CHAPTER 55: CARE OF THE PATIENT
WITH AN IMMUNE DISORDER. EXAM
QUESTIONS AND ANSWERS (VERIFIED
AND UPDATED)
Which of the following is an example of immunocompetence?
a. A child that is immune to measles because of an inoculation
b. A person who has seasonal allergies every fall
c. When the symptoms of a common cold disappear in 1 day
d. A neonate having a natural immunity from maternal antibodies - ANS c. When the
symptoms of a common cold disappear in 1 day
Immunocompetence is demonstrated by the immune system responding appropriately to a
foreign stimulus and the body's integrity is maintained as with cold symptoms that resolve with
residual illness.
p. 1962
An anxious patient enters the emergency room with angioedema of the lips and tongue,
dyspnea, urticaria, and wheezing after having eaten a peanut butter sandwich. What should be
the nurse's first intervention?
@2026/2027 ALLRIGHTS RESERVED.
,a. Apply cool compresses to urticaria
b. Provide oxygen per non-rebreathing mask
c. Cover patient with a warm blanket
d. Prepare for venipuncture for the delivery of IV medication - ANS b. Provide oxygen per
non-rebreathing mask
Provision of oxygen is the initial primary intervention. Anaphylaxis may advance very rapidly and
the patient may have to be intubated. Covering the patient with a warm blanket is not wrong,
but not an initial intervention.
p. 1971
What is the etiology of autoimmune diseases based on?
a. Reaction to a "superantigen"
b. Immune system producing no antibodies at all
c. T cells destroying B cells
d. B and T cells producing autoantibodies - ANS d. B and T cells producing autoantibodies
Autoimmune disorders are failures of the tolerance to "self." B and T cells produce
autoantibodies that can cause pathophysiologic tissue damage. Autoimmune disorders may be
described as an immune attack on the self and result from the failure to distinguish "self"
protein from "foreign" protein.
p. 1974
@2026/2027 ALLRIGHTS RESERVED.
, A patient is admitted with a secondary immunodeficiency from chemotherapy. The nursing plan
of care should include provisions for:
a. infection control.
b. supporting self-care.
c. nutritional education.
d. maintaining high fluid intake. - ANS a. infection control.
Immune deficient persons are at risk for infection and need to be protected aggressively for
contagion.
p. 1973
The nurse takes into consideration that when the antigen and antibody react, the complement
system is activated which:
a. toughens the cell wall.
b. generates more T cells.
c. attracts phagocytes.
d. makes the antigen resistant. - ANS c. attracts phagocytes.
The complement system is a group of plasma proteins that are dormant until there is an
antigen-antibody interaction. The proteins destroy the cell membrane and attract phagocytes.
p. 1966
How does normal aging change the immune system?
@2026/2027 ALLRIGHTS RESERVED.
WITH AN IMMUNE DISORDER. EXAM
QUESTIONS AND ANSWERS (VERIFIED
AND UPDATED)
Which of the following is an example of immunocompetence?
a. A child that is immune to measles because of an inoculation
b. A person who has seasonal allergies every fall
c. When the symptoms of a common cold disappear in 1 day
d. A neonate having a natural immunity from maternal antibodies - ANS c. When the
symptoms of a common cold disappear in 1 day
Immunocompetence is demonstrated by the immune system responding appropriately to a
foreign stimulus and the body's integrity is maintained as with cold symptoms that resolve with
residual illness.
p. 1962
An anxious patient enters the emergency room with angioedema of the lips and tongue,
dyspnea, urticaria, and wheezing after having eaten a peanut butter sandwich. What should be
the nurse's first intervention?
@2026/2027 ALLRIGHTS RESERVED.
,a. Apply cool compresses to urticaria
b. Provide oxygen per non-rebreathing mask
c. Cover patient with a warm blanket
d. Prepare for venipuncture for the delivery of IV medication - ANS b. Provide oxygen per
non-rebreathing mask
Provision of oxygen is the initial primary intervention. Anaphylaxis may advance very rapidly and
the patient may have to be intubated. Covering the patient with a warm blanket is not wrong,
but not an initial intervention.
p. 1971
What is the etiology of autoimmune diseases based on?
a. Reaction to a "superantigen"
b. Immune system producing no antibodies at all
c. T cells destroying B cells
d. B and T cells producing autoantibodies - ANS d. B and T cells producing autoantibodies
Autoimmune disorders are failures of the tolerance to "self." B and T cells produce
autoantibodies that can cause pathophysiologic tissue damage. Autoimmune disorders may be
described as an immune attack on the self and result from the failure to distinguish "self"
protein from "foreign" protein.
p. 1974
@2026/2027 ALLRIGHTS RESERVED.
, A patient is admitted with a secondary immunodeficiency from chemotherapy. The nursing plan
of care should include provisions for:
a. infection control.
b. supporting self-care.
c. nutritional education.
d. maintaining high fluid intake. - ANS a. infection control.
Immune deficient persons are at risk for infection and need to be protected aggressively for
contagion.
p. 1973
The nurse takes into consideration that when the antigen and antibody react, the complement
system is activated which:
a. toughens the cell wall.
b. generates more T cells.
c. attracts phagocytes.
d. makes the antigen resistant. - ANS c. attracts phagocytes.
The complement system is a group of plasma proteins that are dormant until there is an
antigen-antibody interaction. The proteins destroy the cell membrane and attract phagocytes.
p. 1966
How does normal aging change the immune system?
@2026/2027 ALLRIGHTS RESERVED.
