MED SURG 2 IMMUNITY TEST
QUESTIONS AND ANSWERS
Ajwomanjhasjbeenjdiagnosedjwithjbreastjcancersjbeingjtreatedjaggressivelyjwithjajch
emotherapeuticjregimen.jAsjajresultjofjthisjregime,jshejhasjanjinabilityjtojfightjinfectionj
duejtojthejfactjthatjherjbonejmarrowjisjunablejtojproducejajsufficientjamountjofjwhat?
a.jlymphocytes
b.jcytoplastsj
c.jantibodies
d.jcapillariesj-jans-a
Duringjajmumpsjoutbreakjatjajlocaljschool,jajpatient,jwhojisjajschooljteacher,jisjexpos
ed.jShejhasjpreviouslyjbeenjimmunizedjformjmumps.jWhatjtypejofjimmunityjdoesjshej
possess?
a.jacquiredjimmunity
b.jNaturaljimmunity
c.jphagocyticjimmunity
d.jhumoraljimmunityj-jans-a
ajgardenerjsustainedjajdeepjlacerationjwhilejworkingjandjrequiresjsutures.jThejpatientj
isjaskedjaboutjthejdatejofjherjlastjtetanusjshot,jwhichjisjoverj10jyearsjago.jBasedjonjt
hisjinformation,jthejpatientjwilljreceivejajtetanusjimmunization.jThejtetanusjinjectionjwill
jallowjforjthejreleasejofjwhat?
a.jAntibodies
b.jantigens
c.jcytokines
d.jphagocytesj-jans-a
Anjinfectionjcontroljnursejisjpresentingjanjinservicejreviewingjthejimmunejresponse.jTh
ejnursejdescribesjthejclumpingjeffectjthatjoccursjwhenjanjantibodyjactsjlikejajcross-
linkjbetweenjtwojantigens.jWhatjprocessjisjthejnursejexplaining?
a.jAgglutination
b.jCellularjimmunejresponse
c.jhumoraljresponse
d.jPhagocyticjimmunejresponsej-jans-a
,Ajnursejhasjadministeredjajchild'sjscheduledjvaccinationjforjrubella.jThisjvaccinationjw
illjcausejthejchildjtojdevelopjwhichjofjthejfollowing?
a.jnaturaljimmunity
b.jactivejacquiredjimmunity
c.jcellularjimmunity
d.jmildjhypersensitivityj-jans-b
Ajpatientjwithjajhistoryjofjdermatitisjtakesjcorticosteroidsjonjajregularjbasis.jThejnursej
shouldjassessjthejpatientjforjwhichjofjthejfollowingjcomplicationsjofjtherapy?
a.jImmunosuppression
b.jagranulocytosisj
c.janemia
d.jthrombocytopeniaj-jans-a
ajnursejisjplanningjthejassessmentjofjajpatientjwhojisjexhibitingjsignsjandjsymptomsjo
fjanjautoimmunejdisorder.jThejnursejshouldjbejawarejthatjthejincidencejandjprevalenc
ejofjautoimmunejdiseasesjisjknownjtojbejhigherjamongjwhatjgroup?
a.jYoungjadults
b.jNativejAmericans
c.jwomen
d.jhispanicsj-jans-c
Ajpatientjwithjcysticjfibrosisjhasjreceivedjajdoublejlungjtransplantjandjisjnowjexperienc
ingjsignsjofjrejection.jWhatjisjthejimmunejresponsejthatjpredominatesjinjthisjsituation?
a.jhumoral
b.jnonspecific
c.jcellular
d.jmitigatedj-jans-c
ajpatient'sjinjuryjhasjinitiatedjanjimmunejresponsejthatjinvolvesjinflammation.jWhatjare
jthejfirstjcellsjtojarrivejatjajsitejofjinflammation?
a.jeosinophilsj
b.jredjbloodjcells
c.jlymphocytesj
d.jneutrophilsj-jans-d
Thejnursejshouldjrecognizejajpatient'sjriskjforjimpairedjimmunejfunctionjifjthejpatientjh
asjundergonejsurgicaljremovaljofjwhichjofjthejfollowing?
a.jThyroidjgland
b.jSpleen
,c.jKidney
d.jPancreasj-jans-b
Ajnursejisjadmittingjajpatientjwhojexhibitsjsignsjandjsymptomsjofjnutritionaljdeficit.jInja
dequatejintakejofjwhatjnutrientjincreasesjajpatient'sjsusceptibilityjtojinfection?
a.jVitaminjBj12
b.jUnsaturatedjfats
c.jProteins
d.jComplexjcarbohydratesj-jans-c
Ajnursejhasjadmittedjajpatientjwhojhasjbeenjdiagnosedjwithjurosepsis.jWhatjimmunejr
esponsejpredominatesjinjsepsis?
a.jMitigated
b.jNonspecific
c.jCellular
d.jHumoralj-jans-d
Ajpatientjisjadmittedjwithjcellulitisjandjexperiencesjajconsequentjincreasejinjwhitejbloo
djcelljcount.jThejnursejisjawarejthatjduringjthejimmunejresponse,jpathogensjarejengulf
edjbyjwhitejbloodjcellsjthatjingestjforeignjparticles.jWhatjisjthisjprocessjknownjas?
a.jApoptosis
b.jPhagocytosis
c.jAntibodyjresponse
d.jCellularjimmunejresponsej-jans-b
Ajnursejisjreviewingjajpatient'sjmedicationjadministrationjrecordjinjanjeffortjtojidentifyjd
rugsjthatjmayjcontributejtojthejpatient'sjrecentjimmunosuppression.jWhatjdrugjisjmostjl
ikelyjtojhavejthisjeffect?
a.jAnjanabiotic
b.jAnjNSAID
c.jAnjanti-neoplastic
d.jAndjanti-retroviralj-jans-c
Ajpatientjrequiresjongoingjtreatmentjandjinfectionjcontroljprecautionsjbecausejofjanjin
heritedjdeficitjinjimmunejfunction.jThejnursejshouldjrecognizejthatjthisjpatientjmostjlike
lyjhasjwhatjtypejofjimmunejdisorder?
a.jAjprimaryjimmunejdeficiency
b.jAjgammopathy
c.jAnjautoimmunejdisorder
d.jAjrheumaticjdisorderj-jans-c
, Ajneonatejexhibitedjsomejpreliminaryjsignsjofjinfection,jbutjthejinfantsjconditionjresolv
edjspontaneouslyjpriorjtojdischargejhomejfromjthejhospital.jThisjinfantsjrecoveryjwasj
mostjlikelyjduejtojwhatjtypejofjimmunity?
a.jCytokinejimmunity
b.jSpecificjimmunity
c.jActivejacquiredjimmunity
d.jNon-specificjimmunityj-jans-d
Ajgerontologicjnursejcaringjforjanjolderjadultjpatientjwhojhasjajdiagnosisjofjpneumonia
.jWhatjagejrelatedjchangejincreasesjolderjadultsjsusceptibilityjtojrespiratoryjinfections?
a.jAtrophyjofjthejthymus
b.jBronchialjstenosis
c.jImpairedjciliaryjaction
d.jDecreasedjdiaphragmaticjmusclejtonej-jans-c
Ajnursejisjreviewingjthejimmunejsystemjbeforejplanningjinjimmunocompromisejpatient
sjcare.jHowjshouldjthejnursejcharacterizejthejhumoraljimmunityjresponse?
a.jSpecializedjcellsjrecognizejandjingestjcellsjthatjarejrecognizedjasjforeign
b.jTjlymphocytesjarejassistedjbyjcytokinesjtojfightjinfection
c.jLymphocytesjarejstimulatedjtojbecomejcellsjthatjattackjmicrobesjdirectly
d.jAntibodiesjarejmadejbyjBjlymphocytesjinjresponsejtojspecificjantigenj-jans-d
Ajpatientjisjundergoingjtestingjtojdeterminejthejoveralljfunctionjofjherjimmunejsystem.j
Whatjtestjcanjbejperformedjtojevaluatejthejfunctioningjofjthejpatient'sjcellularjimmunej
system?
a.jImmunoglobulinjtesting
b.jDelayedjhypersensitivityjskinjtest
c.jSpecificjantibodyjresponse
d.jTotaljserumjglobulinjassessmentj-jans-b
Ajnursejisjexplainingjhowjthejhumoraljandjcellularjimmunejresponsesjshouldjbejseenja
sjinteractingjpartsjofjthejbroaderjimmunejsystemjratherjthanjasjindependentjandjunrela
tedjprocesses.jWhatjaspectjofjimmunejfunctionjbestjdemonstratesjthis?
a.jThejmovementjofjBjcellsjinjandjoutjofjlymphjnodes
b.jThejinteractionsjthatjoccurjbetweenjTjcellsjandjBjcells
c.jThejdifferentiationjbetweenjdifferentjtypesjofjTjcells
d.jThejuniversaljrolejofjthejcomplementjsystemj-jans-b
Ajnursejisjcaringjforjajpatientjwhojhasjhadjajseverejantigen/
antibodyjreaction.jThejnursejknowsjthatjthejportionjofjthejantigenjthatjisjinvolvedjinjbin
dingjwithjthejantibodyjisjcalledjwhat?
QUESTIONS AND ANSWERS
Ajwomanjhasjbeenjdiagnosedjwithjbreastjcancersjbeingjtreatedjaggressivelyjwithjajch
emotherapeuticjregimen.jAsjajresultjofjthisjregime,jshejhasjanjinabilityjtojfightjinfectionj
duejtojthejfactjthatjherjbonejmarrowjisjunablejtojproducejajsufficientjamountjofjwhat?
a.jlymphocytes
b.jcytoplastsj
c.jantibodies
d.jcapillariesj-jans-a
Duringjajmumpsjoutbreakjatjajlocaljschool,jajpatient,jwhojisjajschooljteacher,jisjexpos
ed.jShejhasjpreviouslyjbeenjimmunizedjformjmumps.jWhatjtypejofjimmunityjdoesjshej
possess?
a.jacquiredjimmunity
b.jNaturaljimmunity
c.jphagocyticjimmunity
d.jhumoraljimmunityj-jans-a
ajgardenerjsustainedjajdeepjlacerationjwhilejworkingjandjrequiresjsutures.jThejpatientj
isjaskedjaboutjthejdatejofjherjlastjtetanusjshot,jwhichjisjoverj10jyearsjago.jBasedjonjt
hisjinformation,jthejpatientjwilljreceivejajtetanusjimmunization.jThejtetanusjinjectionjwill
jallowjforjthejreleasejofjwhat?
a.jAntibodies
b.jantigens
c.jcytokines
d.jphagocytesj-jans-a
Anjinfectionjcontroljnursejisjpresentingjanjinservicejreviewingjthejimmunejresponse.jTh
ejnursejdescribesjthejclumpingjeffectjthatjoccursjwhenjanjantibodyjactsjlikejajcross-
linkjbetweenjtwojantigens.jWhatjprocessjisjthejnursejexplaining?
a.jAgglutination
b.jCellularjimmunejresponse
c.jhumoraljresponse
d.jPhagocyticjimmunejresponsej-jans-a
,Ajnursejhasjadministeredjajchild'sjscheduledjvaccinationjforjrubella.jThisjvaccinationjw
illjcausejthejchildjtojdevelopjwhichjofjthejfollowing?
a.jnaturaljimmunity
b.jactivejacquiredjimmunity
c.jcellularjimmunity
d.jmildjhypersensitivityj-jans-b
Ajpatientjwithjajhistoryjofjdermatitisjtakesjcorticosteroidsjonjajregularjbasis.jThejnursej
shouldjassessjthejpatientjforjwhichjofjthejfollowingjcomplicationsjofjtherapy?
a.jImmunosuppression
b.jagranulocytosisj
c.janemia
d.jthrombocytopeniaj-jans-a
ajnursejisjplanningjthejassessmentjofjajpatientjwhojisjexhibitingjsignsjandjsymptomsjo
fjanjautoimmunejdisorder.jThejnursejshouldjbejawarejthatjthejincidencejandjprevalenc
ejofjautoimmunejdiseasesjisjknownjtojbejhigherjamongjwhatjgroup?
a.jYoungjadults
b.jNativejAmericans
c.jwomen
d.jhispanicsj-jans-c
Ajpatientjwithjcysticjfibrosisjhasjreceivedjajdoublejlungjtransplantjandjisjnowjexperienc
ingjsignsjofjrejection.jWhatjisjthejimmunejresponsejthatjpredominatesjinjthisjsituation?
a.jhumoral
b.jnonspecific
c.jcellular
d.jmitigatedj-jans-c
ajpatient'sjinjuryjhasjinitiatedjanjimmunejresponsejthatjinvolvesjinflammation.jWhatjare
jthejfirstjcellsjtojarrivejatjajsitejofjinflammation?
a.jeosinophilsj
b.jredjbloodjcells
c.jlymphocytesj
d.jneutrophilsj-jans-d
Thejnursejshouldjrecognizejajpatient'sjriskjforjimpairedjimmunejfunctionjifjthejpatientjh
asjundergonejsurgicaljremovaljofjwhichjofjthejfollowing?
a.jThyroidjgland
b.jSpleen
,c.jKidney
d.jPancreasj-jans-b
Ajnursejisjadmittingjajpatientjwhojexhibitsjsignsjandjsymptomsjofjnutritionaljdeficit.jInja
dequatejintakejofjwhatjnutrientjincreasesjajpatient'sjsusceptibilityjtojinfection?
a.jVitaminjBj12
b.jUnsaturatedjfats
c.jProteins
d.jComplexjcarbohydratesj-jans-c
Ajnursejhasjadmittedjajpatientjwhojhasjbeenjdiagnosedjwithjurosepsis.jWhatjimmunejr
esponsejpredominatesjinjsepsis?
a.jMitigated
b.jNonspecific
c.jCellular
d.jHumoralj-jans-d
Ajpatientjisjadmittedjwithjcellulitisjandjexperiencesjajconsequentjincreasejinjwhitejbloo
djcelljcount.jThejnursejisjawarejthatjduringjthejimmunejresponse,jpathogensjarejengulf
edjbyjwhitejbloodjcellsjthatjingestjforeignjparticles.jWhatjisjthisjprocessjknownjas?
a.jApoptosis
b.jPhagocytosis
c.jAntibodyjresponse
d.jCellularjimmunejresponsej-jans-b
Ajnursejisjreviewingjajpatient'sjmedicationjadministrationjrecordjinjanjeffortjtojidentifyjd
rugsjthatjmayjcontributejtojthejpatient'sjrecentjimmunosuppression.jWhatjdrugjisjmostjl
ikelyjtojhavejthisjeffect?
a.jAnjanabiotic
b.jAnjNSAID
c.jAnjanti-neoplastic
d.jAndjanti-retroviralj-jans-c
Ajpatientjrequiresjongoingjtreatmentjandjinfectionjcontroljprecautionsjbecausejofjanjin
heritedjdeficitjinjimmunejfunction.jThejnursejshouldjrecognizejthatjthisjpatientjmostjlike
lyjhasjwhatjtypejofjimmunejdisorder?
a.jAjprimaryjimmunejdeficiency
b.jAjgammopathy
c.jAnjautoimmunejdisorder
d.jAjrheumaticjdisorderj-jans-c
, Ajneonatejexhibitedjsomejpreliminaryjsignsjofjinfection,jbutjthejinfantsjconditionjresolv
edjspontaneouslyjpriorjtojdischargejhomejfromjthejhospital.jThisjinfantsjrecoveryjwasj
mostjlikelyjduejtojwhatjtypejofjimmunity?
a.jCytokinejimmunity
b.jSpecificjimmunity
c.jActivejacquiredjimmunity
d.jNon-specificjimmunityj-jans-d
Ajgerontologicjnursejcaringjforjanjolderjadultjpatientjwhojhasjajdiagnosisjofjpneumonia
.jWhatjagejrelatedjchangejincreasesjolderjadultsjsusceptibilityjtojrespiratoryjinfections?
a.jAtrophyjofjthejthymus
b.jBronchialjstenosis
c.jImpairedjciliaryjaction
d.jDecreasedjdiaphragmaticjmusclejtonej-jans-c
Ajnursejisjreviewingjthejimmunejsystemjbeforejplanningjinjimmunocompromisejpatient
sjcare.jHowjshouldjthejnursejcharacterizejthejhumoraljimmunityjresponse?
a.jSpecializedjcellsjrecognizejandjingestjcellsjthatjarejrecognizedjasjforeign
b.jTjlymphocytesjarejassistedjbyjcytokinesjtojfightjinfection
c.jLymphocytesjarejstimulatedjtojbecomejcellsjthatjattackjmicrobesjdirectly
d.jAntibodiesjarejmadejbyjBjlymphocytesjinjresponsejtojspecificjantigenj-jans-d
Ajpatientjisjundergoingjtestingjtojdeterminejthejoveralljfunctionjofjherjimmunejsystem.j
Whatjtestjcanjbejperformedjtojevaluatejthejfunctioningjofjthejpatient'sjcellularjimmunej
system?
a.jImmunoglobulinjtesting
b.jDelayedjhypersensitivityjskinjtest
c.jSpecificjantibodyjresponse
d.jTotaljserumjglobulinjassessmentj-jans-b
Ajnursejisjexplainingjhowjthejhumoraljandjcellularjimmunejresponsesjshouldjbejseenja
sjinteractingjpartsjofjthejbroaderjimmunejsystemjratherjthanjasjindependentjandjunrela
tedjprocesses.jWhatjaspectjofjimmunejfunctionjbestjdemonstratesjthis?
a.jThejmovementjofjBjcellsjinjandjoutjofjlymphjnodes
b.jThejinteractionsjthatjoccurjbetweenjTjcellsjandjBjcells
c.jThejdifferentiationjbetweenjdifferentjtypesjofjTjcells
d.jThejuniversaljrolejofjthejcomplementjsystemj-jans-b
Ajnursejisjcaringjforjajpatientjwhojhasjhadjajseverejantigen/
antibodyjreaction.jThejnursejknowsjthatjthejportionjofjthejantigenjthatjisjinvolvedjinjbin
dingjwithjthejantibodyjisjcalledjwhat?
