NUR 318: PrepU: Chapter 11: innate and adaptive immunity – UPDATED Questions with 100…
NUR 318: PrepU: Chapter 11: innate and adaptive
immunity – UPDATED Questions with 100%
Verified Answers
Section 1: Client, Immune, Cells (Q1–Q11)
Question & Answer
Q1 A client receiving chemotherapy has leukopenia. Which type of medication would
promote long-term improvement in the client's immune response?
A colony-stimulating factor (CSF)
Q2 A client has recently received a pneumococcal vaccine and the client's B cells are
consequently producing antibodies. Which cells may enhance this production of
antibodies?
A Helper T cells
Q3 A nurse who works in a long-term care facility has observed the high incidence of
infectious illnesses among the older adults who reside there. What is the best
explanation for a diminished immune capacity in older adults?
A Decreased numbers and responsiveness of T lymphocytes
Q4 A woman experiences a viral infection while pregnant. Which type of immunity does an
infant have at birth against this infection?
A passive
Q5 Substances foreign to the host that can stimulate an immune response are known as:
A Antigens
Q6 A client experiences an allergic reaction. Select the immunoglobulin that would bind to
mast cells and release histamine.
A igE
Q7 The first physical line of defense in innate immunity is:
A Skin and mucous membranes
Q8 A client had been exposed to a particular antigen and now experiences a repeat
exposure. What stimulates a quicker immune response?
A memory T cells
Q9 The nurse is explaining the quality of pleiotropism that is possessed by many cytokines.
The quality of pleiotropism implies that such cytokines:
A are able to act on different types of cells.
Page 1 of 7
, NUR 318: PrepU: Chapter 11: innate and adaptive immunity – UPDATED Questions with 100…
Question & Answer
Q10 A client who was exposed to hepatitis A at a local restaurant has recovered from the
disease. At the annual physical, the client asks whether to get the hepatitis A "shot."
How will the nurse respond, based on the concepts of adaptive immunity?
A "No, because having an active case, you have already developed antibodies against hepatitis A."
Q11 Which cells bind with major histocompatibility complex (MHC) class I molecules?
A Cytotoxic T cells
Section 2: Client, Nurse, Asks (Q12–Q22)
Question & Answer
Q12 A client with infectious mononucleosis asks the nurse why the lymph nodes are
enlarged. Which statement is the nurse's appropriate response?
A "Your lymph nodes trap and destroy viruses."
Q13 Stem cells in the bone marrow produce T lymphocytes or T cells and release them into
the vascular system. The T cells then migrate where to mature?
A thymus
Q14 Which statement explains how T lymphocytes and B lymphocytes differ?
A T lymphocytes mature in the thymus gland; B lymphocytes mature in the bone marrow.
Q15 The process by which microbes are coated to allow for more efficient recognition by
phagocytes is known as:
A opsonization
Q16 Which immunoglobulin is primarily found in secretions and has a primary function of
providing local immunity on mucosal surfaces?
A igA
Q17 An immunocompromised client is exposed to varicella (chickenpox virus). The client has
not had the varicella vaccine and has never had the disease. What intervention should
the nurse anticipate to prevent this client from developing varicella?
A Administer varicella zoster immune globulin (VZIG).
Q18 While caring for a pediatric client admitted with a viral infection, the nurse knows that
which type of cell will be the child's primary defense against the virus?
A Natural killer (NK) cells
Q19 A student asks, "What does cell-mediated immunity mean to the client?" The instructor
responds, "This means:
A the body is trying to defend itself against intracellular microbe invasion by engulfing and destroying
the microbe."
Page 2 of 7
NUR 318: PrepU: Chapter 11: innate and adaptive
immunity – UPDATED Questions with 100%
Verified Answers
Section 1: Client, Immune, Cells (Q1–Q11)
Question & Answer
Q1 A client receiving chemotherapy has leukopenia. Which type of medication would
promote long-term improvement in the client's immune response?
A colony-stimulating factor (CSF)
Q2 A client has recently received a pneumococcal vaccine and the client's B cells are
consequently producing antibodies. Which cells may enhance this production of
antibodies?
A Helper T cells
Q3 A nurse who works in a long-term care facility has observed the high incidence of
infectious illnesses among the older adults who reside there. What is the best
explanation for a diminished immune capacity in older adults?
A Decreased numbers and responsiveness of T lymphocytes
Q4 A woman experiences a viral infection while pregnant. Which type of immunity does an
infant have at birth against this infection?
A passive
Q5 Substances foreign to the host that can stimulate an immune response are known as:
A Antigens
Q6 A client experiences an allergic reaction. Select the immunoglobulin that would bind to
mast cells and release histamine.
A igE
Q7 The first physical line of defense in innate immunity is:
A Skin and mucous membranes
Q8 A client had been exposed to a particular antigen and now experiences a repeat
exposure. What stimulates a quicker immune response?
A memory T cells
Q9 The nurse is explaining the quality of pleiotropism that is possessed by many cytokines.
The quality of pleiotropism implies that such cytokines:
A are able to act on different types of cells.
Page 1 of 7
, NUR 318: PrepU: Chapter 11: innate and adaptive immunity – UPDATED Questions with 100…
Question & Answer
Q10 A client who was exposed to hepatitis A at a local restaurant has recovered from the
disease. At the annual physical, the client asks whether to get the hepatitis A "shot."
How will the nurse respond, based on the concepts of adaptive immunity?
A "No, because having an active case, you have already developed antibodies against hepatitis A."
Q11 Which cells bind with major histocompatibility complex (MHC) class I molecules?
A Cytotoxic T cells
Section 2: Client, Nurse, Asks (Q12–Q22)
Question & Answer
Q12 A client with infectious mononucleosis asks the nurse why the lymph nodes are
enlarged. Which statement is the nurse's appropriate response?
A "Your lymph nodes trap and destroy viruses."
Q13 Stem cells in the bone marrow produce T lymphocytes or T cells and release them into
the vascular system. The T cells then migrate where to mature?
A thymus
Q14 Which statement explains how T lymphocytes and B lymphocytes differ?
A T lymphocytes mature in the thymus gland; B lymphocytes mature in the bone marrow.
Q15 The process by which microbes are coated to allow for more efficient recognition by
phagocytes is known as:
A opsonization
Q16 Which immunoglobulin is primarily found in secretions and has a primary function of
providing local immunity on mucosal surfaces?
A igA
Q17 An immunocompromised client is exposed to varicella (chickenpox virus). The client has
not had the varicella vaccine and has never had the disease. What intervention should
the nurse anticipate to prevent this client from developing varicella?
A Administer varicella zoster immune globulin (VZIG).
Q18 While caring for a pediatric client admitted with a viral infection, the nurse knows that
which type of cell will be the child's primary defense against the virus?
A Natural killer (NK) cells
Q19 A student asks, "What does cell-mediated immunity mean to the client?" The instructor
responds, "This means:
A the body is trying to defend itself against intracellular microbe invasion by engulfing and destroying
the microbe."
Page 2 of 7
