NURS 316 Final Exam 111 questions and
complete Actual solutions.
NURS 316 Final Exam 111 questions and
complete Actual solutions.
The nurse can anticipate which of the following 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 - ANSWER B, C
Which of the following is an example of how 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 -
ANSWER B
While working in the newborn nursery, a nurse is 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 - ANSWER A
,NURS 316 Final Exam 111 questions and
complete Actual solutions.
While explaining evasive factors by microbes to evade 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. - ANSWER C
A 9-month-old infant has been diagnosed with botulism 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 - ANSWER A
A 70-year-old female client has had her mobility and 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 - ANSWER B
A client has been diagnosed with Coxiella burnetii 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"
,NURS 316 Final Exam 111 questions and
complete Actual solutions.
d) " eating undercooked fish" - ANSWER C
While discussing the effector function of activated 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 - ANSWER A, D, E
Which most accurately describes the characteristics of 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 - ANSWER A
The entrance of a microbe into an individual's vascular 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 - ANSWER C
The nursing instructor teaches the students about 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
, NURS 316 Final Exam 111 questions and
complete Actual solutions.
d) reduced enzymes are produced - ANSWER A
The nurse collects the past medical history of a patient 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? - ANSWER B, C, D
A patient with hookworm infection states that he has a hard time following medication regimens. The
nurse knows that what medication would be preferred for this patient?
a) Mebendazole (Vermox)
b) Pyrantel (Antiminth)
c) Ivermectin (Stromectol)
d) Albendazole (Albenza) - ANSWER B
What monoclonal antibody is used to prevent respiratory syncytial virus (RSV) in high risk children?
a) Palivizumab
b) Eculizumab
c) Natalizumab
d) Belimumab - ANSWER A
The nurse administers polymyxin B to a patient with a gram-negative bacterial infection. What
symptoms would cause the nurse to suspect drug fever, hold the medication, and call the health care
provider immediately? (Select all that apply.)
a) increased activity
b) dizziness
c) fever
complete Actual solutions.
NURS 316 Final Exam 111 questions and
complete Actual solutions.
The nurse can anticipate which of the following 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 - ANSWER B, C
Which of the following is an example of how 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 -
ANSWER B
While working in the newborn nursery, a nurse is 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 - ANSWER A
,NURS 316 Final Exam 111 questions and
complete Actual solutions.
While explaining evasive factors by microbes to evade 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. - ANSWER C
A 9-month-old infant has been diagnosed with botulism 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 - ANSWER A
A 70-year-old female client has had her mobility and 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 - ANSWER B
A client has been diagnosed with Coxiella burnetii 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"
,NURS 316 Final Exam 111 questions and
complete Actual solutions.
d) " eating undercooked fish" - ANSWER C
While discussing the effector function of activated 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 - ANSWER A, D, E
Which most accurately describes the characteristics of 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 - ANSWER A
The entrance of a microbe into an individual's vascular 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 - ANSWER C
The nursing instructor teaches the students about 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
, NURS 316 Final Exam 111 questions and
complete Actual solutions.
d) reduced enzymes are produced - ANSWER A
The nurse collects the past medical history of a patient 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? - ANSWER B, C, D
A patient with hookworm infection states that he has a hard time following medication regimens. The
nurse knows that what medication would be preferred for this patient?
a) Mebendazole (Vermox)
b) Pyrantel (Antiminth)
c) Ivermectin (Stromectol)
d) Albendazole (Albenza) - ANSWER B
What monoclonal antibody is used to prevent respiratory syncytial virus (RSV) in high risk children?
a) Palivizumab
b) Eculizumab
c) Natalizumab
d) Belimumab - ANSWER A
The nurse administers polymyxin B to a patient with a gram-negative bacterial infection. What
symptoms would cause the nurse to suspect drug fever, hold the medication, and call the health care
provider immediately? (Select all that apply.)
a) increased activity
b) dizziness
c) fever
