BRUNNER AND SUDDARTH'S 14TH EDITION
MEDICAL-SURGICAL NURSING
A woman has been diagnosed with breast cancer and is being treated aggressively with a
chemotherapeutic regimen. As a result of this regimen, she has an inability to fight infection due to the
fact that her bone marrow is unable to produce a sufficient amount of what?
A) Lymphocytes
B) Cytoblasts
C) Antibodies
D) Capillaries - correctanswers-Ans: A
Feedback:
The white blood cells involved in immunity (including lymphocytes) are produced in the bone marrow.
Cytoblasts are the protoplasm of the cell outside the nucleus. Antibodies are produced by lymphocytes,
but not in the bone marrow. Capillaries are small blood vessels
During a mumps outbreak at a local school, a patient, who is a school teacher, is exposed. She has
previously been immunized for mumps. What type of immunity does she possess?
A) Acquired immunity
B) Natural immunity
C) Phagocytic immunity
D) Humoral immunity - correctanswers-Ans: A
Feedback:
Acquired immunity usually develops as a result of prior exposure to an antigen, often through
immunization. When the body is attacked by bacteria, viruses, or other pathogens, it has three means of
defense. The first line of defense, the phagocytic immune response, involves the WBCs that have the
ability to ingest foreign particles. A second protective response is the humoral immune response, which
begins when the B lymphocytes transform themselves into plasma cells that manufacture antibodies.
The natural immune response system is rapid, nonspecific immunity present at birth.A
gardener sustained a deep laceration while working and requires sutures. The patient is asked about the
date of her last tetanus shot, which is over 10 years ago. Based on this information, the patient will
receive a tetanus immunization. The tetanus injection will allow for the release of what?
, A) Antibodies
B) Antigens
C) Cytokines
D) Phagocytes - correctanswers-Ans: A
Feedback:
Immunizations activate the humoral immune response, culminating in antibody production. Antigens
are the substances that induce the production of antibodies. Immunizations do not prompt cytokine or
phagocyte production.
An infection control nurse is presenting an inservice reviewing the immune response. The nurse
describes the clumping effect that occurs when an antibody acts like a cross-link between two antigens.
What process is the nurse explaining?
A) Agglutination
B) Cellular immune response
C) Humoral response
D) Phagocytic immune response - correctanswers-Ans: A
Feedback:
Agglutination refers to the clumping effect occurring when an antibody acts as a cross-link between two
antigens. This takes place within the context of the humoral immune response, but is not synonymous
with it. Cellular immune response, the immune systems third line of defense, involves the attack of
pathogens by T-cells. The phagocytic immune response, or immune response, is the systems first line of
defense, involving white blood cells that have the ability to ingest foreign particles.
A nurse has administered a childs scheduled vaccination for rubella. This vaccination will cause the child
to develop which of the following?
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - correctanswers-Ans: B
Feedback:
Active acquired immunity usually develops as a result of vaccination or contracting a disease. Natural
immunity is present at birth and provides a nonspecific response to any foreign invader. Immunizations
MEDICAL-SURGICAL NURSING
A woman has been diagnosed with breast cancer and is being treated aggressively with a
chemotherapeutic regimen. As a result of this regimen, she has an inability to fight infection due to the
fact that her bone marrow is unable to produce a sufficient amount of what?
A) Lymphocytes
B) Cytoblasts
C) Antibodies
D) Capillaries - correctanswers-Ans: A
Feedback:
The white blood cells involved in immunity (including lymphocytes) are produced in the bone marrow.
Cytoblasts are the protoplasm of the cell outside the nucleus. Antibodies are produced by lymphocytes,
but not in the bone marrow. Capillaries are small blood vessels
During a mumps outbreak at a local school, a patient, who is a school teacher, is exposed. She has
previously been immunized for mumps. What type of immunity does she possess?
A) Acquired immunity
B) Natural immunity
C) Phagocytic immunity
D) Humoral immunity - correctanswers-Ans: A
Feedback:
Acquired immunity usually develops as a result of prior exposure to an antigen, often through
immunization. When the body is attacked by bacteria, viruses, or other pathogens, it has three means of
defense. The first line of defense, the phagocytic immune response, involves the WBCs that have the
ability to ingest foreign particles. A second protective response is the humoral immune response, which
begins when the B lymphocytes transform themselves into plasma cells that manufacture antibodies.
The natural immune response system is rapid, nonspecific immunity present at birth.A
gardener sustained a deep laceration while working and requires sutures. The patient is asked about the
date of her last tetanus shot, which is over 10 years ago. Based on this information, the patient will
receive a tetanus immunization. The tetanus injection will allow for the release of what?
, A) Antibodies
B) Antigens
C) Cytokines
D) Phagocytes - correctanswers-Ans: A
Feedback:
Immunizations activate the humoral immune response, culminating in antibody production. Antigens
are the substances that induce the production of antibodies. Immunizations do not prompt cytokine or
phagocyte production.
An infection control nurse is presenting an inservice reviewing the immune response. The nurse
describes the clumping effect that occurs when an antibody acts like a cross-link between two antigens.
What process is the nurse explaining?
A) Agglutination
B) Cellular immune response
C) Humoral response
D) Phagocytic immune response - correctanswers-Ans: A
Feedback:
Agglutination refers to the clumping effect occurring when an antibody acts as a cross-link between two
antigens. This takes place within the context of the humoral immune response, but is not synonymous
with it. Cellular immune response, the immune systems third line of defense, involves the attack of
pathogens by T-cells. The phagocytic immune response, or immune response, is the systems first line of
defense, involving white blood cells that have the ability to ingest foreign particles.
A nurse has administered a childs scheduled vaccination for rubella. This vaccination will cause the child
to develop which of the following?
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - correctanswers-Ans: B
Feedback:
Active acquired immunity usually develops as a result of vaccination or contracting a disease. Natural
immunity is present at birth and provides a nonspecific response to any foreign invader. Immunizations
