Exam 4 NCOI Immunity and Malignancy (Ch. 13, 14, 15) Questions
with Verified Answers (Correct Update)
Question 1: The function of monocytes in immunity is related to their ability to
Answer: Capture antigens by phagocytosis and present them to lymphocytes.
Question 2: The reason newborns are protected for the first 6 months of life from bacterial
infections is because of the maternal transmission of
Answer: IgG.
Question 3: In a type I hypersensitivity reaction the primary immunologic disorder appears to
be
Answer: Release of chemical mediators from IgE-bound mast cells and basophils.
Question 4: The nurse is alerted to possible anaphylactic shock immediately after a patient has
received intramuscular penicillin by the development of
Answer: Edema and itching at the injection site.
Question 5: The nurse advises a friend who asks him to administer his allergy shots that
Answer: Immunotherapy should only be administered in a setting where emergency equipment and
drugs are available.
Question 6: Association between HLA antigens and diseases is most commonly found in what
disease conditions?
Answer: Autoimmune disorders
Question 7: A patient is undergoing plasmapheresis for treatment of systemic lupus
erythematosus. The nurse explains that plasmapheresis is used in her treatment to
Answer: Exchange her plasma that contains antinuclear antibodies with a substitute fluid.
Question 8: The most common cause of secondary immunodeficiencies is
Answer: Drugs
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, Question 9: What accurately describes rejection following transplantation?
Answer: Hyperacute reaction can usually be avoided if crossmatching is done before the
transplantation.
Question 10: In a person having an acute rejection of a transplanted kidney, what would help
the nurse understand the course of events (select all that apply)?
Answer: Acute rejection can be treated with OKT3 Acute rejection usually leads to chronic rejection
Acute rejection is common after a transplant and can be treated with drug therapy.
Question 11: The nurse is teaching a patient with a latex allergy about preventing and treating
allergic reactions. Which statement, if made by the patient, indicates a need for further
teaching?
Answer: "My reactions are not severe; I will not need an EpiPen."
Question 12: The patient with an allergy to bee stings was just stung by a bee. After applying
oxygen, removing the stinger, and administering epinephrine, the nurse notices the patient is
hypotensive. What should be the nurse’s first action?
Answer: Place the patient recumbent and elevate the legs.
Question 13: A patient has begun immunotherapy for the treatment of intractable
environmental allergies. When administering the patient’s immunotherapy, what is the nurse’s
priority action?
Answer: Monitor for signs and symptoms of an adverse reaction.
Question 14: The patient with an autoimmune disease will be treated with plasmapheresis.
What should the nurse teach the patient about this treatment?
Answer: It will remove the IgG autoantibodies and antigen complexes from the plasma
Question 15: Which statement made by the nurse is most appropriate in teaching patient
interventions to minimize the effects of seasonal allergic rhinitis?
Answer: "You should sleep in an air-conditioned room."
Question 16: A healthy older adult patient requests a “flu shot” during an office visit. When
assessing the patient, what other vaccinations should the nurse ask the patient about receiving?
(Select all that apply.)
Answer: Shingles Pneumonia
Page 2
with Verified Answers (Correct Update)
Question 1: The function of monocytes in immunity is related to their ability to
Answer: Capture antigens by phagocytosis and present them to lymphocytes.
Question 2: The reason newborns are protected for the first 6 months of life from bacterial
infections is because of the maternal transmission of
Answer: IgG.
Question 3: In a type I hypersensitivity reaction the primary immunologic disorder appears to
be
Answer: Release of chemical mediators from IgE-bound mast cells and basophils.
Question 4: The nurse is alerted to possible anaphylactic shock immediately after a patient has
received intramuscular penicillin by the development of
Answer: Edema and itching at the injection site.
Question 5: The nurse advises a friend who asks him to administer his allergy shots that
Answer: Immunotherapy should only be administered in a setting where emergency equipment and
drugs are available.
Question 6: Association between HLA antigens and diseases is most commonly found in what
disease conditions?
Answer: Autoimmune disorders
Question 7: A patient is undergoing plasmapheresis for treatment of systemic lupus
erythematosus. The nurse explains that plasmapheresis is used in her treatment to
Answer: Exchange her plasma that contains antinuclear antibodies with a substitute fluid.
Question 8: The most common cause of secondary immunodeficiencies is
Answer: Drugs
Page 1
, Question 9: What accurately describes rejection following transplantation?
Answer: Hyperacute reaction can usually be avoided if crossmatching is done before the
transplantation.
Question 10: In a person having an acute rejection of a transplanted kidney, what would help
the nurse understand the course of events (select all that apply)?
Answer: Acute rejection can be treated with OKT3 Acute rejection usually leads to chronic rejection
Acute rejection is common after a transplant and can be treated with drug therapy.
Question 11: The nurse is teaching a patient with a latex allergy about preventing and treating
allergic reactions. Which statement, if made by the patient, indicates a need for further
teaching?
Answer: "My reactions are not severe; I will not need an EpiPen."
Question 12: The patient with an allergy to bee stings was just stung by a bee. After applying
oxygen, removing the stinger, and administering epinephrine, the nurse notices the patient is
hypotensive. What should be the nurse’s first action?
Answer: Place the patient recumbent and elevate the legs.
Question 13: A patient has begun immunotherapy for the treatment of intractable
environmental allergies. When administering the patient’s immunotherapy, what is the nurse’s
priority action?
Answer: Monitor for signs and symptoms of an adverse reaction.
Question 14: The patient with an autoimmune disease will be treated with plasmapheresis.
What should the nurse teach the patient about this treatment?
Answer: It will remove the IgG autoantibodies and antigen complexes from the plasma
Question 15: Which statement made by the nurse is most appropriate in teaching patient
interventions to minimize the effects of seasonal allergic rhinitis?
Answer: "You should sleep in an air-conditioned room."
Question 16: A healthy older adult patient requests a “flu shot” during an office visit. When
assessing the patient, what other vaccinations should the nurse ask the patient about receiving?
(Select all that apply.)
Answer: Shingles Pneumonia
Page 2
