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A 5-month-old female, accompanied by her parents, presents to the pediatrician's office with a fever, dry mucous membranes, labored breathing, wheezing, and a harsh cough. Rapid testing of nasal swabs reveals respiratory syncytial virus infection. The RN arranges for transport to the hospital, where she will receive intravenous fluids and oxygen therapy. -The patient's parents question which antibiotic will be given to treat their daughter's infection.You inform her that ________.


A) antibiotics target eukaryotic cells and do not work on viruses
B) antibiotics target bacterial cells and do not work on viruses
C) her daughter will be tested for antibiotic sensitivity before they are given
D) her daughter is too young to receive antibiotic therapy

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

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It is necessary to culture viruses both in vivo and in vitro so that vaccines can be developed,analysis of viral genomes can be made and viruses in clinical specimens can be identified.

A) True
B) False

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Viruses with ________ -sense RNA contain the correct message for translation,while viruses with ________ -sense RNA must first be converted into a correct message.


A) positive; negative
B) negative; positive
C) primary; secondary
D) secondary; primary
E) None of the choices are correct

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

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An RN is in a long-term care facility is caring for a 79-year-old female. The patient has been a resident on in the facility for the past 5 years. She has been complaining of pain, burning, and tingling on her left side. Upon further assessment, the RN observes fluid-filled blisters wrapping around the left side of her torso in a concentrated strip. The facility physician diagnoses her with shingles and orders the appropriate isolation. -Viruses contain the necessary tools to invade and control a host cell.These tools may consist of a ________.


A) nucleus,nucleic acid strands of DNA and RNA,and enzymes
B) capsid or envelope,nucleic acid strands of DNA or RNA,and enzymes
C) nucleus,nucleic acid strands of RNA,capsid,and enzymes
D) capsid or envelope,nucleic acid strands of DNA,and enzymes

E) A) and B)
F) All of the above

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Host cells of viruses include ________.


A) humans and other animals
B) plants and fungi
C) bacteria
D) protozoa and algae
E) All of the choices are correct

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

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Infectious naked strands of RNA that affect plants are called ________.


A) viroids
B) phages
C) prions
D) oncogenic viruses
E) spikes

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

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Spikes are glycoproteins of the virus capsid.

A) True
B) False

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All of the following pertain to virus envelopes except ________.


A) gained as a virus leaves the host cell membrane
B) are comprised primarily of lipids
C) contain special virus proteins
D) help the virus particle attach to host cells
E) are located between the capsid and nucleic acid

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

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A negative-sense RNA virus ________.


A) is ready for immediate translation
B) must synthesize a negative RNA copy of its genome
C) must synthesize a positive RNA copy of its genome
D) is a special form of tRNA used by viruses
E) always codes for RNA polymerase

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

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A 5-month-old female, accompanied by her parents, presents to the pediatrician's office with a fever, dry mucous membranes, labored breathing, wheezing, and a harsh cough. Rapid testing of nasal swabs reveals respiratory syncytial virus infection. The RN arranges for transport to the hospital, where she will receive intravenous fluids and oxygen therapy. -If the patient receives antibiotic therapy at the hospital,the RN would expect the patient's duration of symptoms to be ________.


A) increased
B) decreased
C) unchanged
D) indeterminate with the information provided

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

Correct Answer

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Lysogeny refers to ________.


A) altering the host range of a virus
B) latent state of herpes infections
C) virion exiting host cell
D) viral genome inserting into bacterial host chromosome
E) None of the choices are correct

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

Correct Answer

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A 5-month-old female, accompanied by her parents, presents to the pediatrician's office with a fever, dry mucous membranes, labored breathing, wheezing, and a harsh cough. Rapid testing of nasal swabs reveals respiratory syncytial virus infection. The RN arranges for transport to the hospital, where she will receive intravenous fluids and oxygen therapy. -What is the rationale for providing intravenous fluids and oxygen support for this patient?


A) These measures increase the patient's immune response.
B) These measures augment antiviral treatment for RSV disease.
C) These measures prevent secondary respiratory infection while the patient is compromised.
D) These measures are supportive therapies while the disease runs its course

E) B) and C)
F) None of the above

Correct Answer

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Persistent viruses that can reactivate periodically are ________.


A) chronic latent viruses
B) oncoviruses
C) syncytia
D) inclusion bodies
E) cytopathic

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

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Mammalian viruses capable of starting tumors are ________.


A) chronic latent viruses
B) oncoviruses
C) syncytia
D) inclusion bodies
E) cytopathic

F) A) and D)
G) All of the above

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A patient undergoing chemotherapy for cancer develops an infection with cytomegalovirus,conclusively diagnosed by the presence of "owl's eye" viral nuclear inclusions in a liver biopsy.  This is an example of a(n)  ________.


A) cytopathic effect by cytomegalovirus
B) immune response by the host
C) cytomegalovirus becoming a provirus
D) transformation of the host cell by cytomegalovirus

E) All of the above
F) A) and B)

Correct Answer

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An RN in a pediatric emergency department performs a triage patient on a 13-month-old male. The patient's father states he had difficulty waking his son from a nap that afternoon. Additionally, the infant had difficulty crawling and had difficulty with feeding the following morning. The RN observes that the patient has a weak cry. Upon further assessment, the patient's father noted that the infant had ingested fresh honey on his toast at breakfast yesterday. The medical team suspects Clostridium botulinum infection due to the ingestion of bacterial endospores. -The RN anticipates that the priority intervention for this patient's care will be ________.


A) antibiotic administration
B) oxygen administration
C) airway support
D) blood pressure support

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

Correct Answer

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Two noncellular agents,smaller than viruses,are the infectious proteins called ________ and the infectious RNA strands called ________.


A) prions; capsomeres
B) virions; prions
C) viroids; phages
D) prions; phages
E) prions; viroids

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

Correct Answer

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An RN is in a long-term care facility is caring for a 79-year-old female. The patient has been a resident on in the facility for the past 5 years. She has been complaining of pain, burning, and tingling on her left side. Upon further assessment, the RN observes fluid-filled blisters wrapping around the left side of her torso in a concentrated strip. The facility physician diagnoses her with shingles and orders the appropriate isolation. -The patient asks the RN how she contracted this viral infection since she has not come in contact with anyone with anyone infected with shingles.Which of the following statements is an appropriate response?


A) Varicella zoster virus can remain in a chronic latent state by integrating into a bacteriophage.
B) Varicella zoster virus can remain in a chronic latent state by turning on oncogenes.
C) Varicella zoster virus can remain in a chronic latent state by attacking T cells.
D) Varicella zoster virus can hide from the immune system within nerve cells.

E) All of the above
F) B) and C)

Correct Answer

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Which of the following occurs during assembly of an enveloped virus?


A) Nucleocapsid is formed.
B) New viral nucleic acid is formed.
C) Viral spikes insert in host cell membrane.
D) A nucleocapsid is formed and viral spikes insert in host cell membrane.
E) All of the choices occur.

F) All of the above
G) C) and D)

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Viral spikes are inserted into the host cell membrane before budding or exocytosis.

A) True
B) False

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