Chapter 11, Disorders of the Immune System
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Chapter: Chapter 11, Disorders of the Immune System
Objective: Differentiate between innate and adaptive immunity, which are the two levels of the
immune system.
Page: 208
Heading: Basic Concepts of Immunity>Natural Killer Cells
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Knowledge [Remembering]
Concept: Immunity: Infection
Difficulty: Easy
Feedback
1 This is incorrect. Kupffer cells found in the liver are examples of macrophages.
They are not known as granular lymphocytes.
2 This is incorrect. Microglial cells in the brain are examples of macrophages.
They are not referred to as granular lymphocytes.
3
This is incorrect. T celN
lsUoR
rTSIlyN
mGpThoBc.
ytC
esOpMlay a vital role in cell-mediated
immunity. They are not known as granular lymphocytes.
4 This is correct. Natural killer cells act as a first line of defense in the body and
are a part of the innate immune system. They contain cytoplasmic granules and
are referred to as granular lymphocytes.
PTS: 1 CON: Immunity | Infection
2. ANS: 3
Chapter: Chapter 11, Disorders of the Immune System
Objective: Compare and contrast the mechanisms of humoral (also called antibody-mediated)
immunity versus adaptive (also called cell-mediated) immunity.
Page: 208
Heading: Basic Concepts of Immunity>B Lymphocytes and T Lymphocytes
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Immunity: Infection
Difficulty: Moderate
Feedback
1 This is incorrect. The maturation of B lymphocytes occurs in the spleen.
2 This is incorrect. B lymphocytes mature in the bone marrow.
3 This is correct. T lymphocytes mature in the thymus glands.
4 This is incorrect. B cells, which are also known as B lymphocytes, mature in
, lymph nodes.
PTS: 1 CON: Immunity | Infection
3. ANS: 1
Chapter: Chapter 11, Disorders of the Immune System
Objective: Compare and contrast the mechanisms of humoral (also called antibody-mediated)
immunity versus adaptive (also called cell-mediated) immunity.
Page: 210
Heading: Basic Concepts of Immunity>Immunoglobulins
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Immunity: Infection
Difficulty: Moderate
Feedback
1 This is correct. IgG is the predominant immunoglobulin produced after a host’s
re-exposure to an antigen. IgG comprises 75% to 80% of the total serum
immunoglobulins.
2 This is incorrect. IgA comprises 7% to 15% of the total serum
immunoglobulins. IgA is mainly found in saliva and nasal secretions.
3 This is incorrect. IgE is generally present in a low concentration in the blood,
but it increases during allergic reactions.
4 This is incorrect. IgD cNoU
mRprSisIesNoGnTlyB1.%CO
ofMtotal serum immunoglobulins.
PTS: 1 CON: Immunity | Infection
4. ANS: 1
Chapter: Chapter 11, Disorders of the Immune System
Objective: Compare and contrast the mechanisms of humoral (also called antibody-mediated)
immunity versus adaptive (also called cell-mediated) immunity.
Page: 210
Heading: Basic Concepts of Immunity>Immunoglobulins
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Immunity
Difficulty: Moderate
Feedback
1 This is correct. During pregnancy, if the mother and fetus have incompatible
blood types, IgM antibodies will be developed by the mother against the fetus’s
blood cells. However, because of the large size of IgM antibodies, they cannot
cross the placenta, and the fetus is protected.
2 This is incorrect. During pregnancy, if the mother and fetus have incompatible
blood types, IgM antibodies will be developed by the mother against the fetus’s
blood cells. The mother will not produce IgG antibodies in the given situation.
, 3 This is incorrect. During pregnancy, if the mother and fetus have incompatible
blood types, IgM antibodies will be developed by the mother against the fetus’s
blood cells. The mother will not produce IgD antibodies in the given situation.
4 This is incorrect. IgE is not produced if there is a blood incompatibility between
the mother and the fetus during pregnancy.
PTS: 1 CON: Immunity
5. ANS: 2
Chapter: Chapter 11, Disorders of the Immune System
Objective: Differentiate between innate and adaptive immunity, which are the two levels of the
immune system.
Page: 210
Heading: Basic Concepts of Immunity>Adaptive Immunity
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Immunity: Infection
Difficulty: Moderate
Feedback
1 This is incorrect. Innate immunity is the natural mechanism of the body that
wards off foreign bodies as a first line of defense. Mucus-producing cells are
part of the body’s innate immunity mechanism.
2 This is correct. Active NacUqR
uiS
reIdNaG
daTpB
tiv.eCiO
mMmunity is obtained through exposure
to an antigen. It is developed after an individual experiences an illness.
3 This is incorrect. Passive acquired adaptive immunity is obtained by an
individual after he or she is given premade, fully formed antibodies, such as
vaccines, against an antigen.
4 This is incorrect. Adaptive immunity allows the body to recognize an antigen,
target the specific antigen, limit its response to that antigen, and develop
memory for the antigen for future reference. The exposure can be through
vaccination or an illness.
PTS: 1 CON: Immunity | Infection
6. ANS: 1
Chapter: Chapter 11, Disorders of the Immune System
Objective: Differentiate between innate and adaptive immunity, which are the two levels of the
immune system.
Page: 210
Heading: Basic Concepts of Immunity>Adaptive Immunity
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Immunity
Difficulty: Moderate
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Chapter: Chapter 11, Disorders of the Immune System
Objective: Differentiate between innate and adaptive immunity, which are the two levels of the
immune system.
Page: 208
Heading: Basic Concepts of Immunity>Natural Killer Cells
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Knowledge [Remembering]
Concept: Immunity: Infection
Difficulty: Easy
Feedback
1 This is incorrect. Kupffer cells found in the liver are examples of macrophages.
They are not known as granular lymphocytes.
2 This is incorrect. Microglial cells in the brain are examples of macrophages.
They are not referred to as granular lymphocytes.
3
This is incorrect. T celN
lsUoR
rTSIlyN
mGpThoBc.
ytC
esOpMlay a vital role in cell-mediated
immunity. They are not known as granular lymphocytes.
4 This is correct. Natural killer cells act as a first line of defense in the body and
are a part of the innate immune system. They contain cytoplasmic granules and
are referred to as granular lymphocytes.
PTS: 1 CON: Immunity | Infection
2. ANS: 3
Chapter: Chapter 11, Disorders of the Immune System
Objective: Compare and contrast the mechanisms of humoral (also called antibody-mediated)
immunity versus adaptive (also called cell-mediated) immunity.
Page: 208
Heading: Basic Concepts of Immunity>B Lymphocytes and T Lymphocytes
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Immunity: Infection
Difficulty: Moderate
Feedback
1 This is incorrect. The maturation of B lymphocytes occurs in the spleen.
2 This is incorrect. B lymphocytes mature in the bone marrow.
3 This is correct. T lymphocytes mature in the thymus glands.
4 This is incorrect. B cells, which are also known as B lymphocytes, mature in
, lymph nodes.
PTS: 1 CON: Immunity | Infection
3. ANS: 1
Chapter: Chapter 11, Disorders of the Immune System
Objective: Compare and contrast the mechanisms of humoral (also called antibody-mediated)
immunity versus adaptive (also called cell-mediated) immunity.
Page: 210
Heading: Basic Concepts of Immunity>Immunoglobulins
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Immunity: Infection
Difficulty: Moderate
Feedback
1 This is correct. IgG is the predominant immunoglobulin produced after a host’s
re-exposure to an antigen. IgG comprises 75% to 80% of the total serum
immunoglobulins.
2 This is incorrect. IgA comprises 7% to 15% of the total serum
immunoglobulins. IgA is mainly found in saliva and nasal secretions.
3 This is incorrect. IgE is generally present in a low concentration in the blood,
but it increases during allergic reactions.
4 This is incorrect. IgD cNoU
mRprSisIesNoGnTlyB1.%CO
ofMtotal serum immunoglobulins.
PTS: 1 CON: Immunity | Infection
4. ANS: 1
Chapter: Chapter 11, Disorders of the Immune System
Objective: Compare and contrast the mechanisms of humoral (also called antibody-mediated)
immunity versus adaptive (also called cell-mediated) immunity.
Page: 210
Heading: Basic Concepts of Immunity>Immunoglobulins
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Immunity
Difficulty: Moderate
Feedback
1 This is correct. During pregnancy, if the mother and fetus have incompatible
blood types, IgM antibodies will be developed by the mother against the fetus’s
blood cells. However, because of the large size of IgM antibodies, they cannot
cross the placenta, and the fetus is protected.
2 This is incorrect. During pregnancy, if the mother and fetus have incompatible
blood types, IgM antibodies will be developed by the mother against the fetus’s
blood cells. The mother will not produce IgG antibodies in the given situation.
, 3 This is incorrect. During pregnancy, if the mother and fetus have incompatible
blood types, IgM antibodies will be developed by the mother against the fetus’s
blood cells. The mother will not produce IgD antibodies in the given situation.
4 This is incorrect. IgE is not produced if there is a blood incompatibility between
the mother and the fetus during pregnancy.
PTS: 1 CON: Immunity
5. ANS: 2
Chapter: Chapter 11, Disorders of the Immune System
Objective: Differentiate between innate and adaptive immunity, which are the two levels of the
immune system.
Page: 210
Heading: Basic Concepts of Immunity>Adaptive Immunity
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Immunity: Infection
Difficulty: Moderate
Feedback
1 This is incorrect. Innate immunity is the natural mechanism of the body that
wards off foreign bodies as a first line of defense. Mucus-producing cells are
part of the body’s innate immunity mechanism.
2 This is correct. Active NacUqR
uiS
reIdNaG
daTpB
tiv.eCiO
mMmunity is obtained through exposure
to an antigen. It is developed after an individual experiences an illness.
3 This is incorrect. Passive acquired adaptive immunity is obtained by an
individual after he or she is given premade, fully formed antibodies, such as
vaccines, against an antigen.
4 This is incorrect. Adaptive immunity allows the body to recognize an antigen,
target the specific antigen, limit its response to that antigen, and develop
memory for the antigen for future reference. The exposure can be through
vaccination or an illness.
PTS: 1 CON: Immunity | Infection
6. ANS: 1
Chapter: Chapter 11, Disorders of the Immune System
Objective: Differentiate between innate and adaptive immunity, which are the two levels of the
immune system.
Page: 210
Heading: Basic Concepts of Immunity>Adaptive Immunity
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Immunity
Difficulty: Moderate
