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1. The most common food allergies acquired during childhood are allergies to -
ANSWER ✔ milk, eggs, peanuts, tree nuts, fish, shellfish, wheat, and soy
2. Which allergies tend to be the only ones that continue into adulthood? -
ANSWER ✔ Peanut, tree nut, fish, and shellfish
3. Major Components of the Immune System - ANSWER ✔ Bone Marrow,
Lymphoid Tissues (Thymus Gland, Tonsils, Spleen, Adenoids, Lymph
Nodes), WBC's, Mucosal tissues
4. Immune System Disorders - ANSWER ✔ autoimmunity
hypersensitivity
gammopathies
immune deficiencies (primary & secondary)
5. Autoimmunity - ANSWER ✔ Immune system mistakenly attacks the body's
own tissues → causes tissue damage.
,6. Hypersensitivity - ANSWER ✔ Overreaction or inappropriate immune
response to specific antigens
7. Gammopathies - ANSWER ✔ Overproduction of immunoglobulins
(antibodies)
8. Immune Deficiencies
• Primary - ANSWER ✔ Congenital/inherited → improper
development of immune cells/tissues
9. Immune Deficiencies
Secondary - ANSWER ✔ Acquired later → due to illness, medications, or
external factors
10.Thymus - ANSWER ✔ Site where T lymphocytes mature
11.Spleen - ANSWER ✔ - Red pulp: Destroys old/injured RBCs. - White pulp:
Houses lymphocytes. - Filters blood. - Loss of spleen affects future
immunization and infection risk (e.g., HIV, sepsis)
12.Lymph Nodes - ANSWER ✔ - Filter lymph before it enters the bloodstream.
- Sites of immune cell activation and proliferation.
13.type of immunity
Natural (Innate) - ANSWER ✔ Present at birth; nonspecific; responds to all
pathogens immediately or shortly after exposure.
Acts immediately (within 4 hours) or delayed (up to 96 hours).
, type of immunity
Acquired (Adaptive) - ANSWER ✔ Develops after exposure to specific
antigens; involves memory cells for targeted long-term protection
14.The nurse is implementing strategies for administering long-term antibiotics
for a 2-year-old child. What will the nurse include in the plan of care? Select
all that apply. - ANSWER ✔ Use distraction.
Disguise the antibiotic by mixing it with a food of choice.
Use persistence.
Provide simple explanations.
Use incentives.
15.The parent of a school-age child comments to the nurse, "Every time my
child eats enchiladas at our local Mexican restaurant the child gets a rash. It
just does not make sense to me." How should the nurse respond? -
ANSWER ✔ "Has your child ever been tested for a peanut allergy?"
16.A school nurse is teaching a group of parents about signs and symptoms of
cancer in children. Which symptom is an early sign of a brain tumor? -
ANSWER ✔ headache, vision changes, and vomiting
17.The nurse is providing education to a client newly diagnosed with asthma.
Which statement by the parents indicates additional teaching is needed? -
ANSWER ✔ "It is okay for our child to do chores such as sweeping the
floor."
18.A 6-month-old infant is seen with retinoblastoma. When taking a health
history from the parent, which symptom does the nurse expect will be
reported? - ANSWER ✔ The parent has noticed one pupil appears white.
, 19.The nurse is caring for a 3-year-old with a respiratory disorder. The nurse
anticipates the need for providing supplemental oxygen to the child when
performing which intervention? - ANSWER ✔ suctioning a tracheostomy
tube
20.The parents of a child who was diagnosed with cystic fibrosis 5 months ago
report that they have been following all of the suggested guidelines for
nutrition, fluid intake, and exercise, but the child has been having bouts of
constipation and diarrhea. The nurse tells the parent to increase the amount
of which substance in the child's diet? - ANSWER ✔ Pancreatic enzymes
21.The nurse is auscultating the lungs of a lethargic, irritable 6-year-old child
and hears wheezing. The nurse will most likely include which teaching point
if the child is suspected of having asthma? - ANSWER ✔ "I'm going to have
this hospital worker take a picture of your lungs."
22.A nurse is preparing a poster for a health fair to teach basic facts about
childhood cancers. Which locations in the body should the nurse point out
are most often affected in children by cancer? Select all that apply. -
ANSWER ✔ bone marrow
lymph nodes
blood
23.The nurse is working with a family whose child is dying of a brain tumor.
When addressing the situation with the child's sibling, the nurse should
prioritize what consideration? - ANSWER ✔ the sibling's stages of growth
and development
24.The nursing instructor has completed a presentation on normal immune
function. Which statement by a student would suggest a need for further