Question 1

Lymphocytes are made up of B cells and T cells.B cells:

Accepted Answer

A)  mature in lymphoid tissue. 
B)  mediate humoral immunity. 
C)  migrate to the thymus gland. 
D)  destroy virus-infected cells. 
A)  mature in lymphoid tissue. 
B)  mediate humoral immunity. 
C)  migrate to the thymus gland. 
D)  destroy virus-infected cells.

Question 2

The process in which antibody and complement proteins attach to the target cell and enhance the phagocyte's ability to engulf the target cell is known as:

Accepted Answer

A)  opsonization. 
B)  phagocytosis. 
C)  the lymphoreticular system. 
D)  the portal circulation. 
A)  opsonization. 
B)  phagocytosis. 
C)  the lymphoreticular system. 
D)  the portal circulation.

Question 3

Secondary immunodeficiency involves the loss of a previously functional immune defense system that can be caused by: (Select all that apply.)

Accepted Answer

A)  a single gene defect. 
B)  AIDS. 
C)  aging. 
D)  nutritional deficiencies. 
E)  immunosuppressive therapies 
A)  a single gene defect. 
B)  AIDS. 
C)  aging. 
D)  nutritional deficiencies. 
E)  immunosuppressive therapies

Question 4

In vivo,the primary activator of the coagulation cascade occurs via the:

Accepted Answer

A)  intrinsic pathway. 
B)  extrinsic pathway. 
C)  common pathway. 
D)  either intrinsic or extrinsic pathway. 
A)  intrinsic pathway. 
B)  extrinsic pathway. 
C)  common pathway. 
D)  either intrinsic or extrinsic pathway.

Question 5

The patient comes to the hospital complaining of headache,fever,and sore throat for the past 2 weeks and is concerned that he might have acquired immune deficiency syndrome (AIDS).The patient's blood work shows the presence of HIV antibodies.The nurse should explain that:

Accepted Answer

A)  HIV symptoms will continue throughout the patient's life. 
B)  HIV is an acute disease with a short prognosis. 
C)  AIDS is considered a chronic disease. 
D)  very few people with HIV develop AIDS. 
A)  HIV symptoms will continue throughout the patient's life. 
B)  HIV is an acute disease with a short prognosis. 
C)  AIDS is considered a chronic disease. 
D)  very few people with HIV develop AIDS.

Question 6

The nurse is caring for a patient diagnosed with anemia.This morning's hematocrit level is 24%.Platelet level is 200,000/microliter.The nurse can expect to:

Accepted Answer

A)  continue monitoring the patient, as this hematocrit is normal. 
B)  administer platelets to help control bleeding. 
C)  give fresh frozen plasma to decrease prothrombin time. 
D)  provide RBC transfusion because this level is below the normal threshold. 
A)  continue monitoring the patient, as this hematocrit is normal. 
B)  administer platelets to help control bleeding. 
C)  give fresh frozen plasma to decrease prothrombin time. 
D)  provide RBC transfusion because this level is below the normal threshold.

Question 7

Erythrocytes (RBCs)are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called:

Accepted Answer

A)  erythropoietin. 
B)  a reticulocyte. 
C)  hemoglobin. 
D)  2,3-DPG 
A)  erythropoietin. 
B)  a reticulocyte. 
C)  hemoglobin. 
D)  2,3-DPG

Question 8

The patient is diagnosed with lymphoma,but has a normal white blood cell ( WBC )count.The nurse understands that this patient

Accepted Answer

A)  has normal WBC function since the WBC is normal. 
B)  will have increased bruising and bleeding. 
C)  is at risk for infection. 
D)  is at risk for an allergic reaction. 
A)  has normal WBC function since the WBC is normal. 
B)  will have increased bruising and bleeding. 
C)  is at risk for infection. 
D)  is at risk for an allergic reaction.

Question 9

The patient is admitted with multiple myeloma.The nurse assesses the patient and is aware that the symptom most unique to this disease is:

Accepted Answer

A)  fever. 
B)  night sweats. 
C)  bone pain. 
D)  lymph node enlargement. 
A)  fever. 
B)  night sweats. 
C)  bone pain. 
D)  lymph node enlargement.

Question 10

In caring for the patient who has a coagulopathy,the nurse should: (Select all that apply.)

Accepted Answer

A)  assess fluids for occult blood. 
B)  observe for oozing and bleeding and remove clots that form. 
C)  limit invasive procedures. 
D)  take temperatures rectally to increase accuracy. 
E)  weigh dressings to assess blood loss. 
A)  assess fluids for occult blood. 
B)  observe for oozing and bleeding and remove clots that form. 
C)  limit invasive procedures. 
D)  take temperatures rectally to increase accuracy. 
E)  weigh dressings to assess blood loss.

Question 11

The patient has a platelet count of 9,000/microliter.The nurse realizes that:

Accepted Answer

A)  this is a normal platelet level. 
B)  spontaneous bleeding may occur. 
C)  the patient is at great risk for fatal hemorrhage. 
D)  this level is considered slightly low. 
A)  this is a normal platelet level. 
B)  spontaneous bleeding may occur. 
C)  the patient is at great risk for fatal hemorrhage. 
D)  this level is considered slightly low.

Question 12

The patient has a total white blood cell ( WBC )count of 600 cells/microliter.The differential shows a normal neutrophil level of 70% with 5% bands.This patient:

Accepted Answer

A)  is at low risk for infection. 
B)  is at mild risk for infection. 
C)  is at moderated risk for infection. 
D)  is at severe risk for infection. 
A)  is at low risk for infection. 
B)  is at mild risk for infection. 
C)  is at moderated risk for infection. 
D)  is at severe risk for infection.

Question 13

Although monocytes may circulate for only 36 hours,they can survive for months or even years as tissue macrophages.Monocytes found in the liver are called:

Accepted Answer

A)  alveolar macrophages. 
B)  Kupffer's cells. 
C)  histiocytes. 
D)  monokines. 
A)  alveolar macrophages. 
B)  Kupffer's cells. 
C)  histiocytes. 
D)  monokines.

Question 14

Critical to caring for the immunocompromised patient is the understanding that:

Accepted Answer

A)  the immunocompromised patient has normal white blood cell ( WBC ) physiology. 
B)  the immunosuppression involves a single element or process. 
C)  infection is the leading cause of death in these patients. 
D)  immune incompetence is symptomatic even without pathogen exposure. 
A)  the immunocompromised patient has normal white blood cell ( WBC ) physiology. 
B)  the immunosuppression involves a single element or process. 
C)  infection is the leading cause of death in these patients. 
D)  immune incompetence is symptomatic even without pathogen exposure.

Question 15

A patient with a history of pulmonary embolism is being worked up for a potential coagulopathy that increases the risk for clotting.The nurse understands that the provider may order a test for

Accepted Answer

A)  factor VII deficiency. 
B)  factor X deficiency. 
C)  protein C deficiency. 
D)  factor IX deficiency. 
A)  factor VII deficiency. 
B)  factor X deficiency. 
C)  protein C deficiency. 
D)  factor IX deficiency.

Lymphocytes are made up of B cells and T cells.B cells:

The process in which antibody and complement proteins attach to the target cell and enhance the phagocyte's ability to engulf the target cell is known as:

Secondary immunodeficiency involves the loss of a previously functional immune defense system that can be caused by: (Select all that apply.)

In vivo,the primary activator of the coagulation cascade occurs via the:

The patient comes to the hospital complaining of headache,fever,and sore throat for the past 2 weeks and is concerned that he might have acquired immune deficiency syndrome (AIDS).The patient's blood work shows the presence of HIV antibodies.The nurse should explain that:

The nurse is caring for a patient diagnosed with anemia.This morning's hematocrit level is 24%.Platelet level is 200,000/microliter.The nurse can expect to:

Erythrocytes (RBCs)are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called:

The patient is diagnosed with lymphoma,but has a normal white blood cell ( WBC )count.The nurse understands that this patient

The patient is admitted with multiple myeloma.The nurse assesses the patient and is aware that the symptom most unique to this disease is:

In caring for the patient who has a coagulopathy,the nurse should: (Select all that apply.)

The patient has a platelet count of 9,000/microliter.The nurse realizes that:

The patient has a total white blood cell ( WBC )count of 600 cells/microliter.The differential shows a normal neutrophil level of 70% with 5% bands.This patient:

Although monocytes may circulate for only 36 hours,they can survive for months or even years as tissue macrophages.Monocytes found in the liver are called:

Critical to caring for the immunocompromised patient is the understanding that:

A patient with a history of pulmonary embolism is being worked up for a potential coagulopathy that increases the risk for clotting.The nurse understands that the provider may order a test for

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care in the Critical Care Unit

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

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Exam 16: Hematological and Immune Disorders

Lymphocytes are made up of B cells and T cells.B cells:

The process in which antibody and complement proteins attach to the target cell and enhance the phagocyte's ability to engulf the target cell is known as:

Secondary immunodeficiency involves the loss of a previously functional immune defense system that can be caused by: (Select all that apply.)

In vivo,the primary activator of the coagulation cascade occurs via the:

The patient comes to the hospital complaining of headache,fever,and sore throat for the past 2 weeks and is concerned that he might have acquired immune deficiency syndrome (AIDS).The patient's blood work shows the presence of HIV antibodies.The nurse should explain that:

The nurse is caring for a patient diagnosed with anemia.This morning's hematocrit level is 24%.Platelet level is 200,000/microliter.The nurse can expect to:

Erythrocytes (RBCs)are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called:

The patient is diagnosed with lymphoma,but has a normal white blood cell ( WBC )count.The nurse understands that this patient

The patient is admitted with multiple myeloma.The nurse assesses the patient and is aware that the symptom most unique to this disease is:

In caring for the patient who has a coagulopathy,the nurse should: (Select all that apply.)

The patient has a platelet count of 9,000/microliter.The nurse realizes that:

The patient has a total white blood cell ( WBC )count of 600 cells/microliter.The differential shows a normal neutrophil level of 70% with 5% bands.This patient:

Although monocytes may circulate for only 36 hours,they can survive for months or even years as tissue macrophages.Monocytes found in the liver are called:

Critical to caring for the immunocompromised patient is the understanding that:

A patient with a history of pulmonary embolism is being worked up for a potential coagulopathy that increases the risk for clotting.The nurse understands that the provider may order a test for

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care in the Critical Care Unit

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Solid Organ Transplantation

Filters