NSG320 Finals practice Test Questions solved 100%
Correct
Etiology of Autoimmune Disorders
Genetic predisposition with environmental trigger (diet, radiation, chemicals, infections)
Systemic autiommune disorders
widespread inflammation: lupus, systemic sclerosis, rheumatoid arthritis, Sjogren's syndrome
Organ-specific autoimmune disorders
type 1 DM, grave's disease, myasthenia gravis, pernicious anemia, celiac disease, IBD,
patient teaching: autoimmune diseases
disease exacerbation can occur despite efforts. encourage patients to be realistic about what
they can/can't control
diagnostics: autoimmune diseases
antinuclear antibody test: postive test confirms autoantibodies;
rheumatoid factor;
inflammatory markers: ESR, C-reactive protein, ferritin
The loss of which normal property results in the immune system producing antibodies against
its own cells?
self-tolerance
Select all that apply:
Which disorders are organ-specific autoimmune disorders?
1. Type 1 DM
2. Myasthenia gravis
3. Multiple sclerosis
4. Celiac disease
,5. Lupus
6. Rheumatoid arthritis
Answer:
1, 2, 3, 4,
Even though not yet informed about which disorder is present, the nurse can expect the
newly admitted patient to have which common clinical manifestations of autoimmune
disorders?
1. complaints of fatigue
2. tachycardia
3. exacerbations
4. local inflammation
5. aching muscles
6. lung crackles
Answer:
1, 3, 4, 5
**Practice Pearl
Patients on immune suppressive therapies are at risk for infections; tell patients to report signs
of infection
Non-pharmacological therapy for autoimmune disease:
plasmaphereis: blood is filtered
apheresis:
removes a larger volume of whole blood more rapidly than plasmapheresis
what happens to blood before being returned to the patient who is undergoing
plasmapheresis?
, filtered and exchanged with saline or plasma
Which class of drugs prescribed to patients with autoimmune disorders, reduces
inflammation by neutralizing the activity of tumor necrosis factor?
1. NSAIDS
2. Monoclonal antibodies
3. Disease modifying antirheumatics
4. Calcineurin deterrent
Answer:
3
Interventions for autoimmune diseases
Rest during acute illness; after acute phase balance rest with exercise. Rest when fatigued!!!
Identify and avoid triggers
What is the difference between AIDS and HIV
Trick question :)
HIV is the virus that causes AIDS
Transmission of HIV
blood, semen, vaginal secretions, breast milk
Patho for HIV
HIV binds to CD4 T cells; allows its RNA to create a "new" DNA set for the CD4 T cells; As time
passes CD4 T cells are destroyed, LEAVES PT AT INCREASED RISK FOR INFECTION
Incubation Stage of HIV
Incubation: last for weeks, up to 10 yrs; no detectable change in CD4T cell count; MOST
INFECTIOUS; no noticeable symptoms
Early Stage of HIV
Correct
Etiology of Autoimmune Disorders
Genetic predisposition with environmental trigger (diet, radiation, chemicals, infections)
Systemic autiommune disorders
widespread inflammation: lupus, systemic sclerosis, rheumatoid arthritis, Sjogren's syndrome
Organ-specific autoimmune disorders
type 1 DM, grave's disease, myasthenia gravis, pernicious anemia, celiac disease, IBD,
patient teaching: autoimmune diseases
disease exacerbation can occur despite efforts. encourage patients to be realistic about what
they can/can't control
diagnostics: autoimmune diseases
antinuclear antibody test: postive test confirms autoantibodies;
rheumatoid factor;
inflammatory markers: ESR, C-reactive protein, ferritin
The loss of which normal property results in the immune system producing antibodies against
its own cells?
self-tolerance
Select all that apply:
Which disorders are organ-specific autoimmune disorders?
1. Type 1 DM
2. Myasthenia gravis
3. Multiple sclerosis
4. Celiac disease
,5. Lupus
6. Rheumatoid arthritis
Answer:
1, 2, 3, 4,
Even though not yet informed about which disorder is present, the nurse can expect the
newly admitted patient to have which common clinical manifestations of autoimmune
disorders?
1. complaints of fatigue
2. tachycardia
3. exacerbations
4. local inflammation
5. aching muscles
6. lung crackles
Answer:
1, 3, 4, 5
**Practice Pearl
Patients on immune suppressive therapies are at risk for infections; tell patients to report signs
of infection
Non-pharmacological therapy for autoimmune disease:
plasmaphereis: blood is filtered
apheresis:
removes a larger volume of whole blood more rapidly than plasmapheresis
what happens to blood before being returned to the patient who is undergoing
plasmapheresis?
, filtered and exchanged with saline or plasma
Which class of drugs prescribed to patients with autoimmune disorders, reduces
inflammation by neutralizing the activity of tumor necrosis factor?
1. NSAIDS
2. Monoclonal antibodies
3. Disease modifying antirheumatics
4. Calcineurin deterrent
Answer:
3
Interventions for autoimmune diseases
Rest during acute illness; after acute phase balance rest with exercise. Rest when fatigued!!!
Identify and avoid triggers
What is the difference between AIDS and HIV
Trick question :)
HIV is the virus that causes AIDS
Transmission of HIV
blood, semen, vaginal secretions, breast milk
Patho for HIV
HIV binds to CD4 T cells; allows its RNA to create a "new" DNA set for the CD4 T cells; As time
passes CD4 T cells are destroyed, LEAVES PT AT INCREASED RISK FOR INFECTION
Incubation Stage of HIV
Incubation: last for weeks, up to 10 yrs; no detectable change in CD4T cell count; MOST
INFECTIOUS; no noticeable symptoms
Early Stage of HIV
