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 Question 11 The mother of a young child tells the nurse that when she was breastfeeding her baby, he never had any colds or infections but now that he is weaned, he seems to be sick all of the time. What should the nurse explain to the mother? 1. The breast milk provided passive immunity to the baby that he no longer is receiving. 2. The child should be immunized to prevent these common illnesses. 3. Some children are just prone to getting more infections than others. 4. Most babies won’t get sick until they are past the age of 12 months. Question 12 A patient is scheduled to have his tonsils removed. The nurse realizes that this procedure could result in deficiency of which immunoglobulin? 1. Immunoglobulin D 2. Immunoglobulin A 3. Immunoglobulin E 4. Immunoglobulin G Question 13 A patient is being evaluated for a kidney transplant. Which individual is most likely the best candidate to donate this organ? 1. A live donor from a donor bank 2. Live kidney transplant from the patient’s spouse 3. Cadaver kidney transplant 4. Live kidney transplant from a brother Question 14 A man with assessment findings associated with prostate cancer is having the tumor-associated antigen PSA drawn. The nurse anticipates this level will be used for which purposes? 1. To confirm the diagnosis of prostate cancer 2. To rule out the presence of prostate cancer 3. To screen for the probability of prostate cancer 4. To assess efficacy of treatment 5. To determine presence of metastasis Question 15 A patient being admitted for knee surgery says, “Everyone in my office is sick all of the time, but I never get sick.” How would the nurse evaluate this statement? 1. The patient may have a strong antigen–antibody response. 2. This patient’s poorly differentiated histocompatibility antigens may be a problem during postoperative recovery. 3. The patient’s coworkers must have immune system compromise. 4. The patient must have strong passive immunity. Question 16 A patient’s admission laboratory work reveals a platelet count of 90,000/mcL. Which interventions should the nurse implement? 1. Implement bleeding precautions. 2. Monitor urine output. 3. Limit the ingestion of green leafy vegetables. 4. Restrict fluids. 5. Review the patient’s medication history. Question 17 A wound on a patient’s leg has stopped bleeding. The nurse would attribute this to which physiologic occurrence? 1. Tumor necrosis factor has sealed the wound. 2. Neutrophils have invaded the wound. 3. Macrophages have been released into the general circulation. 4. Platelets retracted the clot, reducing leakage. Question 18 A patient suffered severe trunk and lower extremity injury in a motor vehicle accident. Which injuries would indicate to the nurse that this patient may have dysfunction of normal hemostasis? 1. Contusion of the spleen 2. Laceration of the liver 3. Femur fractures 4. Bruising of the heart 5. Pneumothorax Question 19 A patient is being treated for anemia after a postpartum hemorrhage. The nurse would expect that this patient’s erythrocytes would have which appearance? 1. Microcytic 2. Normochromic 3. Macrocytic 4. Hypochromic 5. Normocytic Question 20 The patient has developed a “shift to the left.” The nurse would expect which value on the complete blood count? 1. Increased bands 2. Increased eosinophils 3. Decreased lymphocytes 4. Increased monocytes

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