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WorksheetsNRSG 310 FINAL REVIEW
Total questions: 38
Worksheet time: 21mins
_____ results from irreversible cell damage
(unregulated death)
apoptosis
necrosis
osmosis
All of my brain cells have lysed from studying for this.
The principal leukocyte in acute inflammation
Monocyte
Mast Cells
Neutrophils
Eoisinophil
______turns on the gene and can lead to overactive transcription (gene expression)
Hypermethylation
Hypomethylation
This type of immunity functions against microbes and all viruses that replicate inside cells (T cells)
Humoral
Cell-mediated
Innate
This type of hypersensitivity reaction does NOT involve any antibody, is cell-mediated,
cytotoxic T-lymphocytes or lymphokine-producing Th1 or Th17
Direct killing of CTL or phagocytic cells by the Th1/Th17 cells.
Examples are graft rejections, TB skin tests, allergic RXNs from posion ivy or metals.
Type 1
Type 2
Type 3
Type 4
In an attempt to best explain the innate immune system to a class of first-year nursing students, the instructor should describe what characteristic?
The innate immune
system is mediated by molecules called antibodies and is the principal defense against extracellular microbes and toxins.
The innate immune system consists of lymphocytes and their products, including antibodies.
The response of the innate immune system is rapid, usually within minutes to hours, and prevents the establishment of infection and deeper tissue penetration of microorganisms.
finish
this
please
A nutritional deficiency of folic acid and B12 (cobalamin) can result in ______ anemia:
leukemia
megolablastic
iron-deficiency
bone marrow failure (pantocytopenia)
Chronic disease anemia
Pernicious
Aplastic anemia
Renal failure with decreased EPO (erythropoeitin)--> decreased RBCs
chronic disease anemia
pernicious
aplastic
Anticoagulant drugs prevent thromboembolic disorders. How does warfarin, one of the anticoagulant drugs, act on the body?
Alters vitamin K, reducing its ability to participate in the coagulation of the blood
Increases prothrombin
Increases procoagulation factors
Which of the following is NOT an inciting event/ insult that triggers clotting cascades & a procoagulant state?
Chemical injury
Endothelial damage
Tissue damage
Infection or inflammation
In DIC, excess ________ generation leads to microvasucular thrombosis (apparently very important in the ppt. :) )
prothrombin
fibrinogen
thrombin
In DIC, consumption/ alteration in coagulation components & excessive _________ leads to hemorrhage
fibrinolysis
renal failure
fever
The rapid, non-specific response of inflammation that involves both cellular (phagocytes, neutrophils) AND chemical components (cytokines, complement)
1st
2nd
3rd
With the selectively permeable barrier (BBB):
Only H2O, _______, and O2 enter the brain easily due to endothelial cell tight junctions with diffusion
amino acids
glucose
CO2
calcium
inflammatory mediators (chemicals) in nociceptors include:
Select all that apply:
prostaglandins
histamine
bradykinin
dopamine
estrogen
Although the etiology is largely unknown, Alzheimer's is characterized by cortical atrophy and loss of neurons- especially in the _____ &_____ lobes.
parietal, occipital
parietal, temporal
frontal, temporal
The neuritic plaques of Alzheimers that accumulate and "stick" together --> EC plaques
Beta Amyloid peptides
Dendtiric plaques
Gamma globulin peptides
Cushing's Triad, associated with increased intracranial pressure, include all of the following except:
hypertension
widening pulse pressure
bradycardia
decreased respiratory rate
The volumes of each of three intracranial components can vary slightly without causing marked changes in ICP because small increases in the volume of one component can be compensated for by a decrease in the volume of one or both of the other two components.
What hypothesis is this describing?
Dynamic Circuit Hypothesis
Monro-Kellie hypothesis
BBB Interstitial hypothesis
The nurse enters a client's hospital room and finds the client breathing rapidly, stating, "I must be having a stroke, my fingers are tingling!" Which acid–base balance disorder is this client experiencing due to hyperventilation?
respiratory alkalosis
metabolic alkalosis
metabolic acidosis
respiratory acidosis
A client has developed a tumor of the posterior pituitary gland. The client is at risk for problems with secretions of:
Antidiuretic hormone (ADH) and oxytocin
Growth hormone–releasing hormone (GHRH) and dopamine
Adrenocorticotropic hormone (ACTH) and vasopressin
A client is admitted for ketoacidosis. The client's breath is fruity and others state that the client has been acting "different." Initial blood glucose level is 642 mg/dL (35.63 mmol/L). Which rationale for prescribing an insulin drip (IV infusion) is most accurate?
It will protect the client from the potassium shifting from the intracellular to the extracellular compartment.
A lower pH of the body fluids (ketoacidosis) reduces insulin binding.
Ketoacidosis causes vasoconstriction of blood vessels, resulting in poor absorption to insulin injections.
Right-sided heart failure is the inability of the heart to provide adequate blood flow into ________________ circulation at a normal central venous pressure, with a manifestation of _________ edema
pulmonary, peripheral
peripheral, pulmonary
renal, peripheral
pulmonary, digestive
Which is not an endocrine function of the kidney?
renin
erythropoietin
convert vitamin D to its active form
norepinephrine
This cause of AKI, bilateral urinary obstruction, can be caused by prostatic hyperplasia
Prerenal
Intrarenal
Postrenal
_____ causes decreased membrane excitability that can lead to bradycardia.
Hyperkalemia
Hypokalemia
Hyponatremia
Hypercalcemia
Excess bicarbonate base or IV infusion, as well as loss of potassium or vomitting, NG suctioning, bulimia can cause:
Metabolic Acidosis
Metabolic alkalosis
Acute disorders of ventilation- narcotics, atelectasis, pneumonia, and chronic orders of ventilation can lead to respiratory:
Acidosis
Alkalosis
____ is a cofactor in ATP synthesis and 100s of other metabolic RXNs, it has the same effect on neuromuscular excitability as Ca++
Phosphorous
Sodium
Magnesium
In DIC, both the increase in micro-vascular thrombi and generalized hemmorhage lead to_______ which leads to multiple organ dysfunction syndrome
Tissue ischemia
seizures
vomitting
Crohn Disease involves skip lesions, whereas UC involves rectal involvement, moving distally--> proximally
true
false
Peptic ulcer disease is most often seen in the _____, where both acid and pepsin penetrate the mucosal barrier
duodenum
colon
jejunum
When analyzing an arterial blood gas report of a pt with COPD & respiratory acidosis, the nurse anticipates that compensation will develop through which of the following mechanisms?
the kidneys will retain HCO3-
the kidneys will excrete bicarbonate
the lungs will retain HCO3-
the lungs will excrete bicarbonate
A complication of strep. pyrogenes from pharyngitis can be:
rheumatic heart disease
ARDS
pneumonia
TIA
Hallmark of ARDS:
inflames nasal mucosa
increased alveocapillary permeability
vasoconstriction of bronchial tree
Bone remodeling is controlled by the __________ pathway:
RANKL
Osteoblast-Osteoclast Highway
RBCL
GD6P
