lOMoAR cPSD| 32635183
lOMoAR cPSD| 32635183
CCEOC NURSING NOTES ON
ASSESSMENT OF IMMUNE
FUNCTION EXAM 2 2024
QUESTIONS AND CORECT
ANSWERS WITH RATIONALES
ALREADY GRADED A+
18
Chapter
Assessment of Immune Function
■ ■ ■ Connection Checks CONNECTION CHECK 18.4
Questions
Which of the following diagnostic tests is drawn to
assess cellular immunity? (Select all that apply.)
CONNECTION CHECK 18.1 C. “Odds are that I will die from this procedure.”
Central lymphoid organs include which of the D. “My biopsy results may show that I
following? have a problem with my immune
A. Spleen and tonsils system.”
B. Bone marrow and lymph nodes
C. Thymus and Peyer’s patches
D. Thymus and bone marrow
CONNECTION CHECK 18.2
Which of the following cells are classified as
granulocytes? (Select all that apply.)
A. Basophils
B. Monocytes
C. Neutrophils
D. Eosinophils
E. Lymphocytes
CONNECTION CHECK 18.3
Which statement by a patient undergoing a bone
marrow biopsy indicates a need for additional
teaching?
A. “My lymph nodes are enlarged because of my
immune system disorder.”
B. “I might need something to calm my nerves before
having this biopsy.”
, lOMoAR cPSD| 32635183
A. Total Ig levels The nurse associates which of the following findings to
immunosenescence in a 68-year-old woman? (Select all
B. Specific antibody response
that apply.)
C. Total lymphocyte count
A. Pneumonia
D. Helper T-cell functions
B. Shingles
E. Complete blood count
C. Cervical dysplasia
D. Cancer
CONNECTION CHECK 18.5
E. Arthritis
, lOMoAR cPSD| 32635183
2 CHAPTER 18 ■ Assessment of Immune Function
Answers and Rationales
CONNECTION CHECK 18.1 CONNECTION CHECK 18.4
Central lymphoid organs include which of the Which of the following diagnostic tests is drawn to
following? assess cellular immunity? (Select all that apply.)
A. Spleen and tonsils A. Total Ig levels
B. Bone marrow and lymph nodes B. Specific antibody response
C. Thymus and Peyer’s patches C. Total lymphocyte count
D. Thymus and bone marrow D. Helper T-cell functions
Answer: D E. Complete blood count
Rationale: Thymus and bone marrow are central Answer: C and D
lymphoid organs. Secondary lymphoid, or peripheral, Rationale: Total lymphocyte count is helpful in evaluat-
organs include the spleen, lymph nodes, tonsils, ing both humoral and cellular immunity. The produc-
adenoids, and Peyer’s patches. tion of helper T cells is a part of the cellular mediated
response. Total Ig levels, specific antibody response
CONNECTION CHECK 18.2 evaluate humoral immunity. A CBC evaluates the
body’s response to inflammation/infection as part
Which of the following cells are classified as of innate and humoral immunity.
granulocytes? (Select all that apply.)
A. Basophils
CONNECTION CHECK 18.5
B. Monocytes
The nurse associates which of the following findings to
C. Neutrophils
immunosenescence in a 68-year-old woman? (Select all
D. Eosinophils that apply.)
E. Lymphocytes A. Pneumonia
Answer: A, C, and D B. Shingles
Rationale: Neutrophils, basophils, and eosinophils are C. Cervical dysplasia
all phagocytic granulocytes. Agranulocytes include
D. Cancer
monocytes and lymphocytes.
E. arthritis
Answer: A, B, D, and E
CONNECTION CHECK 18.3
Rationale: Immunosenescene refers to those changes
Which statement by a patient undergoing a bone that occur with aging and their consequences—
marrow biopsy indicates a need for additional increased infection risk, increased risk of malignancy,
teaching? and increased autoimmune disorders. Cancer, pneumo-
A. “My lymph nodes are enlarged because of my nia, and arthritis are more common in the elderly.
immune system disorder.” Shingles is also more common in the elderly due an
B. “I might need something to calm my nerves before increased risk of viral infections because of atrophy of
having this biopsy.” the thymus gland.
C. “Odds are that I will die from this procedure.”
D. “My biopsy results may show that I have a
problem with my immune system.”
Answer: C
Rationale: Bone marrow biopsy may reveal leukemia.
Lymph nodes do enlarge with immune system disorder.
The need for a bone marrow biopsy may cause anxiety
necessitating the need for antianxiety medication, but
the procedure itself does not carry a risk of death.
, lOMoAR cPSD| 32635183
18
Chapter
Assessment of Immune Function
■ ■ ■ Chapter Review 4. The nurse understands which of the following is
Questions an important component of the innate immune
response?
A. Skin
1. The nurse correlates diminished adaptive immune
responses with which of the following? (Select all B. T cells
that apply.) C. B cells
A. Decreased peripheral B cells D. Teeth
B. Decreased antibody response
5. The nurse understands that immunity acquired by
C. Decreased peripheral T cells an infant through his or her mother is an example
D. Decreased phagocytic capacity of which type of immunity?
E. Decreased eosinophils A. Cell-mediated immunity
B. Humoral-mediated immunity
2. The nurse assesses for which of the following labo-
ratory results with a decreased humoral-mediated C. Adaptive immunity
immune response? (Select all that apply.) D. Passive immunity
A. Decreased peripheral T cells
B. Decreased antibody response
C. Increased antibodies
D. Increased dendritic cells
E. Increased leukocytes
3. The nurse includes which of the following in
the past medical history evaluating the immune
response? (Select all that apply.)
A. Recurrent infections
B. Chronic illness
C. Dietary history
D. History of fractures
E. Medication history
lOMoAR cPSD| 32635183
CCEOC NURSING NOTES ON
ASSESSMENT OF IMMUNE
FUNCTION EXAM 2 2024
QUESTIONS AND CORECT
ANSWERS WITH RATIONALES
ALREADY GRADED A+
18
Chapter
Assessment of Immune Function
■ ■ ■ Connection Checks CONNECTION CHECK 18.4
Questions
Which of the following diagnostic tests is drawn to
assess cellular immunity? (Select all that apply.)
CONNECTION CHECK 18.1 C. “Odds are that I will die from this procedure.”
Central lymphoid organs include which of the D. “My biopsy results may show that I
following? have a problem with my immune
A. Spleen and tonsils system.”
B. Bone marrow and lymph nodes
C. Thymus and Peyer’s patches
D. Thymus and bone marrow
CONNECTION CHECK 18.2
Which of the following cells are classified as
granulocytes? (Select all that apply.)
A. Basophils
B. Monocytes
C. Neutrophils
D. Eosinophils
E. Lymphocytes
CONNECTION CHECK 18.3
Which statement by a patient undergoing a bone
marrow biopsy indicates a need for additional
teaching?
A. “My lymph nodes are enlarged because of my
immune system disorder.”
B. “I might need something to calm my nerves before
having this biopsy.”
, lOMoAR cPSD| 32635183
A. Total Ig levels The nurse associates which of the following findings to
immunosenescence in a 68-year-old woman? (Select all
B. Specific antibody response
that apply.)
C. Total lymphocyte count
A. Pneumonia
D. Helper T-cell functions
B. Shingles
E. Complete blood count
C. Cervical dysplasia
D. Cancer
CONNECTION CHECK 18.5
E. Arthritis
, lOMoAR cPSD| 32635183
2 CHAPTER 18 ■ Assessment of Immune Function
Answers and Rationales
CONNECTION CHECK 18.1 CONNECTION CHECK 18.4
Central lymphoid organs include which of the Which of the following diagnostic tests is drawn to
following? assess cellular immunity? (Select all that apply.)
A. Spleen and tonsils A. Total Ig levels
B. Bone marrow and lymph nodes B. Specific antibody response
C. Thymus and Peyer’s patches C. Total lymphocyte count
D. Thymus and bone marrow D. Helper T-cell functions
Answer: D E. Complete blood count
Rationale: Thymus and bone marrow are central Answer: C and D
lymphoid organs. Secondary lymphoid, or peripheral, Rationale: Total lymphocyte count is helpful in evaluat-
organs include the spleen, lymph nodes, tonsils, ing both humoral and cellular immunity. The produc-
adenoids, and Peyer’s patches. tion of helper T cells is a part of the cellular mediated
response. Total Ig levels, specific antibody response
CONNECTION CHECK 18.2 evaluate humoral immunity. A CBC evaluates the
body’s response to inflammation/infection as part
Which of the following cells are classified as of innate and humoral immunity.
granulocytes? (Select all that apply.)
A. Basophils
CONNECTION CHECK 18.5
B. Monocytes
The nurse associates which of the following findings to
C. Neutrophils
immunosenescence in a 68-year-old woman? (Select all
D. Eosinophils that apply.)
E. Lymphocytes A. Pneumonia
Answer: A, C, and D B. Shingles
Rationale: Neutrophils, basophils, and eosinophils are C. Cervical dysplasia
all phagocytic granulocytes. Agranulocytes include
D. Cancer
monocytes and lymphocytes.
E. arthritis
Answer: A, B, D, and E
CONNECTION CHECK 18.3
Rationale: Immunosenescene refers to those changes
Which statement by a patient undergoing a bone that occur with aging and their consequences—
marrow biopsy indicates a need for additional increased infection risk, increased risk of malignancy,
teaching? and increased autoimmune disorders. Cancer, pneumo-
A. “My lymph nodes are enlarged because of my nia, and arthritis are more common in the elderly.
immune system disorder.” Shingles is also more common in the elderly due an
B. “I might need something to calm my nerves before increased risk of viral infections because of atrophy of
having this biopsy.” the thymus gland.
C. “Odds are that I will die from this procedure.”
D. “My biopsy results may show that I have a
problem with my immune system.”
Answer: C
Rationale: Bone marrow biopsy may reveal leukemia.
Lymph nodes do enlarge with immune system disorder.
The need for a bone marrow biopsy may cause anxiety
necessitating the need for antianxiety medication, but
the procedure itself does not carry a risk of death.
, lOMoAR cPSD| 32635183
18
Chapter
Assessment of Immune Function
■ ■ ■ Chapter Review 4. The nurse understands which of the following is
Questions an important component of the innate immune
response?
A. Skin
1. The nurse correlates diminished adaptive immune
responses with which of the following? (Select all B. T cells
that apply.) C. B cells
A. Decreased peripheral B cells D. Teeth
B. Decreased antibody response
5. The nurse understands that immunity acquired by
C. Decreased peripheral T cells an infant through his or her mother is an example
D. Decreased phagocytic capacity of which type of immunity?
E. Decreased eosinophils A. Cell-mediated immunity
B. Humoral-mediated immunity
2. The nurse assesses for which of the following labo-
ratory results with a decreased humoral-mediated C. Adaptive immunity
immune response? (Select all that apply.) D. Passive immunity
A. Decreased peripheral T cells
B. Decreased antibody response
C. Increased antibodies
D. Increased dendritic cells
E. Increased leukocytes
3. The nurse includes which of the following in
the past medical history evaluating the immune
response? (Select all that apply.)
A. Recurrent infections
B. Chronic illness
C. Dietary history
D. History of fractures
E. Medication history
