IGNATAVICIUS CHAPTER 16 TEST BANK
WITH CORRECT ANSWERS
The w nurse w learns w that w the w most w important w function w of w inflammation w and w
immunity w is w which w purpose? w - w correct w answer w Immunity w and w inflammation w
working w together w are w critical w to w maintaining w health, w preventing w disease, w and w
repairing w tissue w damage.
A w nurse w is w assessing w an w older w client w for w the w presence w of w infection. w The w
client's w temperature w is w 97.6*F w (36.4*C). w What w response w by w the w nurse w is w BEST? w
- w correct w answer w Because w older w adults w have w decreased w function, w including w
reduced w neutrophil w function, w fever w may w not w be w present w during w an w episode w of w
infection. w The w nurse w would w assess w the w client w for w specific w signs w of w infection.
A w client w nurse w working w with w an w older w client. w What w action w is w MOST w important
w for w preventing w infections w in w this w client? w - w correct w answer w Older w adults w may w
have w insufficient w antibodies w that w have w already w been w produced w against w microbes w to
w which w they w have w been w exposed. w Therefore, w older w adults w need w booster w shots w
for w many w vaccinations w they w received w as w younger w people.
A w client w has w a w leg w wound w that w is w in w Stage w II w of w the w inflammatory w response.
w For w what w sign w or w symptom w does w the w nurse w assess? w - w correct w answer w During
w the w second w stage w of w the w inflammatory w response, w neutrophilia w occurs, w producing w
pus.
, A w nurse w learning w about w antibody-mediated w immunity w learns w that w the w cell w with w
the w most w direct w role w in w this w process w begins w development w in w which w tissue w or w
organ? w - w correct w answer w The w B-Cell w is w the w primary w cell w in w antibody-mediated w
immunity w and w is w released w from w the w bone w marrow. w These w cells w then w travel w to
w other w organs w and w tissues, w known w as w the w secondary w lymphoid w tissues w for w b-
cells.
The w nurse w understands w that w which w type w of w immunity w is w the w longest w acting? w -
w correct w answer w Natural w active w immunity w is w the w most w effective w and w longest w
acting w type w of w immunity.
The w nurse w working w with w clients w who w have w autoimmune w diseases w understands w that
w what w component w of w cell-mediated w immunity w is w the w problem? w - w correct w answer
w Regulator w T-cells w help w prevent w hypersensitivity w to w one's w own w cells, w which w is w
the w basis w for w autoimmune w diseases.
A w primary w health w care w provider w notifies w the w nurse w that w a w client w has w a w
"bandemia." w What w action w does w the w nurse w anticipate? w - w correct w answer w A w
bandemia, w or w shift w to w the w left, w in w white w count w differential w means w that w an w
acute, w continuing w infection w has w placed w so w much w stress w on w the w immune w system w
that w the w most w numerous w type w of w neutrophil w in w circulation w are w immature, w or w
band w cells. w The w nurse w would w anticipate w administering w antibiotics.
What w does w the w nurse w learn w about w the w function w of w colony-stimulating w factor? w - w
correct w answer w Colony-stimulating w factor w triggers w the w bone w marrow w to w shorten w
the w time w needed w to w produce w mature w WBCs w from w about w 14 w days w to w hours.
The w older w client's w adult w child w questions w the w nurse w as w to w why w the w client w is w
at w higher w risk w for w infection w when w the w client's w white w cell w count w is w within w
normal w range. w What w response w by w the w nurse w is w the w BEST? w - w correct w answer w
An w age-related w change w in w immunity w is w that w neutrophils w in w the w older w adult w are
w less w active w and w therefore w less w effective w in w immunity.
For w a w person w to w be w immunocompetent, w which w processes w need w to w be w functional
w and w interact w appropriately w with w each w other? w (SATA) w - w correct w answer w A, w B, w
C. w The w three w processes w that w need w to w be w functional w and w interact w with w each w
other w for w a w person w to w be w immunocompetent w are w antibody-mediated w immunity, w
cell-mediated w immunity, w and w inflammation.
WITH CORRECT ANSWERS
The w nurse w learns w that w the w most w important w function w of w inflammation w and w
immunity w is w which w purpose? w - w correct w answer w Immunity w and w inflammation w
working w together w are w critical w to w maintaining w health, w preventing w disease, w and w
repairing w tissue w damage.
A w nurse w is w assessing w an w older w client w for w the w presence w of w infection. w The w
client's w temperature w is w 97.6*F w (36.4*C). w What w response w by w the w nurse w is w BEST? w
- w correct w answer w Because w older w adults w have w decreased w function, w including w
reduced w neutrophil w function, w fever w may w not w be w present w during w an w episode w of w
infection. w The w nurse w would w assess w the w client w for w specific w signs w of w infection.
A w client w nurse w working w with w an w older w client. w What w action w is w MOST w important
w for w preventing w infections w in w this w client? w - w correct w answer w Older w adults w may w
have w insufficient w antibodies w that w have w already w been w produced w against w microbes w to
w which w they w have w been w exposed. w Therefore, w older w adults w need w booster w shots w
for w many w vaccinations w they w received w as w younger w people.
A w client w has w a w leg w wound w that w is w in w Stage w II w of w the w inflammatory w response.
w For w what w sign w or w symptom w does w the w nurse w assess? w - w correct w answer w During
w the w second w stage w of w the w inflammatory w response, w neutrophilia w occurs, w producing w
pus.
, A w nurse w learning w about w antibody-mediated w immunity w learns w that w the w cell w with w
the w most w direct w role w in w this w process w begins w development w in w which w tissue w or w
organ? w - w correct w answer w The w B-Cell w is w the w primary w cell w in w antibody-mediated w
immunity w and w is w released w from w the w bone w marrow. w These w cells w then w travel w to
w other w organs w and w tissues, w known w as w the w secondary w lymphoid w tissues w for w b-
cells.
The w nurse w understands w that w which w type w of w immunity w is w the w longest w acting? w -
w correct w answer w Natural w active w immunity w is w the w most w effective w and w longest w
acting w type w of w immunity.
The w nurse w working w with w clients w who w have w autoimmune w diseases w understands w that
w what w component w of w cell-mediated w immunity w is w the w problem? w - w correct w answer
w Regulator w T-cells w help w prevent w hypersensitivity w to w one's w own w cells, w which w is w
the w basis w for w autoimmune w diseases.
A w primary w health w care w provider w notifies w the w nurse w that w a w client w has w a w
"bandemia." w What w action w does w the w nurse w anticipate? w - w correct w answer w A w
bandemia, w or w shift w to w the w left, w in w white w count w differential w means w that w an w
acute, w continuing w infection w has w placed w so w much w stress w on w the w immune w system w
that w the w most w numerous w type w of w neutrophil w in w circulation w are w immature, w or w
band w cells. w The w nurse w would w anticipate w administering w antibiotics.
What w does w the w nurse w learn w about w the w function w of w colony-stimulating w factor? w - w
correct w answer w Colony-stimulating w factor w triggers w the w bone w marrow w to w shorten w
the w time w needed w to w produce w mature w WBCs w from w about w 14 w days w to w hours.
The w older w client's w adult w child w questions w the w nurse w as w to w why w the w client w is w
at w higher w risk w for w infection w when w the w client's w white w cell w count w is w within w
normal w range. w What w response w by w the w nurse w is w the w BEST? w - w correct w answer w
An w age-related w change w in w immunity w is w that w neutrophils w in w the w older w adult w are
w less w active w and w therefore w less w effective w in w immunity.
For w a w person w to w be w immunocompetent, w which w processes w need w to w be w functional
w and w interact w appropriately w with w each w other? w (SATA) w - w correct w answer w A, w B, w
C. w The w three w processes w that w need w to w be w functional w and w interact w with w each w
other w for w a w person w to w be w immunocompetent w are w antibody-mediated w immunity, w
cell-mediated w immunity, w and w inflammation.
