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Janeways Immunology - chapter 16 Latest Update

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Janeways Immunology - chapter 16 Latest Update Polysaccharide immunizations - CORRECT ANSWERS -- T-cell independent immune activators - Do NOT induce immune response in babies under 2 years - Activate ONLY IgM - DO NOT ACTIVATE immune memory - used in adults Protein connected polysaccharides - CORRECT ANSWERS -T-cell dependent - cause immune response in young babies - create antibodies: IgM - IgA/IgG - Create memory cells - SAMSPIL b and t cells What sort of immunisation material was used in meningococcal? - CORRECT ANSWERS -Protein connected polysaccharide More babies die from ____ that other contagious diseases - CORRECT ANSWERS -Lung disease Which is more effective, Live-attenuated viral vaccines or killed vaccines? explain. - CORRECT ANSWERS -Live-attenuated viral vaccines more effective than killed vaccines can be made safer with recombinant DNA technology . Killed vaccines are unable to replicate. Live-attenuated viral vaccines elicit a greater number of EFFECTOR MECHANISMS (CD4 Tcells and CD8 cells) How are viruses traditionally attenuated? - CORRECT ANSWERS -by selecting for growth in non-human cells Attenuation can be achieved more rapidly and reliably with _______ - CORRECT ANSWERS -Recombinant DNA techniques Recombinant DNA techniques - CORRECT ANSWERS -Virulence gene is mutated or deleted - genetically mutated bacteria can also be used to make immunisation - td salmonella typhi Corticosteroids - CORRECT ANSWERS -- Immunosupressive drug - Powerful anti-inflammatory drugs that alter the transcription of many genes - Used in small doses to avoid side effects

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HESI RN EXIT Exam Questions and
Verified Answers 2024-2025 Latest
Update
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - CORRECT ANSWERS -A) Risk for injury

Which these findings would the nurse more closely associate with anemia in a 10
month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160 - CORRECT ANSWERS -B) Pale mucosa of the
eyelids and lips

The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses - CORRECT ANSWERS -D) Pupil responses

Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness - CORRECT ANSWERS -D) A
preschooler with intermittent episodes of alertness

The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings - CORRECT ANSWERS -D)
Pale, thin arms and legs, uninterested in surroundings

,As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested in
during the discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss - CORRECT ANSWERS -D) Hair loss

While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5
degreesCelsius). The appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake - CORRECT ANSWERS -B) Administer
acetaminophen as ordered as this is normal at this time

A client is admitted for first and second degree burns on the face, neck, anterior chest
and hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication - CORRECT ANSWERS -B) Assess for dyspnea or
stridor
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - CORRECT ANSWERS -C) Security

A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would
be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read
your writing." - CORRECT ANSWERS -B) "Would you please clarify what you have
written so I am sure I am reading it
correctly?"

What is the most important consideration when teaching parents how to reduce risks in
the home?
A) Age and knowledge level of the parents

, B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - CORRECT ANSWERS -D) Age of children in the home

A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT ANSWERS -C)
Administer the prescribed analgesia

While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWERS -A) Respiratory rate of 42

A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - CORRECT ANSWERS -A) Lethargy

The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - CORRECT ANSWERS -B) "The
seizure may or may not mean your child has epilepsy."


Which of these clients who call the community health clinic would the nurse ask to come
in that day to be seen by the health care provider?
A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts
when I go to the bathroom.
D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. -
CORRECT ANSWERS -D) I went to the bathroom and my urine looked very red and it
didn't hurt when I went.
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