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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. The mother of 6-year-old Mary has brought her daughter into the pediatrician’s office where you work, complaining Mary has had a sore throat for several days and a fever. She has had a fever up to 104F that seems worse at night, but seems to respond to treatment with acetaminophen. Mary has not been eating or drinking as much either because she says “it hurts to swallow.” She is ill-appearing, and does not seem interested in playing with the toys or reading the books that are in the examination room. The doctor noted a thick, white exudate coating on both of Mary’s tonsils, which also seem enlarged. The doctor ordered a throat culture swab, as well as a complete blood count with differentials. -The in-house lab performs the complete blood count with cell differential while Mary is still in the office.It shows an elevated white blood cell count,as well as an increase in neutrophils.What is this most likely a sign of?


A) bacterial infection
B) viral infection
C) tumor necrosis factor activation
D) interleukin-2 production

E) B) and C)
F) A) and B)

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The _____ system of blood proteins acts to lyse foreign cells and viruses.


A) humoral immunity
B) cell-mediated
C) complement
D) lymphoid
E) None of the choices is correct.

F) A) and D)
G) C) and E)

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All of the following pertain to platelets except they


A) contain hemoglobin to transport oxygen and carbon dioxide.
B) function primarily in hemostasis.
C) originate from giant multinucleate cells called megakaryocytes.
D) function in blood clotting and inflammation.
E) are not whole cells but are pieces of cells.

F) A) and D)
G) A) and C)

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A person will typically experience the sensation of _____ when fever is starting to occur in the body.


A) heat
B) pain
C) chill
D) sweat
E) All of the choices are correct.

F) B) and E)
G) A) and B)

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The four classic signs and symptoms of inflammation include all the following except


A) redness.
B) warmth.
C) swelling.
D) pain.
E) chills.

F) B) and E)
G) C) and D)

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The least numerous of all white blood cells that release histamine during inflammation and allergic reactions are


A) basophils.
B) eosinophils.
C) neutrophils.
D) monocytes.
E) lymphocytes.

F) A) and B)
G) None of the above

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A properly functioning immune system is responsible for


A) surveillance of the body.
B) recognition of foreign material.
C) destruction of foreign material.
D) All of the above choices are correct.
E) Only recognition of foreign material and destruction of foreign material are correct.

F) None of the above
G) D) and E)

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The blood cells that function in allergic reactions and inflammation,contain peroxidase and lysozyme,and particularly target parasitic worms and fungi are


A) basophils.
B) eosinophils.
C) neutrophils.
D) monocytes.
E) lymphocytes.

F) C) and D)
G) C) and E)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Mario is a 35-year-old male who has come into your ER with a laceration to his left hand. According to Mario, he was working on home renovations in his 1945 city bungalow, when an old board fell from a shelf and injured his hand. The laceration is a cut about 3 inches long, but fairly shallow. It appears that it was bleeding pretty heavily, but he has stopped the bleeding by holding pressure on it with an old t-shirt. He said it happened about an hour ago. -At this phase of injury,how would you expect the area surrounding the injury to present?


A) cool and blue
B) pink,warm,and dry
C) red and hot
D) dusky,gray,and clammy

E) B) and D)
F) B) and C)

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Inflammatory responses are orchestrated by the immune system and are part of the body's third line of defense.

A) True
B) False

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During phagocytosis,intracellular digestion begins as soon as the phagosome is formed.

A) True
B) False

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Which of the following is incorrect about complement?


A) is composed of at least 20 blood proteins
B) only appears in the blood during a response to a pathogen
C) acts in a cascade reaction
D) involves a classical pathway
E) involves an alternate pathway

F) A) and C)
G) B) and E)

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The body region where a ciliary escalator helps to sweep microbes trapped in mucus away from that body site is the


A) skin.
B) respiratory tract.
C) digestive tract.
D) urinary tract.
E) eyes.

F) A) and B)
G) B) and D)

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Complement proteins are produced by the spleen.

A) True
B) False

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Which of the following is incorrect about blood cells?


A) after birth,produced in red bone marrow sites
B) develop from undifferentiated stem cells
C) include mast cells
D) include leukocytes that are either granulocytes or agranulocytes
E) include erythrocytes that,when mature,lose their nuclei

F) C) and E)
G) A) and E)

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Which of the following is incorrect about inflammation?


A) It can last hours to years.
B) Pyrogens cause vasodilation and increased capillary permeability.
C) Serotonin causes smooth muscle contraction.
D) Fever could be beneficial to inhibiting the pathogen.
E) Basophils and mast cells release histamine.

F) B) and D)
G) B) and E)

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All of the following pertain to interferon except it


A) is a protein.
B) is produced by certain white blood cells and tissue cells.
C) includes alpha,beta,and gamma types.
D) inhibits viruses,tumors,and cancer gene expression.
E) increases capillary permeability and vasodilation.

F) D) and E)
G) A) and C)

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Immune system cells differentiate between self and foreign cells by their


A) cell walls.
B) biota.
C) markers.
D) skin.
E) cell processes.

F) A) and D)
G) A) and B)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. The mother of 6-year-old Mary has brought her daughter into the pediatrician’s office where you work, complaining Mary has had a sore throat for several days and a fever. She has had a fever up to 104F that seems worse at night, but seems to respond to treatment with acetaminophen. Mary has not been eating or drinking as much either because she says “it hurts to swallow.” She is ill-appearing, and does not seem interested in playing with the toys or reading the books that are in the examination room. The doctor noted a thick, white exudate coating on both of Mary’s tonsils, which also seem enlarged. The doctor ordered a throat culture swab, as well as a complete blood count with differentials. -Why are Mary's tonsils swollen?


A) Mary's tonsils were probably ruptured by her intense cough,and the swelling is part of the normal wound-healing process.
B) Tonsils are made of lymphatic tissue,and they probably became swollen by filtering out bacteria and their toxic products.
C) Mary's tonsils are probably swollen because she is dehydrated from not drinking water,so they are holding onto whatever fluid they can.
D) Tonsils are very sensitive to stimulation,so they probably became swollen from Mary's constant picking.

E) B) and D)
F) A) and D)

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The most numerous WBCs that have multilobed nuclei and are very phagocytic are


A) basophils.
B) eosinophils.
C) neutrophils.
D) monocytes.
E) lymphocytes.

F) A) and B)
G) C) and D)

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