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Unit Practice Quiz 2

Total questions: 24

Worksheet time: 12mins

Name
Class
Date
1.

Choose the best answer (A–D). Which is the best example of skin as a chemical barrier?

a)

Tight junctions

b)

Acid mantle from sebum/sweat

c)

Collagen fibers

d)

Subcutaneous fat

2.

Choose the best answer (A–D). A papule filled with pus is best described as a:

a)

Macule

b)

Pustule

c)

Wheal

d)

Plaque

3.

Choose the best answer (A–D). Which scenario most likely disrupts homeostasis via the integument?

a)

Temporary vasodilation during exercise

b)

Third-degree burn

c)

Wearing sunscreen outdoors

d)

Transient goosebumps in cold

4.

Choose the best answer (A–D). A patient reports a rapidly changing pigmented lesion. Which feature is most concerning?

a)

Symmetry and flat border

b)

Uniform tan color

c)

Diameter increasing from 4 to 8 mm

d)

No change over one year

5.

Choose the best answer (A–D). Which cell directly kills virus-infected host cells?

a)

Helper T (CD4+)

b)

Cytotoxic T (CD8+)

c)

B cell

d)

Neutrophil

6.

Choose the best answer (A–D). Which statement about fever is most accurate?

a)

Always harmful

b)

Often beneficial by enhancing immune activity

c)

Caused by antibody binding to RBCs

d)

Prevents all bacterial replication absolutely

7.

Choose the best answer (A–D). Autoimmunity is best defined as:

a)

Failure to respond to any antigen

b)

Adaptive response directed at self antigens

c)

Excess neutrophils

d)

Loss of all complement proteins

8.

Choose the best answer (A–D). Secondary immune responses are faster because:

a)

Innate cells are stronger

b)

Memory lymphocytes respond rapidly to previously seen antigens

c)

Fever is higher

d)

Antigens are weaker

9.

Choose the best answer (A–D). Which innate event most explains swelling during inflammation?

a)

Vasoconstriction

b)

Increased vascular permeability with protein leakage

c)

Lymphatic collapse only

d)

Platelet clumping in arteries

10.

Choose the best answer (A–D). Which behavior most reduces melanoma risk?

a)

Intermittent tanning bed use

b)

Broad-spectrum sunscreen and protective clothing

c)

Daily oiling of skin

d)

Vitamin C supplements

11.

Choose the best answer (A–D). Why is early detection of melanoma critical?

a)

It never metastasizes

b)

Deeper lesions have higher metastatic potential via lymphatics/blood

c)

Only occurs in elderly

d)

Always benign initially

12.

Choose the best answer (A–D). Leukemia often leads to recurrent infections primarily because:

a)

Platelets attack bacteria

b)

Malignant WBCs crowd out functional leukocytes

c)

RBCs are overproduced

d)

Antibody levels are always high

13.

Choose the best answer (A–D). Red streaks extending proximally from a skin infection imply:

a)

Lymphangitic spread toward regional nodes

b)

Healthy circulation returning

c)

Viral exanthem

d)

Allergic contact dermatitis

14.

Choose the best answer (A–D). Completing an antibiotic course is emphasized because stopping early may:

a)

Improve absorption

b)

Increase resistance/relapse risk

c)

Prevent side effects completely

d)

Make cultures unnecessary

15.

Choose the best answer (A–D). Proper use of antiseptic before insertion includes:

a)

Back-and-forth scrub with antiseptic and allowing full dry time

b)

Circular scrub then immediate insertion while wet

c)

Using lotion after scrub

d)

Touching the prepped area to test dryness

16.

Choose the best answer (A–D). The safest response to suspected infiltration of a non-vesicant is to:

a)

Increase the infusion rate

b)

Stop infusion, remove catheter, elevate limb, and restart elsewhere

c)

Keep line for future use

d)

Apply heat and continue medication

17.

Choose the best answer (A–D). During vesicant infusion, the patient reports burning and swelling. Best first action:

a)

Flush vigorously to dilute

b)

Stop infusion, leave catheter to aspirate, start extravasation protocol

c)

Remove catheter immediately without aspiration

d)

Lower the rate and observe

18.

Choose the best answer (A–D). Which documentation element most prevents duplicate dosing?

a)

Favorite hand

b)

Time, medication/dose, route, and patient’s response

c)

Brand of tourniquet

d)

Number of visitors

19.

Choose the best answer (A–D). Which statement about patency confirmation is most correct?

a)

No pain guarantees patency

b)

Easy push-pause saline flush with no swelling or resistance suggests a patent line

c)

Blood return is always required in peripherals

d)

A tight dressing ensures patency

20.

Choose the best answer (A–D). For suspected anaphylactic shock, which pair best addresses the physiology?

a)

Oral diphenhydramine + cooling blanket

b)

IM epinephrine + rapid IV fluids

c)

Oxygen only + rest

d)

Topical steroids + ice

21.

Choose the best answer (A–D). A wound culture should ideally be obtained:

a)

After several antibiotic doses

b)

Before the first antibiotic dose when feasible

c)

Only if admitted

d)

Never for skin infections

22.

Choose the best answer (A–D). Which statement about infiltration vs extravasation is accurate?

a)

Infiltration involves vesicant drugs

b)

Extravasation is less urgent

c)

Infiltration is non-vesicant leakage; extravasation is vesicant leakage and is an emergency

d)

Both are treated by running fluids faster

23.

Choose the best answer (A–D). Best site strategy for peripheral vesicant administration is to:

a)

Use wrist or antecubital flexion points

b)

Select a straight, well-supported forearm vein and the smallest gauge that safely delivers the drug

c)

Prefer hand veins for mobility

d)

Place near areas of infection

24.

Choose the best answer (A–D). Which home instruction is best for a neutropenic teen on chemo?

a)

Attend crowded concerts as usual

b)

Eat raw sushi to maintain protein intake

c)

Wash hands frequently; avoid sick contacts and raw/undercooked foods

d)

Skip oral care to prevent gum bleeding