Medsurg II-test 1
A woman has been diagnosed with breast cancer and is being treated
aggressively
a chemotherapeutic
with regimen. As a result of this regimen, she has an
inability to
infection fight
due to the fact that her bone marrow is unable to produce a
sufficient
of what? correct
amount
answerslymphocytes
During a mumps outbreak at a local school, a patient, who is a school
teacher, isShe has previously been immunized for mumps. What type of
exposed.
immunity
she possess?doescorrect answersacquired
immunity
A gardener sustained a deep laceration while working and requires sutures.
The patient
is asked aboutthe date of her last tetanus shot, which is over 10 years
this
ago.information,
Based on the patient will receive a tetanus immunization. The
tetanus
will allowinjection
for the release of what? correct
answersantibodies
An infection control nurse is presenting an inservice reviewing the
immune
The nurse response.
describes the clumping effect that occurs when an antibody acts
like a
link cross- two antigens. What process is the nurse
between
explaining? correct
answersagglutinati
on
A nurse has administered a childs scheduled vaccination for rubella. This
vaccination
will cause the child to develop which of the following? correct
answersactive acquired
immunit
y
A patient with a history of dermatitis takes corticosteroids on a regular
basis. The
should nurse
assess the patient for which of the following complications of
therapy? correct
answersimmunosuppress
ion
A nurse is planning the assessment of a patient who is exhibiting signs and
symptoms
of an autoimmune disorder. The nurse should be aware that the
incidence and
prevalence of autoimmune diseases is known to be higher among what
group? correct
A 16-year-old has been brought to the emergency department by his
answerswom
falling
parents
en through
after the glass of a patio door, suffering a laceration. The nurse
caring for
patient this that the site of the injury will have an invasion of
knows
what? correct
answersphagocytic
cells
A man was scratched by an old tool and developed a virulent
staphylococcus
In the course of infection.
the mans immune response, circulating lymphocytes
containing the
,antigenic message returned to the nearest lymph node. During what
stage of the
immune response did this occur? correct
answersproliferation stage
A patient with cystic fibrosis has received a double lung transplant
and is now signs of rejection. What is the immune response that
experiencing
predominates
situation? correct
in this
answerscellular
A patient is being treated for bacterial pneumonia. In the first stages of
illness, the
patients dyspnea was accompanied by a high fever. Currently, the patient
claims to
feeling better
be and is afebrile. The patient is most likely in which stage of
the immune
response? correct answerseffector
stage
The nurse is providing care for a patient who has multiple sclerosis.
The nurse the autoimmune etiology of this disease and the potential
recognizes
benefits of what
treatment? correct answersstem cell
transplant
A patients injury has initiated an immune response that involves
the first cells to
inflammation. arrive
What areat a site of inflammation? correct
answersneutrophils
A nurse is planning a patients care and is relating it to normal immune
response.
what stageDuring
of the immune response should the nurse know that antibodies
orcells
T cytotoxic
combine and destroy the invading microbes? correct
answerseffector stage
The nurse should recognize a patients risk for impaired immune function if
the patient
has undergone surgical removal of which of the following? correct
answersspleen
A nurse is admitting a patient who exhibits signs and symptoms of a
nutritional deficit.
Inadequate intake of what nutrient increases a patients susceptibility
to infection?
correct
answersproteins
A nurse has admitted a patient who has been diagnosed with urosepsis.
What immune
response predominates in sepsis? correct
answershumoral
A patient is admitted with cellulitis and experiences a consequent
increase
blood cellincount.
white The nurse is aware that during the immune response,
pathogens
engulfed byare
white blood cells that ingest foreign particles. What is this
process
as? correctknown
answersphagocytosis
A nurse is reviewing a patients medication administration record in an
drugs
effort tothat may contribute to the patients recent immunosuppression. What
identify
drug is
likely tomost
have this effect? correct answersan
antineoplastic
A patient requires ongoing treatment and infection-control precautions
inherited
because of deficit
an in immune function. The nurse should recognize that this
patient
likely hasmost
what type of immune disorder? correct answersan
autoimmune disorder
, A neonate exhibited some preliminary signs of infection, but the
resolved spontaneously prior to discharge home from the hospital. This
infants condition
infants
was mostrecovery
likely due to what type of immunity? correct
answersnonspecific immunity
A gerontologic nurse is caring for an older adult patient who has a
diagnosis of What age- related change increases older adults
pneumonia.
susceptibility
respiratory to
infections? correct answersimpaired
ciliary action
A nurse is explaining the process by which the body removes cells from
circulation
they have performed
after their physiologic function. The nurse is describing
what process?
correct
answersapoptosis
A patient is responding to a microbial invasion and the patients
lymphocytes have begun to function in either a humoral or a cellular
differentiated
capacity.
what stage During
of the immune response does this occur? correct answersthe
stag
response
e
A nurse is reviewing the immune system before planning an
immunocompromised
patients care. How should the nurse characterize the humoral immune
response?
correct answersantibodies are made by b-lymphocytes in response to a
specific antigen
A patient is undergoing testing to determine the overall function of her
immune
What testsystem.
can be performed to evaluate the functioning of the patients
cellular immune
system? correct answersdelayed hypersensitivity
skin test
Diagnostic testing has revealed a deficiency in the function of a patients
complement
system. This patient is likely to have an impaired ability to do which of the
correct answersbridging natural and acquired
following?
immunity
A patients current immune response involves the direct destruction
of foreign
microorganisms. This aspect of the immune response may be performed by
what cells?
correct answerscytoxic t-
cells
A nurse is explaining how the humoral and cellular immune responses
should be seen
as interacting parts of the broader immune system rather than as
independent and
unrelated processes. What aspect of immune function best demonstrates
this? correct
A nurse is caring for a patient who has had a severe antigen/antibody
answersthe interactions that occur between tcells
nurse knows
reaction.
and bcells The that the portion of the antigen that is involved in binding with
the
is antibody
called what? correct answersantigenic
determinant
A patient is being treated for cancer and the nurse has identified the
of Risk for
nursing Infection Due to Protein Losses. Protein losses inhibit immune
diagnosis
response
which in following ways? correct answersdepressing antibody
of the
response
A woman has been diagnosed with breast cancer and is being treated
aggressively
a chemotherapeutic
with regimen. As a result of this regimen, she has an
inability to
infection fight
due to the fact that her bone marrow is unable to produce a
sufficient
of what? correct
amount
answerslymphocytes
During a mumps outbreak at a local school, a patient, who is a school
teacher, isShe has previously been immunized for mumps. What type of
exposed.
immunity
she possess?doescorrect answersacquired
immunity
A gardener sustained a deep laceration while working and requires sutures.
The patient
is asked aboutthe date of her last tetanus shot, which is over 10 years
this
ago.information,
Based on the patient will receive a tetanus immunization. The
tetanus
will allowinjection
for the release of what? correct
answersantibodies
An infection control nurse is presenting an inservice reviewing the
immune
The nurse response.
describes the clumping effect that occurs when an antibody acts
like a
link cross- two antigens. What process is the nurse
between
explaining? correct
answersagglutinati
on
A nurse has administered a childs scheduled vaccination for rubella. This
vaccination
will cause the child to develop which of the following? correct
answersactive acquired
immunit
y
A patient with a history of dermatitis takes corticosteroids on a regular
basis. The
should nurse
assess the patient for which of the following complications of
therapy? correct
answersimmunosuppress
ion
A nurse is planning the assessment of a patient who is exhibiting signs and
symptoms
of an autoimmune disorder. The nurse should be aware that the
incidence and
prevalence of autoimmune diseases is known to be higher among what
group? correct
A 16-year-old has been brought to the emergency department by his
answerswom
falling
parents
en through
after the glass of a patio door, suffering a laceration. The nurse
caring for
patient this that the site of the injury will have an invasion of
knows
what? correct
answersphagocytic
cells
A man was scratched by an old tool and developed a virulent
staphylococcus
In the course of infection.
the mans immune response, circulating lymphocytes
containing the
,antigenic message returned to the nearest lymph node. During what
stage of the
immune response did this occur? correct
answersproliferation stage
A patient with cystic fibrosis has received a double lung transplant
and is now signs of rejection. What is the immune response that
experiencing
predominates
situation? correct
in this
answerscellular
A patient is being treated for bacterial pneumonia. In the first stages of
illness, the
patients dyspnea was accompanied by a high fever. Currently, the patient
claims to
feeling better
be and is afebrile. The patient is most likely in which stage of
the immune
response? correct answerseffector
stage
The nurse is providing care for a patient who has multiple sclerosis.
The nurse the autoimmune etiology of this disease and the potential
recognizes
benefits of what
treatment? correct answersstem cell
transplant
A patients injury has initiated an immune response that involves
the first cells to
inflammation. arrive
What areat a site of inflammation? correct
answersneutrophils
A nurse is planning a patients care and is relating it to normal immune
response.
what stageDuring
of the immune response should the nurse know that antibodies
orcells
T cytotoxic
combine and destroy the invading microbes? correct
answerseffector stage
The nurse should recognize a patients risk for impaired immune function if
the patient
has undergone surgical removal of which of the following? correct
answersspleen
A nurse is admitting a patient who exhibits signs and symptoms of a
nutritional deficit.
Inadequate intake of what nutrient increases a patients susceptibility
to infection?
correct
answersproteins
A nurse has admitted a patient who has been diagnosed with urosepsis.
What immune
response predominates in sepsis? correct
answershumoral
A patient is admitted with cellulitis and experiences a consequent
increase
blood cellincount.
white The nurse is aware that during the immune response,
pathogens
engulfed byare
white blood cells that ingest foreign particles. What is this
process
as? correctknown
answersphagocytosis
A nurse is reviewing a patients medication administration record in an
drugs
effort tothat may contribute to the patients recent immunosuppression. What
identify
drug is
likely tomost
have this effect? correct answersan
antineoplastic
A patient requires ongoing treatment and infection-control precautions
inherited
because of deficit
an in immune function. The nurse should recognize that this
patient
likely hasmost
what type of immune disorder? correct answersan
autoimmune disorder
, A neonate exhibited some preliminary signs of infection, but the
resolved spontaneously prior to discharge home from the hospital. This
infants condition
infants
was mostrecovery
likely due to what type of immunity? correct
answersnonspecific immunity
A gerontologic nurse is caring for an older adult patient who has a
diagnosis of What age- related change increases older adults
pneumonia.
susceptibility
respiratory to
infections? correct answersimpaired
ciliary action
A nurse is explaining the process by which the body removes cells from
circulation
they have performed
after their physiologic function. The nurse is describing
what process?
correct
answersapoptosis
A patient is responding to a microbial invasion and the patients
lymphocytes have begun to function in either a humoral or a cellular
differentiated
capacity.
what stage During
of the immune response does this occur? correct answersthe
stag
response
e
A nurse is reviewing the immune system before planning an
immunocompromised
patients care. How should the nurse characterize the humoral immune
response?
correct answersantibodies are made by b-lymphocytes in response to a
specific antigen
A patient is undergoing testing to determine the overall function of her
immune
What testsystem.
can be performed to evaluate the functioning of the patients
cellular immune
system? correct answersdelayed hypersensitivity
skin test
Diagnostic testing has revealed a deficiency in the function of a patients
complement
system. This patient is likely to have an impaired ability to do which of the
correct answersbridging natural and acquired
following?
immunity
A patients current immune response involves the direct destruction
of foreign
microorganisms. This aspect of the immune response may be performed by
what cells?
correct answerscytoxic t-
cells
A nurse is explaining how the humoral and cellular immune responses
should be seen
as interacting parts of the broader immune system rather than as
independent and
unrelated processes. What aspect of immune function best demonstrates
this? correct
A nurse is caring for a patient who has had a severe antigen/antibody
answersthe interactions that occur between tcells
nurse knows
reaction.
and bcells The that the portion of the antigen that is involved in binding with
the
is antibody
called what? correct answersantigenic
determinant
A patient is being treated for cancer and the nurse has identified the
of Risk for
nursing Infection Due to Protein Losses. Protein losses inhibit immune
diagnosis
response
which in following ways? correct answersdepressing antibody
of the
response
