Question 1

A child fell off the swing and scraped the right knee.The injured area becomes painful.What else will the nurse observe upon assessment?

Accepted Answer

A)   Vasoconstriction at injured site
B)   Decreased RBC concentration at injured site
C)   Pale skin at injured site
D)   Edema at injured site D

Question 2

After teaching the staff about the clotting system,which statement indicates teaching was successful? The end product of the clotting system is:

Accepted Answer

A)   Plasmin
B)   Fibrin
C)   Collagen
D)   Factor X B

Question 3

Healing by secondary intention would occur in which of the following patients? A patient with a:

Accepted Answer

A)   Sutured surgical wound
B)   Stage IV pressure ulcer
C)   Paper cut
D)   Sunburn B

Question 4

A nurse is preparing to teach on the subject of opsonins.Which information should the nurse include? Opsonins are molecules that:

Accepted Answer

A)   Are composed of fatty acids
B)   Regulate inflammation
C)   Degranulate mast cells
D)   Enhance phagocytosis

Question 5

The nurse is assessing a patient with a diagnosis of inflammation.The nurse would expect to find which of the following signs and symptoms consistent with acute inflammation? (Select all that apply.)

Accepted Answer

A)   Heat
B)   Erythema
C)   Pain
D)   Swelling
E)   ExudatesF)  Loss of function

Question 6

Which factor will help the nurse differentiate leukotrienes from histamine?

Accepted Answer

A)   Site of production
B)   Vascular effect
C)   Chemotactic ability
D)   Time of release

Question 7

The nurse is reviewing the lab data of a newly admitted patient.The nurse notes the patient had an erythrocyte sedimentation done,and the results are quite elevated.The nurse would focus the care plan on which of the following conditions?

Accepted Answer

A)   Anemia
B)   Infection
C)   Inflammation
D)   Electrolyte imbalance

Question 8

A 12-year-old male is fighting with another child when he receives a puncture wound from a pencil.The school nurse cleans and bandages the wound.After about 1 week,the wound would be in which phase of healing?

Accepted Answer

A)   Debridement
B)   Primary intention
C)   Resolution
D)   Maturation

Question 9

A 20-year-old male shoots his hand with a nail gun while replacing roofing shingles.Which of the following cell types would be the first to aid in killing bacteria to prevent infection in his hand?

Accepted Answer

A)   Eosinophils
B)   Neutrophils
C)   Leukotrienes
D)   Monocytes

Question 10

A 20-year-old male received a knife wound to the arm during an altercation.Which of the following types of immunity was compromised?

Accepted Answer

A)   Innate immunity
B)   Inflammatory response
C)   Adaptive immunity
D)   Specific immunity

Question 11

A 30-year-old male was involved in a motor vehicle accident.The glass from the shattered window cut his face and neck.The scar,however,was raised and extended beyond the original boundaries of the wound.This pattern of scarring is caused by impaired:

Accepted Answer

A)   Nutritional status
B)   Collagen synthesis
C)   Epithelialization
D)   Contraction

Question 12

A nurse remembers the primary actions of the complement cascade include (select all that apply):

Accepted Answer

A)   Increased vascular permeability
B)   Vasoconstriction
C)   Chemotaxis
D)   Opsonization
E)   Cell killingF)  Increased clotting

Question 13

An 8-year-old female presents with edema of the cutaneous and mucosal tissue layers.Her mother reports that the condition is recurrent and seems to occur more often during stressful situations.The child is diagnosed with hereditary angioedema.Which of the following is deficient in this child?

Accepted Answer

A)   C1 esterase inhibitor
B)   Carboxypeptidase
C)   Neutrophils
D)   Plasmin

Question 14

A nurse recalls the mast cell,a major activator of inflammation,initiates the inflammatory response through the process of:

Accepted Answer

A)   Chemotaxis
B)   Endocytosis
C)   Degranulation
D)   Opsonization

Question 15

The predominant phagocyte of early inflammation is the:

Accepted Answer

A)   Eosinophil
B)   Neutrophil
C)   Lymphocyte
D)   Macrophage

Question 16

The directional migration of leukocytes along a chemical gradient is termed:

Accepted Answer

A)   Chemotaxis
B)   Endocytosis
C)   Margination
D)   Diapedesis

Question 17

When phagocytes begin to stick avidly to capillary walls,which process is occurring?

Accepted Answer

A)   Margination
B)   Exudation
C)   Integration
D)   Emigration

Question 18

Which statement indicates teaching was successful regarding the classic pathway of the complement system? The classic pathway of the complement system is activated by:

Accepted Answer

A)   Histamine
B)   Antigen-antibody complexes
C)   Leukotrienes
D)   Prostaglandins

Question 19

A 5-year-old male is diagnosed with a bacterial infection.Cultures of the bacteria revealed lipopolysaccharides on the bacterial cell surface.Which of the complement pathways would be activated in this case?

Accepted Answer

A)   Classical pathway
B)   Lectin pathway
C)   Alternative pathway
D)   Kinin pathway

Question 20

A patient has researched bradykinin on the Internet.Which information indicates the patient understands the functions of bradykinin? Bradykinin is involved in:

Accepted Answer

A)   Increasing vascular permeability
B)   Vasoconstricting blood vessels
C)   Stimulating the clotting system
D)   Increasing degradation of prostaglandins

Exam 5: Innate Immunity: Inflammation and Wound Healing