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.

Question 2

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.

Question 3

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.

Question 4

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.

Question 5

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.

Question 6

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.

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

Question 8

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

Question 9

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.

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.

Question 11

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.

Question 12

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.

Question 13

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.

Question 14

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.

Question 15

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.

Exam 16: Hematological and Immune Disorders

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:

Correct Answer
verified

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:

Correct Answer
verified

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

Correct Answer
verified

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:

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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:

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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:

Correct Answer
verified

Exam 16: Hematological and Immune Disorders

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:

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

Correct Answer
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