incidence of nonindigenous diseases?
a) an airline pilot getting ill after eating pork in a
restaurant in Hong Kong
b) outbreak of hemolytic-uremic syndrome related to
contaminated salad being shipped to various regions
c) Increase in the number of reported Lyme disease
cases related to hot summer with local large deer
population
d) Hepatitis A outbreak when a restaurant worker forgot
to wash the hands after using the rest room
,While working in the newborn nursery, a nurse is A
assessing a new admission. The nurse notes the infant
has an increased distance between his eyes, a very
small jaw, and a split uvula. Thinking this infant might
have DiGeorge syndrome, the nurse should be
assessing this infant for which of the following
electrolyte imbalances?
a) Tetany due to hypocalcemia
b) Frequent ventricular beats on ECG due to
hyperkalemia
c) Loss of consciousness due to hyponatremia
d) Decreased reflexes due to hypermagnesemia
While explaining evasive factors by microbes to evade C
various components of the host's immune system, the
instructor uses which of the following examples?
a) Neonates and children possess protective anti-
capsular antibodies.
b) S. aureus ability to immobilize IgA
c) H. Pylori being able to survive in an acidic
environment
d) Fungal pathogens avoid phagocytosis by excreting
protease.
A 9-month-old infant has been diagnosed with botulism A
after he was fed honey. The child's mother was
prompted to seek care because of this child's sudden
onset of neuromuscular deficits, which were later
attributed to the release of substances by Clostridium
botulinum. Which virulence factor contributed to this
child's illness?
a) exotoxins
b) adhesion factors
c) endotoxins
d) evasive factors
A 70-year-old female client has had her mobility and B
independence significantly reduced by rheumatoid
arthritis. Which of the following processes likely
contributed to the development of her health
problem?
a) delayed-type hypersensitivity (DTH) reaction
b) failure to normal self-tolerance
c) deletion of autoreactive B cells
d) proliferative of cytotoxic T cells
A client has been diagnosed with Coxiella burnetii C
infection. She asked the health care provider how she
could have gotten this disease. The health care
provider's best response is:
a) "probably while walking outside without your shoes
on"
b) "while swimming in an unsanitary pond"
c) "drinking contaminated milk"
d) " eating undercooked fish"
, While discussing the effector function of activated A, D, E
members of the complement system, the faculty
member will include which of the following concepts?
Select all that apply.
a) opsonization
b) mobilization of immunoglobulins
c) phagocytosis
d) chemotaxis
e) pathogen lysis
Which most accurately describes the characteristics of A
saprophytes? They:
a) derive energy from decaying organic matter
b) are capable of spore production
c) have RNA or DNA, but never both
d) are beneficial components of human microflora
The entrance of a microbe into an individual's vascular C
space has initiated opsonization. How will the health
care provider explain this process critical in stopping
the infiltration of the microbe through opsonization?
Opsonization:
a) releases proteins that stimulate cell production by
the bone marrow
b) stimulates B cells by helper T cells
c) coats a microbe to active phagocytosis recognition
d) involved lysis of intracellular microbes by cytotoxic T
cells
The nursing instructor teaches the students about A
selective toxicity when one of the students asks, "What
happens when a drug doesn't have selective toxicity?"
What is the instructor's best response?
a) healthy cells are damaged
b) all pathogens are destroyed in the body
c) protein malnutrition
d) reduced enzymes are produced
The nurse collects the past medical history of a patient B, C, D
new to the clinic. The patient states he or she is allergic
to penicillin. What would the nurse question next?
(Select all that apply.)
a) what treatment was required to control the allergic
reaction?
b) what signs and symptoms were displayed with the
reaction?
c) how many doses were administered before the
reaction occurred?
d) had the medication ever been prescribed before the
time when the reaction occurred?
e) how was the medication administered?
CORRECT Answers
The nurse can anticipate which of the following B, C
interventions to be prescribed for a client with AIDS
who is experiencing involuntary weight loss of more
than 10% of baseline body weight and frequent diarrhea
daily? Select all that apply.
a) Benadryl, an antihistamine
b) order for megestrol acetate
c) enteral or parental nutrition
d) prenatal vitamins
e) calcium carbonate for mineral replacement
Which of the following is an example of how B
international travel has contributed to increased
prevalence and incidence of nonindigenous diseases?
a) an airline pilot getting ill after eating pork in a
restaurant in Hong Kong
b) outbreak of hemolytic-uremic syndrome related to
contaminated salad being shipped to various regions
c) Increase in the number of reported Lyme disease
cases related to hot summer with local large deer
population
d) Hepatitis A outbreak when a restaurant worker forgot
to wash the hands after using the rest room
,While working in the newborn nursery, a nurse is A
assessing a new admission. The nurse notes the infant
has an increased distance between his eyes, a very
small jaw, and a split uvula. Thinking this infant might
have DiGeorge syndrome, the nurse should be
assessing this infant for which of the following
electrolyte imbalances?
a) Tetany due to hypocalcemia
b) Frequent ventricular beats on ECG due to
hyperkalemia
c) Loss of consciousness due to hyponatremia
d) Decreased reflexes due to hypermagnesemia
While explaining evasive factors by microbes to evade C
various components of the host's immune system, the
instructor uses which of the following examples?
a) Neonates and children possess protective anti-
capsular antibodies.
b) S. aureus ability to immobilize IgA
c) H. Pylori being able to survive in an acidic
environment
d) Fungal pathogens avoid phagocytosis by excreting
protease.
A 9-month-old infant has been diagnosed with botulism A
after he was fed honey. The child's mother was
prompted to seek care because of this child's sudden
onset of neuromuscular deficits, which were later
attributed to the release of substances by Clostridium
botulinum. Which virulence factor contributed to this
child's illness?
a) exotoxins
b) adhesion factors
c) endotoxins
d) evasive factors
A 70-year-old female client has had her mobility and B
independence significantly reduced by rheumatoid
arthritis. Which of the following processes likely
contributed to the development of her health
problem?
a) delayed-type hypersensitivity (DTH) reaction
b) failure to normal self-tolerance
c) deletion of autoreactive B cells
d) proliferative of cytotoxic T cells
A client has been diagnosed with Coxiella burnetii C
infection. She asked the health care provider how she
could have gotten this disease. The health care
provider's best response is:
a) "probably while walking outside without your shoes
on"
b) "while swimming in an unsanitary pond"
c) "drinking contaminated milk"
d) " eating undercooked fish"
, While discussing the effector function of activated A, D, E
members of the complement system, the faculty
member will include which of the following concepts?
Select all that apply.
a) opsonization
b) mobilization of immunoglobulins
c) phagocytosis
d) chemotaxis
e) pathogen lysis
Which most accurately describes the characteristics of A
saprophytes? They:
a) derive energy from decaying organic matter
b) are capable of spore production
c) have RNA or DNA, but never both
d) are beneficial components of human microflora
The entrance of a microbe into an individual's vascular C
space has initiated opsonization. How will the health
care provider explain this process critical in stopping
the infiltration of the microbe through opsonization?
Opsonization:
a) releases proteins that stimulate cell production by
the bone marrow
b) stimulates B cells by helper T cells
c) coats a microbe to active phagocytosis recognition
d) involved lysis of intracellular microbes by cytotoxic T
cells
The nursing instructor teaches the students about A
selective toxicity when one of the students asks, "What
happens when a drug doesn't have selective toxicity?"
What is the instructor's best response?
a) healthy cells are damaged
b) all pathogens are destroyed in the body
c) protein malnutrition
d) reduced enzymes are produced
The nurse collects the past medical history of a patient B, C, D
new to the clinic. The patient states he or she is allergic
to penicillin. What would the nurse question next?
(Select all that apply.)
a) what treatment was required to control the allergic
reaction?
b) what signs and symptoms were displayed with the
reaction?
c) how many doses were administered before the
reaction occurred?
d) had the medication ever been prescribed before the
time when the reaction occurred?
e) how was the medication administered?
