1. In assessing client receiving chemo- large areas of ecchymosis in various sites of body would require further evaluation 2.

Delayed hypersensitivity reactions is mediated by the T cell 3. Major defense against mycobacterial organisms is NOT a characteristic of humoral immunity 4. Client undergoing radiation therapy has severely depressed WBC, priority nursing intervention would include place the client in a private room and maintain strict aseptic technique with all procedures 5. A 12 year old boy developed swelling of his face, urticarial and SOB after eating shellfish. This condition is associated with degranulation of mass cells 6. The client tells you that because his brain tumor is benign, it does not need to be removed, you say Because benign tumors continue to get larger, when they are in a place that could damage normal tissue, they need to be removed 7. Antibodies neutralize or destroy antigens in several ways. These include- They agglutinate antigens, they activate the complement system, antibodies prevent antigens from binding to the surface of the bodys cells, and antibodies coat an antigen to make it more susceptible to phagocytosis 8. A client who is to receive radiation therapy for cancer says to the nurse, My family said I will get a radiation burn- your response is a localized skin reaction usually occurs 9. What should the nurse do when caring for a client who has a radium implant for cancer of the cervix- organize care to limit the amount of time spent with the patient 10. Cell mediated immunity is a function that relies primarily upon the actions of T lymphocytes 11. What is the rationale for treatment of atopic allergies with immunotherapy- to stimulate increased IgG to bind with allergen-reactive sites, preventing mast cell-bound IgE reactions 12. You have been asked to create a cancer risk reduction pamphlet for the clients who come to your clinic. This clinic serves a large A.A population, therefore, prevention and early detection tips for Lung and prostate!! 13. Which statement best describes the role of suppressor genes in cancer development- suppressor genes control the expression of oncogenes, reducing the risk for cancer development 14. The nurse is performing an assessment in a local clinic. Based on the history provided by the clients, which one of the following requires an immediate referral for screening and evaluation? Client who report unintended weight loss of 25 pounds over the past 3 months 15. Which problem or condition demonstrates a type II hypersensitivity reaction- Transfusion with the improper blood type 16. The nurse is teaching a postmenopausal patient with breast cancer about the expected outcomes of her treatment, the nurse evaluates that the teaching has been effective when. The patient says I will need to have follow-up exam for many years after I have treatment before I can be considered cured. 17. What are the effects of aging on the immune system- Greater susceptibility to infections, Bone marrow remains relatively unaffected, High incidence of tumors, decreased or absent delayed hypersensitivity reaction. 18. What are the maternal antibodies which routinely cross the placenta- IgG 19. What are the four hallmark signs of Tumor Lysis Syndrom- Hypocalcemia, Hyperphosphatemia, Hyperkalemia, Hyperuricemia

20. A client diagnosed with Hodgkins lymphoma develops radiation pneumonitis 3 months after radiation, which symptoms of radiation pneumonitis should a nurse observe- Cough, Fever, Dyspnea 21. The client with prostate cancer tells you that he is now having a lot of pain in his lower back and legs. What problem do you suspect- Metastasis to the bone 22. Which characteristic is common to all types of hypersensitivity reactions- The presence of tissue damaging reactions 23. For which types of cancer is radiation therapy most effective- Cancers that are localized to one tissue or body area 24. Where do plasma cells arise from Lymphocytes 25. What is the role/function of cytokines- instruct cells to alter their proliferation, differentiation, secretion or activity, stimulate the bone marrow to make WBCs and treat various malignancies, helps the bodys natural defenses attack tumors and viruses