Which of the following diseases cannot currently be prevented by vaccination?
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Question 3 of 119
Which one of the following pairs of genes is linked on a single chromosome?
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Question 4 of 119
True regarding NHL?
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Question 5 of 119
The role of the macrophage during an antibody response is to
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Question 6 of 119
A recipient of a 2-haplotype MHC-matched kidney from a relative still needs immunosuppression to prevent graft rejection because
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Question 7 of 119
A nurse enters the room of a teenager after the physician has obtained informed consent for a voiding cystourethrogram. The teenager asks the nurse to explain the procedure again. The nurse tells the client that the client is asked to void after:
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Question 8 of 119
A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document?
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Question 9 of 119
The expression of γ:δ T cell receptor results in lymphocytes with 'innate like' features, an example of which is that these cells:
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Question 10 of 119
What is helpful to tell a mother who is concerned about preventing sleep problems in her 2-year-old child?
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Question 11 of 119
Complement membrane attack complex can be activated by
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Question 12 of 119
Which cells are key to the secondary immune response?
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Question 13 of 119
What is the primary source of lymph fluid?
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Question 14 of 119
Which is false regarding heparin?
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Question 15 of 119
What is the major metabolically available storage form of iron in the body?
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Question 16 of 119
Which of the options below best completes the following statement: Perforin is a protein secreted by NK cells which.
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Question 17 of 119
The function of interferons is to
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Question 18 of 119
Basic immunoglobulin contains:
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Question 19 of 119
Choose the correct statement concerning the Malpighian corpuscle:
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Question 20 of 119
What is the best way for the nurse to detect fluid retention in a child with nephrotic syndrome who has not yet been toilet-trained?
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Question 21 of 119
The lymphatic system's role in immunity includes:
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Question 22 of 119
Which hemoglobin does not predispose to sickling?
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Question 23 of 119
Antibodies that bind with high affinity to some viral surface proteins require heavy chain CDR3 loops of unusual length. Whereas the average human heavy chain CDR3 length is ~15 amino acids, antibodies with V_H CDR3 loops of >30 amino acids are readily detected in the repertoire. These antibody heavy chains with CDR3 lengths of >30 amino acids would likely be missing in individuals lacking:
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Question 24 of 119
Spherocytosis cause?
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Question 25 of 119
A nurse is assisting with the admission of a toddler who has nephrotic syndrome. Which of the following objective data should the nurse anticipate collecting from the child?
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Question 26 of 119
Which one of the following properties of antibodies is NOT dependent on the structure of the heavy-chain constant region?
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Question 27 of 119
A client who is human immunodeficiency virus seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication?
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Question 28 of 119
Given the enormous heterogeneity of antigen receptors expressed on the populations of naive B and T lymphocytes, the adaptive immune response relies on a process whereby the rare lymphocyte that binds to the antigen is first induced to proliferate, before it can perform its effector function. For B cells, there is a clever mechanism that ensures that the specificity of the antibody secreted by the plasma cell will recognize the same pathogen that initially stimulated the B cell antigen receptor and induced B cell proliferation. This mechanism is:
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Question 29 of 119
Human immunodeficiency virus (HIV) binds specifically to which immune cell marker?
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Question 30 of 119
The mother of an infant born prematurely at 32 weeks expresses the desire to breastfeed her child. The nurse correctly responds with which statement when the mother asks how long she should breastfeed her baby?
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Question 31 of 119
Client having radioisotopic imaging scan. Most important action?
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Question 32 of 119
Most common cause of easy bruising complaints?
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Question 33 of 119
A home health nurse is caring for a client who has an immunodeficiency. What is the nurse's priority action to help ensure successful outcomes and a favorable prognosis?
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Question 34 of 119
Which lymphatic organ is responsible for filtering and monitoring the blood for foreign substances, including bacteria and viruses?
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Question 35 of 119
T-lymphocytes have:
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Question 36 of 119
A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Impaired Gas Exchange. Which action is inappropriate when providing care based on this nursing diagnosis?
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Question 37 of 119
Cytotoxic T-cells destroy their target cells by releasing a substance that affects
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Question 38 of 119
The nurse should expect to administer this drug for a sickle cell pain crisis:
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Question 39 of 119
The thymus is derived from which embryonic structure?
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Question 40 of 119
What measure is important in managing hypercalcemia in a child who is immobilized?
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Question 41 of 119
Not a criterion in the IPI for non-Hodgkin’s lymphoma?
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Question 42 of 119
function of epithelial reticular cell
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Question 43 of 119
What is the function of G6PD? (35-year-old male with G6PD deficiency)
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Question 44 of 119
How does lymph move through the lymphatic vessels?
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Question 45 of 119
What disease is an example of secondary immunodeficiency?
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Question 46 of 119
Which cells undergo negative selection in the thymus?
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Question 47 of 119
Which patient would be unlikely to benefit from iron supplements?
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Question 48 of 119
surface receive lymph from afferent vessel, while surface where vein. efferent vessel leave
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Question 49 of 119
A 38-year-old woman with sore throat, Hb 9.0 g/dL, WBC 2000/µL, platelets 30,000/µL. Best approach to diagnosis?
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Question 50 of 119
C3a and C5a can cause
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Question 51 of 119
Select the statement that is true about the spleen
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Question 52 of 119
Precursors of macrophages are called
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Question 53 of 119
A nurse caring for clients with systemic lupus erythematosus (SLE) plans care understanding the most common causes of death for these clients is which of the following? (Select one that does not apply.)
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Question 54 of 119
A nurse is providing ongoing care for a client who is positive for human immunodeficiency virus (HIV), and assessment reveals a client with a newly delayed and shortened speech pattern. The client, who previously had no neurological or motor deficits, has forgotten that they are in the hospital and has trouble getting out of bed. Which problem is the client most likely experiencing related to these signs and symptoms?
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Question 55 of 119
Which of the following cells is involved in humoral immunity??
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Question 56 of 119
Intravascular hemolysis is the result of trauma to RBCs while in the circulation
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Question 57 of 119
Which of the following gathers, organizes, and directs light through the specimen?
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Question 58 of 119
A parent of a 7-year-old girl with a repaired ventricular septal defect (VSD) calls the cardiology clinic and reports that the child is just not herself. Her appetite is decreased, she has had intermittent fevers around 38°C (100.4°F), and now her muscles and joints ache. Based on this information you advise the mother to:
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Question 59 of 119
The child is admitted to the hospital after being diagnosed with retinoblastoma. Which assessment finding does the nurse anticipate for this child?
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Question 60 of 119
Teaching with a female client who has a new diagnosis of systemic lupus erythematosus (SLE) about factors that can trigger an exacerbation of SLE- determine that the client requires further teaching when she identifies which of the following as a factor that can exacerbate SLE?
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Question 61 of 119
Identify the specific defense cell that destroys virus-infected cells and cancerous cells.
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Question 62 of 119
Examples of pathogens that cause human disease include:
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Question 63 of 119
Which of the following is a common treatment for polycythemia vera?
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Question 64 of 119
What are the actions of salicylates? (Select one that does not apply)
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Question 65 of 119
Name 3 signs or symptoms of immune thrombocytopenia purpura. (Choose one)
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Question 66 of 119
Which cells are responsible for cell-mediated immunity?
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Question 67 of 119
Hydroxyurea increases the serum uric acid levels.
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Question 68 of 119
LPN caring for 10-year-old in sickle cell crisis. Which action requires immediate intervention?
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Question 69 of 119
Administer a mantoux skin test to a client- inform the client that the purpose of a mantoux skin test using purified protein derivative is to do which of the following?
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Question 70 of 119
Which of the following types of cells does HIV preferentially infect?
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Question 71 of 119
Identify the outward signs of inflammation that results from increased capillary permeability.
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Question 72 of 119
A school-age client is recovering after abdominal surgery. The nurse is planning care for the return of bowel function. Which intervention should be included in the client’s plan of care?
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Question 73 of 119
Monocytes differentiate into which kind of phagocytic cells?
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Question 74 of 119
Folate deficiency is likely to develop in one of the following groups of people:
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Question 75 of 119
A client was admitted with iron deficiency anemia and blood-streaked emesis. Which question is most appropriate for the nurse to ask in determining the extent of the client's activity intolerance?
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Question 76 of 119
The nurse provides home care instructions to a client with systemic lupus erythematosus and tells the client about methods to manage fatigue. Which statement by the client indicates a need for further instruction?
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Question 77 of 119
Aplastic anemia is a disorder in which the bone marrow cells that develop into mature blood cells become damaged. The damaged bone marrow cells can lead to low numbers of red blood cells, white blood cells, and/or platelets. When the cause of aplastic anemia cannot be diagnosed, the cause is likely which of the following?
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Question 78 of 119
Identify the encircled region. Be specific.
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Question 79 of 119
Based upon the above information, which component of the immune system would you expect to be abnormal?
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Question 80 of 119
Which of the following DOES NOT play a role in antigen presentation?
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Question 81 of 119
What is the term for enlarged lymph nodes due to infection?
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Question 82 of 119
Which one of the following statements concerning immunoglobulin allotypes is CORRECT?
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Question 83 of 119
Reinforcing teaching with a client who has recent diagnosis of raynaud's disease about preventing onset of manifestations- indicates an understanding of teaching?
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Question 84 of 119
This fatal disorder results from clot/thrombus formation in the blood circulation
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Question 85 of 119
Which of the following can be an antigen presenting cell through MHC Class II:
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Question 86 of 119
What is a side effect of xanthine oxidase inhibitors? (Select ONE that does not apply)
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Question 87 of 119
Which medication is used to treat acute management of gout?
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Question 88 of 119
What is the role of the cisterna chyli?
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Question 89 of 119
Decreasing the demands on the heart is a priority in care for the infant with congestive heart failure (CHF). In evaluating the infant’s status, which of the following is indicative of achieving this goal?
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Question 90 of 119
Which diagnostic test evaluates the morphological features of the blood cells?
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Question 91 of 119
The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which nursing intervention is a priority for this child?
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Question 92 of 119
Which cytokine promotes fever?
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Question 93 of 119
Specific immunity can be acquired either naturally or artificially and involves
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Question 94 of 119
Which type of antibody is MOST effective in activating complement?
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Question 95 of 119
A 73-year-old woman with DVT, platelet drop to 74,000 on heparin. Best next step?
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Question 96 of 119
A client with HIV infection has begun experiencing severe diarrhea. What is the most appropriate nursing intervention to help alleviate the diarrhea?
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Question 97 of 119
Which blood test result for a client being assessed for a hematologic problem indicates to the nurse that chronic anemia is likely?
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Question 98 of 119
Contain T-lymphocyte only
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Question 99 of 119
The Thymus independent type I antigen are _____________.
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Question 100 of 119
B cells express a complement receptor that binds to C3b cleavage products, such as iC3b and C3dg. When a B cell with an antigen receptor that specifically recognizes that pathogen also has its complement receptor stimulated because the pathogen is opsonized with these C3 fragments, B cell activation is greatly enhanced. This mechanism functions to:
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Question 101 of 119
Which statement best describes what will most likely happen when an individual receives a vaccination containing a weakened pathogen?
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Question 102 of 119
Which one of the following substances is NOT released by activated helper T cells?
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Question 103 of 119
Given the following values, calculate the RPI Observed reticulocyte count - 6% Hct- 30%
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Question 104 of 119
In patients with low numbers of neoplastic cells, sometimes due to treatment, PCR to amplify DNA can improve sensitivity, and detect signs of relapse.
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Question 105 of 119
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by which finding?
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Question 106 of 119
A 70-year-old ICU patient with gram-negative sepsis, bleeding, low platelets, fragmented RBCs. Best therapy?
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Question 107 of 119
A 76-year-old woman with pancreatic mass, weight loss. Paraneoplastic syndrome?
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Question 108 of 119
A nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload. Which of the following findings should the nurse expect?
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Question 109 of 119
The nurse admitting and assessing a teenage boy with suspected testicular torsion (twisted testicle) will most likely find which of the following manifestations in addition to possible nausea and vomiting and acute testicular pain?
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Question 110 of 119
Why are MHC II molecules necessary for antigen presentation by APCs?
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Question 111 of 119
The antibody-binding site is formed primarily by
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Question 112 of 119
22-year-old post-splenectomy. Most immediate concern?
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Question 113 of 119
Complete the following sentence. Proliferation and differentiation of B cells can be enhanced by thymus independent antigens including......
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Question 114 of 119
Which medication is an immunosuppressive agent?
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Question 115 of 119
Cardiac output
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Question 116 of 119
What is a consideration for patients taking probenecid?
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Question 117 of 119
The most common type of leukaemia in adults over 55 is:
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Question 118 of 119
Which of the following pairs of associations is mismatched?
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Question 119 of 119
Irritable bowel syndrome is most common in:
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