OpenStax Medical-Surgical Nursing Test Bank
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
OpenStax Medical-Surgical Nursing Test
Bank
Chapter 29: Immune Response
Review Questions
Multiple Choice
1. Which type of leukocyte is primarily involved in allergic reactions and the release of
histamine during an immune response?
A. neutrophils
B. B cells
C. basophils *
D. natural killer cells
LO: 29.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.3c
2. Which statement best describes the function of the red pulp in the spleen?
A. It houses a concentration of lymphocytes.
B. It filters and breaks down old or damaged red blood cells. *
C. It produces antibodies to fight infections.
D. It serves as a center for immune cell proliferation.
LO: 29.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.3c
3. Which characteristic pertains to acquired (adaptive) immunity, but not natural (innate)
immunity?
A. inherited at birth
B. immediate response
C. specific to a particular antigen *
D. involves physical and chemical barriers
LO: 29.1.1
Difficulty: Moderate
Blooms: Understand
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1 7/10/2024
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OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
AACN: 1.3c
4. Which of the following is a significant factor in the decline of immune function in older
adults?
A. increased zinc absorption
B. overproduction of T cells
C. immunosenescence *
D. elevated antibody response
LO: 29.1.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
5. The nurse is performing an immune-focused assessment. Which finding is most consistent
with a diagnosis of cancer?
A. tender, enlarged, and movable lymph nodes
B. firm, painless, and immovable lymph nodes *
C. tender, enlarged lymph nodes with fever
D. enlarged lymph nodes with redness and swelling
LO: 29.1.2
Difficulty: Moderate
Blooms: Apply
AACN: 2.3e
6. The nurse is providing education to a patient prescribed an immunosuppressive agent.
Which potential side effect should the nurse warn the patient about?
A. hypoglycemia
B. hypotension
C. weight loss
D. hair loss *
LO: 29.1.3
Difficulty: Moderate
Blooms: Apply
AACN: 1.3a
7. In type 1 diabetes mellitus, what is the primary mechanism by which the immune system
disrupts normal physiological function?
A. The immune system produces autoantibodies that stimulate insulin production.
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2 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
B. The immune system destroys insulin-producing islet cells in the pancreas. *
C. The immune response causes inflammation of the thyroid gland.
D. The immune system attacks red blood cells at an accelerated rate.
LO: 29.2.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
8. Which of the following autoimmune disorders is characterized by the infiltration of
lymphocytes and the production of antithyroid antibodies, leading to fibrosis of the thyroid
tissue?
A. Graves disease
B. psoriasis
C. Hashimoto disease *
D. rheumatoid arthritis
LO: 29.2.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
9. What is the primary purpose of obtaining a family history when diagnosing an
immunodeficiency?
A. to determine the patient's blood type
B. to identify potential genetic predispositions to immune disorders *
C. to assess the patient's vaccination history
D. to evaluate recent infections and their severity
LO: 29.3.1
Difficulty: Moderate
Blooms: Apply
AACN: 1.3a
10. Which of the following is a recommended preventive measure for patients with primary
immunodeficiencies regarding vaccination?
A. They should receive all vaccines regardless of their condition.
B. Live vaccines are recommended for those with antibody deficiencies.
C. Patients should consult with their provider before receiving live vaccines. *
D. Vaccination is unnecessary for patients with immunodeficiency.
LO: 29.3.1
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
3 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a
11. Which diagnostic test is categorized as a humoral immunity test?
A. total serum globulins *
B. cytokine production
C. delayed hypersensitivity skin test
D. bone marrow biopsy
LO: 29.1.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
12. What is the primary mechanism by which the human immunodeficiency virus (HIV) leads to
immunodeficiency in affected individuals?
A. It destroys B cells, impairing antibody production.
B. It binds to and eliminates CD4+ T-helper lymphocytes. *
C. It activates autoimmune responses against the immune system.
D. It causes overproduction of immune cells.
LO: 29.3.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
13. The nurse is explaining prevention of human immunodeficiency virus (HIV) spread. Which
mode of transmission should the nurse include in the teaching?
A. contact with contaminated surfaces
B. sharing food and drinks
C. sexual intercourse *
D. respiratory droplets in the air
LO: 29.3.2
Difficulty: Moderate
Blooms: Apply
AACN: 1.3a
14. A patient diagnosed with human immunodeficiency virus (HIV) is receiving antiretroviral
therapy (ART). Which laboratory test should the nurse monitor regularly to assess the
effectiveness of the treatment?
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
4 7/10/2024
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
OpenStax Medical-Surgical Nursing Test
Bank
Chapter 29: Immune Response
Review Questions
Multiple Choice
1. Which type of leukocyte is primarily involved in allergic reactions and the release of
histamine during an immune response?
A. neutrophils
B. B cells
C. basophils *
D. natural killer cells
LO: 29.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.3c
2. Which statement best describes the function of the red pulp in the spleen?
A. It houses a concentration of lymphocytes.
B. It filters and breaks down old or damaged red blood cells. *
C. It produces antibodies to fight infections.
D. It serves as a center for immune cell proliferation.
LO: 29.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.3c
3. Which characteristic pertains to acquired (adaptive) immunity, but not natural (innate)
immunity?
A. inherited at birth
B. immediate response
C. specific to a particular antigen *
D. involves physical and chemical barriers
LO: 29.1.1
Difficulty: Moderate
Blooms: Understand
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
1 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
AACN: 1.3c
4. Which of the following is a significant factor in the decline of immune function in older
adults?
A. increased zinc absorption
B. overproduction of T cells
C. immunosenescence *
D. elevated antibody response
LO: 29.1.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
5. The nurse is performing an immune-focused assessment. Which finding is most consistent
with a diagnosis of cancer?
A. tender, enlarged, and movable lymph nodes
B. firm, painless, and immovable lymph nodes *
C. tender, enlarged lymph nodes with fever
D. enlarged lymph nodes with redness and swelling
LO: 29.1.2
Difficulty: Moderate
Blooms: Apply
AACN: 2.3e
6. The nurse is providing education to a patient prescribed an immunosuppressive agent.
Which potential side effect should the nurse warn the patient about?
A. hypoglycemia
B. hypotension
C. weight loss
D. hair loss *
LO: 29.1.3
Difficulty: Moderate
Blooms: Apply
AACN: 1.3a
7. In type 1 diabetes mellitus, what is the primary mechanism by which the immune system
disrupts normal physiological function?
A. The immune system produces autoantibodies that stimulate insulin production.
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
B. The immune system destroys insulin-producing islet cells in the pancreas. *
C. The immune response causes inflammation of the thyroid gland.
D. The immune system attacks red blood cells at an accelerated rate.
LO: 29.2.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
8. Which of the following autoimmune disorders is characterized by the infiltration of
lymphocytes and the production of antithyroid antibodies, leading to fibrosis of the thyroid
tissue?
A. Graves disease
B. psoriasis
C. Hashimoto disease *
D. rheumatoid arthritis
LO: 29.2.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
9. What is the primary purpose of obtaining a family history when diagnosing an
immunodeficiency?
A. to determine the patient's blood type
B. to identify potential genetic predispositions to immune disorders *
C. to assess the patient's vaccination history
D. to evaluate recent infections and their severity
LO: 29.3.1
Difficulty: Moderate
Blooms: Apply
AACN: 1.3a
10. Which of the following is a recommended preventive measure for patients with primary
immunodeficiencies regarding vaccination?
A. They should receive all vaccines regardless of their condition.
B. Live vaccines are recommended for those with antibody deficiencies.
C. Patients should consult with their provider before receiving live vaccines. *
D. Vaccination is unnecessary for patients with immunodeficiency.
LO: 29.3.1
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
3 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
OpenStax Medical Surgical Nursing Test Bank
Chapter 29: Immune Response
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a
11. Which diagnostic test is categorized as a humoral immunity test?
A. total serum globulins *
B. cytokine production
C. delayed hypersensitivity skin test
D. bone marrow biopsy
LO: 29.1.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
12. What is the primary mechanism by which the human immunodeficiency virus (HIV) leads to
immunodeficiency in affected individuals?
A. It destroys B cells, impairing antibody production.
B. It binds to and eliminates CD4+ T-helper lymphocytes. *
C. It activates autoimmune responses against the immune system.
D. It causes overproduction of immune cells.
LO: 29.3.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3c
13. The nurse is explaining prevention of human immunodeficiency virus (HIV) spread. Which
mode of transmission should the nurse include in the teaching?
A. contact with contaminated surfaces
B. sharing food and drinks
C. sexual intercourse *
D. respiratory droplets in the air
LO: 29.3.2
Difficulty: Moderate
Blooms: Apply
AACN: 1.3a
14. A patient diagnosed with human immunodeficiency virus (HIV) is receiving antiretroviral
therapy (ART). Which laboratory test should the nurse monitor regularly to assess the
effectiveness of the treatment?
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
4 7/10/2024
