Chapter 31: Assessment of Immune Function
1. 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
2. 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
3. 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
4. An infection control nurse is presenting an in-service 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
5. A nurse has administered a child’s 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
6. A patient with a history of dermatitis takes corticosteroids on a
regular basis. The nurse should assess the patient for which of
the following complications of therapy?
A) Immunosuppression
B) Agranulocytosis
C) Anemia
D) Thrombocytopenia
7. 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?
A) Young adults
B) Native Americans
C) Women
D) Hispanics
8. A 16-year-old has been brought to the emergency department by
his parents after falling through the glass of a patio door, suffering
a laceration. The nurse caring for this patient knows that the site of
the injury will have an invasion of what?
A) Interferons
B) Phagocytic cells
C) Apoptosis
D) Cytokines
9. A man was scratched by an old tool and developed a virulent
staphylococcus infection. In the course of 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?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
10. A patient with cystic fibrosis has received a double lung
transplant and is now experiencing signs of rejection. What is the
immune response that predominates in this situation?
A) Humoral
B) Nonspecific
C) Cellular
D) Mitigated
,11. 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 be feeling better and is
afebrile. The patient is most likely in which stage of the immune
response?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
12. The nurse is providing care for a patient who has multiple
sclerosis. The nurse recognizes the autoimmune etiology of this
disease and the potential benefits of what treatment?
A) Stem cell transplantation
B) Serial immunizations
C) Immunosuppression
D) Genetic engineering
13. A patients injury has initiated an immune response that involves
inflammation. What are the first cells to arrive at a site of
inflammation?
A) Eosinophils
B) Red blood cells
C)Lymphocytes
D) Neutrophils
14. A nurse is planning a patients care and is relating it to normal
immune response. During what stage of the immune response
should the nurse know that antibodies or cytotoxic T cells combine
and destroy the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
15. The nurse should recognize a patients risk for impaired immune
function if the patient has undergone surgical removal of which of
the following?
A) Thyroid gland
B) Spleen
C) Kidney
D) Pancreas
, 16. 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?
A) Vitamin B12
B) Unsaturated fats
C) Proteins
D) Complex carbohydrates
17. A nurse has admitted a patient who has been diagnosed with
urosepsis. What immune response predominates in sepsis?
A) Mitigated
B) Nonspecific
C) Cellular
D) Humoral
18. A patient is admitted with cellulitis and experiences a
consequent increase in white blood cell count. The nurse is aware
that during the immune response, pathogens are engulfed by white
blood cells that ingest foreign particles. What is this process known
as?
A) Apoptosis
B) Phagocytosis
C) Antibody response
D) Cellular immune response
19. A nurse is reviewing a patients medication administration record
in an effort to identify drugs that may contribute to the patients
recent immunosuppression. What drug is most likely to have this
effect?
A) An antibiotic
B) A nonsteroidal anti-inflammatory drug (NSAID)
C) An antineoplastic
D) An antiretroviral
20. A patient requires ongoing treatment and infection-control
precautions because of an inherited deficit in immune function. The
nurse should recognize that this patient most likely has what type
of immune disorder?
A) A primary immune deficiency
B) A gammopathy
C) An autoimmune disorder
D) A rheumatic disorder
21. A neonate exhibited some preliminary signs of infection, but the
infants condition resolved spontaneously prior to discharge home
1. 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
2. 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
3. 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
4. An infection control nurse is presenting an in-service 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
5. A nurse has administered a child’s 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
6. A patient with a history of dermatitis takes corticosteroids on a
regular basis. The nurse should assess the patient for which of
the following complications of therapy?
A) Immunosuppression
B) Agranulocytosis
C) Anemia
D) Thrombocytopenia
7. 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?
A) Young adults
B) Native Americans
C) Women
D) Hispanics
8. A 16-year-old has been brought to the emergency department by
his parents after falling through the glass of a patio door, suffering
a laceration. The nurse caring for this patient knows that the site of
the injury will have an invasion of what?
A) Interferons
B) Phagocytic cells
C) Apoptosis
D) Cytokines
9. A man was scratched by an old tool and developed a virulent
staphylococcus infection. In the course of 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?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
10. A patient with cystic fibrosis has received a double lung
transplant and is now experiencing signs of rejection. What is the
immune response that predominates in this situation?
A) Humoral
B) Nonspecific
C) Cellular
D) Mitigated
,11. 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 be feeling better and is
afebrile. The patient is most likely in which stage of the immune
response?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
12. The nurse is providing care for a patient who has multiple
sclerosis. The nurse recognizes the autoimmune etiology of this
disease and the potential benefits of what treatment?
A) Stem cell transplantation
B) Serial immunizations
C) Immunosuppression
D) Genetic engineering
13. A patients injury has initiated an immune response that involves
inflammation. What are the first cells to arrive at a site of
inflammation?
A) Eosinophils
B) Red blood cells
C)Lymphocytes
D) Neutrophils
14. A nurse is planning a patients care and is relating it to normal
immune response. During what stage of the immune response
should the nurse know that antibodies or cytotoxic T cells combine
and destroy the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
15. The nurse should recognize a patients risk for impaired immune
function if the patient has undergone surgical removal of which of
the following?
A) Thyroid gland
B) Spleen
C) Kidney
D) Pancreas
, 16. 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?
A) Vitamin B12
B) Unsaturated fats
C) Proteins
D) Complex carbohydrates
17. A nurse has admitted a patient who has been diagnosed with
urosepsis. What immune response predominates in sepsis?
A) Mitigated
B) Nonspecific
C) Cellular
D) Humoral
18. A patient is admitted with cellulitis and experiences a
consequent increase in white blood cell count. The nurse is aware
that during the immune response, pathogens are engulfed by white
blood cells that ingest foreign particles. What is this process known
as?
A) Apoptosis
B) Phagocytosis
C) Antibody response
D) Cellular immune response
19. A nurse is reviewing a patients medication administration record
in an effort to identify drugs that may contribute to the patients
recent immunosuppression. What drug is most likely to have this
effect?
A) An antibiotic
B) A nonsteroidal anti-inflammatory drug (NSAID)
C) An antineoplastic
D) An antiretroviral
20. A patient requires ongoing treatment and infection-control
precautions because of an inherited deficit in immune function. The
nurse should recognize that this patient most likely has what type
of immune disorder?
A) A primary immune deficiency
B) A gammopathy
C) An autoimmune disorder
D) A rheumatic disorder
21. A neonate exhibited some preliminary signs of infection, but the
infants condition resolved spontaneously prior to discharge home
