Page 1 of 91
GCU NUR-631 FINAL EXAM AND STUDY GUIDE
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {150 Q & A} ALREADY
GRADED A+ | BRAND NEW! | 100% GUARANTEED
PASS | + RATIONALES
An Rh-negative woman gave birth to a Rh-positive baby. When
discussing Rho[D] immunoglobulin with her, what information
should the healthcare professional provide?
It provides protection against infection from poor immunity in the
baby. It prevents alloimmunity and hemolytic anemia of the
newborn.
It provides necessary antibodies in case the mother doesn't
breastfeed.
It causes the intestinal tract of the newborn to produce
antibodies. - ANSWER- ANS: B
RATIONALE: Alloimmunity occurs when an individual's immune
system reacts against antigens on the tissues of other members
of the same species. This can occur when a woman is Rh-
negative and gives birth to an Rh-positive baby, leading to
hemolytic anemia of the newborn. Rho[D] immunoglobulin does
not provide protection against infection, provide antibodies to a
bottle-fed baby, or cause the intestine to produce antibodies.
,Page 2 of 91
How are secretion of antidiuretic hormone (ADH) and the
perception of thirst stimulated?
a. Decrease in serum sodium
b. Increase in plasma osmolality
c. Increase in glomerular filtration rate
d. Decrease in osmoreceptor stimulation - ANSWER- ANS: B
Secretion of ADH and the perception of thirst are primary factors
in the regulation of water balance. Thirst is a sensation that
stimulates water-drinking behavior.
Thirst is experienced when water loss equals 2% of an
individual's body weight or when osmotic pressure increases. A
decrease in serum sodium would have the opposite effect.
Increased glomerular filtration and decreased osmoreceptor
stimulation would not lead to secretion of ADH and the feeling of
thirst.
Which mother does the healthcare professional prepare to
administer Rh immune globulin (Rho- GAM) to?
a. Is Rh-positive and the fetus is Rh-negative
b. Is Rh-negative and the fetus is Rh-positive
c. Has type A blood and the fetus has type O
d. Has type AB blood and the fetus has type B - ANSWER- ANS: B
RATIONALE: Hemolytic disease of the fetus and newborn (HDFN)
can occur only if antigens on fetal erythrocytes differ from
,Page 3 of 91
antigens on maternal erythrocytes. Maternal-fetal incompatibility
exists only if the mother and fetus differ in ABO blood type or if
the fetus is Rh-positive and the mother is Rh-negative. The
healthcare professional would plan to administer Rho-GAM to
the mother who is Rh-negative whose baby is Rh positive.
A patient has microcytic, hypochromic anemia. Which type of
treatment or procedure does the healthcare professional discuss
as a potential cure with the patient?
a. Cord blood transplantation
b. Scheduled infusion of gamma globulins
c. Massive blood transfusions
d. Repeated injections of Rho-GAM - ANSWER- ANS: A
RATIONALE: Microcytic, hypochromic anemia is one
manifestation of thalassemia. The only definitive cures for this
disorder are allogeneic hematopoietic stem cell transplantation
(HSCT) from a matched family or
unrelated donor or cord blood transplantation from a related
donor. Gamma globulins protect the body against infectious
diseases. Blood transfusions can be used to correct low
hemoglobin. Rho-GAM is used in postpartum women who are
Rh-negative after delivering an Rh-positive baby to prevent
development of maternal antibodies against the baby's blood.
, Page 4 of 91
An infant was born with hemolytic disease of the fetus and
newborn (HDFN). What treatment does the healthcare
professional anticipate for this baby?
Administration of intravenous fluids to dilute the blood
Replacement transfusion of Rh-positive blood not contaminated
with anti-Rh antibodies
Performance of a splenectomy to prevent the destruction of
abnormal erythrocytes Replacement transfusion of Rh-negative
erythrocytes - ANSWER- ANS: B
RATIONALE: If antigenic incompatibility of the mother's
erythrocytes is not discovered in time to administer Rh
immunoglobulin and the child is born with HDFN, then the
treatment consists of exchange transfusions in which the
neonate's blood is replaced with new Rh-positive blood that is
not contaminated with anti-Rh antibodies. This treatment is
administered during the first 24 hours of extrauterine life to
prevent kernicterus. Kernicterus is not prevented by diluting the
blood with IV fluids, splenectomy, or by giving Rh-negative blood.
A patient asks the healthcare professional why tissue damage
occurs in acute rejection after organ transplantation. What
response by the professional is best?
a. Th1 cells release cytokines that activate infiltrating
macrophages, and cytotoxic T cells directly attack the endothelial
cells of the transplanted tissue.
GCU NUR-631 FINAL EXAM AND STUDY GUIDE
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {150 Q & A} ALREADY
GRADED A+ | BRAND NEW! | 100% GUARANTEED
PASS | + RATIONALES
An Rh-negative woman gave birth to a Rh-positive baby. When
discussing Rho[D] immunoglobulin with her, what information
should the healthcare professional provide?
It provides protection against infection from poor immunity in the
baby. It prevents alloimmunity and hemolytic anemia of the
newborn.
It provides necessary antibodies in case the mother doesn't
breastfeed.
It causes the intestinal tract of the newborn to produce
antibodies. - ANSWER- ANS: B
RATIONALE: Alloimmunity occurs when an individual's immune
system reacts against antigens on the tissues of other members
of the same species. This can occur when a woman is Rh-
negative and gives birth to an Rh-positive baby, leading to
hemolytic anemia of the newborn. Rho[D] immunoglobulin does
not provide protection against infection, provide antibodies to a
bottle-fed baby, or cause the intestine to produce antibodies.
,Page 2 of 91
How are secretion of antidiuretic hormone (ADH) and the
perception of thirst stimulated?
a. Decrease in serum sodium
b. Increase in plasma osmolality
c. Increase in glomerular filtration rate
d. Decrease in osmoreceptor stimulation - ANSWER- ANS: B
Secretion of ADH and the perception of thirst are primary factors
in the regulation of water balance. Thirst is a sensation that
stimulates water-drinking behavior.
Thirst is experienced when water loss equals 2% of an
individual's body weight or when osmotic pressure increases. A
decrease in serum sodium would have the opposite effect.
Increased glomerular filtration and decreased osmoreceptor
stimulation would not lead to secretion of ADH and the feeling of
thirst.
Which mother does the healthcare professional prepare to
administer Rh immune globulin (Rho- GAM) to?
a. Is Rh-positive and the fetus is Rh-negative
b. Is Rh-negative and the fetus is Rh-positive
c. Has type A blood and the fetus has type O
d. Has type AB blood and the fetus has type B - ANSWER- ANS: B
RATIONALE: Hemolytic disease of the fetus and newborn (HDFN)
can occur only if antigens on fetal erythrocytes differ from
,Page 3 of 91
antigens on maternal erythrocytes. Maternal-fetal incompatibility
exists only if the mother and fetus differ in ABO blood type or if
the fetus is Rh-positive and the mother is Rh-negative. The
healthcare professional would plan to administer Rho-GAM to
the mother who is Rh-negative whose baby is Rh positive.
A patient has microcytic, hypochromic anemia. Which type of
treatment or procedure does the healthcare professional discuss
as a potential cure with the patient?
a. Cord blood transplantation
b. Scheduled infusion of gamma globulins
c. Massive blood transfusions
d. Repeated injections of Rho-GAM - ANSWER- ANS: A
RATIONALE: Microcytic, hypochromic anemia is one
manifestation of thalassemia. The only definitive cures for this
disorder are allogeneic hematopoietic stem cell transplantation
(HSCT) from a matched family or
unrelated donor or cord blood transplantation from a related
donor. Gamma globulins protect the body against infectious
diseases. Blood transfusions can be used to correct low
hemoglobin. Rho-GAM is used in postpartum women who are
Rh-negative after delivering an Rh-positive baby to prevent
development of maternal antibodies against the baby's blood.
, Page 4 of 91
An infant was born with hemolytic disease of the fetus and
newborn (HDFN). What treatment does the healthcare
professional anticipate for this baby?
Administration of intravenous fluids to dilute the blood
Replacement transfusion of Rh-positive blood not contaminated
with anti-Rh antibodies
Performance of a splenectomy to prevent the destruction of
abnormal erythrocytes Replacement transfusion of Rh-negative
erythrocytes - ANSWER- ANS: B
RATIONALE: If antigenic incompatibility of the mother's
erythrocytes is not discovered in time to administer Rh
immunoglobulin and the child is born with HDFN, then the
treatment consists of exchange transfusions in which the
neonate's blood is replaced with new Rh-positive blood that is
not contaminated with anti-Rh antibodies. This treatment is
administered during the first 24 hours of extrauterine life to
prevent kernicterus. Kernicterus is not prevented by diluting the
blood with IV fluids, splenectomy, or by giving Rh-negative blood.
A patient asks the healthcare professional why tissue damage
occurs in acute rejection after organ transplantation. What
response by the professional is best?
a. Th1 cells release cytokines that activate infiltrating
macrophages, and cytotoxic T cells directly attack the endothelial
cells of the transplanted tissue.
