ISYE 6644 OAN 2 SIMULATION PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ The nurse is analyzing the laboratory work of a patient with AID
S. The nurse should expect to observe very low levels of which blood
component?.
Answer: T Helper
◍ The nurse is caring for a patient with B-lymphocyte deficiency. The nurse
should protect the patient primarily from:.
Answer: encapsulated bacteria
◍ When the maternal immune system becomes sensitized against antigens
expressed by the fetus, what type of immune reaction does the nurse expect
to occur?.
Answer: Alloimmune
◍ A nurse is discussing the pathophysiology of bare lymphocyte deficiency.
Which of the following should the nurse include?.
Answer: inability to produce MHC
◍ What happens to lymphocytes in lymphoma?.
Answer: Lymphocytes cease to function; overproduction of malignant
lymphocytes
◍ What stimulates the kidneys and liver to produce and release
erythropoietin?.
Answer: Low blood oxygen
◍ What type of anemia occurs when RBCs are prematurely destroyed?.
Answer: Hemolytic anemia
,◍ A patient has Raynauds phenomenon. Which situation does the nurse advise
the patient to avoid?.
Answer: Cold
◍ Graves disease is associated with which type of hypersensitivity reaction?.
Answer: Type II
◍ What are some symptoms of iron deficiency anemia?.
Answer: Headache, fatigue, pallor, brittle nails, angina with activity, cold
hands and feet, shortness of breath
◍ What is a common issue that causes a high white blood cell count in the
body?.
Answer: Infection
◍ What is the pathophysiological reason for hemophilia?.
Answer: Lack of factor VIII
◍ A nurse is describing primary immune deficiency. Which primary
deficiencies should the nurse include?.
Answer: B lymphocytes and complement
◍ A nurse is describing histamine receptors. Histamine receptors that stimulate
gastric acid secretion in the stomach are which?.
Answer: H2
◍ What type of cell becomes cancerous in multiple myeloma?.
Answer: Plasma cells (WBCs that produce antibodies)
◍ How can DIC lead to organ ischemia and potentially organ death?.
Answer: Hypercoagulation in DIC → ischemia → necrosis → organ death
◍ A patient has an immunodeficiency disorder from an X-linked recessive
disease characterized by decreased IgM production. Which diagnosis will
the nurse observe documented on the chart?.
Answer: Wiskott-Aldrich Syndrome
◍ What does hypercoagulation mean?.
, Answer: Increased ability to form blood clots; blood clots too easily
◍ If the kidneys release erythropoietin, what happens to red blood cell
production?.
Answer: RBC production increases
◍ When a nurse checks the patient's PPD tuberculosis skin test, the area is
hard and red. Which term should the nurse use to describe the hard area?.
Answer: Induration
◍ A cancer patient develops an immune deficiency due to the course of the
disease. This immune deficiency would be identified as which type?.
Answer: Secondary
◍ A patient has phagocytic deficiency. What component of the phagocytic
process does the nurse suspect the patient is missing?.
Answer: hydrogen peroxide
◍ The nurse is interpreting a patient's positive tuberculin skin test. This finding
is consistent with which type of hypersensitivity reaction?.
Answer: Type IV
◍ A nurse wants to teach about the most common primary immune deficiency
condition. Which of the following should the nurse describe?.
Answer: Common variable immune deficiency
◍ A patient has Wiskott-Aldrich syndrome. Which typical assessment findings
should the nurse monitor for in this patient?.
Answer: decrease in IgM and bleeding
◍ What differentiates lymphoma from leukemia?.
Answer: Lymphoma is a malignancy of the lymphatic system; leukemia is a
blood malignancy
◍ A patient has a hypersensitivity reaction mediated by Tc cells. A nurse
recalls that this type of hypersensitivity reaction is called:.
Answer: Type IV
◍ What is the problem that causes uncontrolled bleeding related to DIC?.
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ The nurse is analyzing the laboratory work of a patient with AID
S. The nurse should expect to observe very low levels of which blood
component?.
Answer: T Helper
◍ The nurse is caring for a patient with B-lymphocyte deficiency. The nurse
should protect the patient primarily from:.
Answer: encapsulated bacteria
◍ When the maternal immune system becomes sensitized against antigens
expressed by the fetus, what type of immune reaction does the nurse expect
to occur?.
Answer: Alloimmune
◍ A nurse is discussing the pathophysiology of bare lymphocyte deficiency.
Which of the following should the nurse include?.
Answer: inability to produce MHC
◍ What happens to lymphocytes in lymphoma?.
Answer: Lymphocytes cease to function; overproduction of malignant
lymphocytes
◍ What stimulates the kidneys and liver to produce and release
erythropoietin?.
Answer: Low blood oxygen
◍ What type of anemia occurs when RBCs are prematurely destroyed?.
Answer: Hemolytic anemia
,◍ A patient has Raynauds phenomenon. Which situation does the nurse advise
the patient to avoid?.
Answer: Cold
◍ Graves disease is associated with which type of hypersensitivity reaction?.
Answer: Type II
◍ What are some symptoms of iron deficiency anemia?.
Answer: Headache, fatigue, pallor, brittle nails, angina with activity, cold
hands and feet, shortness of breath
◍ What is a common issue that causes a high white blood cell count in the
body?.
Answer: Infection
◍ What is the pathophysiological reason for hemophilia?.
Answer: Lack of factor VIII
◍ A nurse is describing primary immune deficiency. Which primary
deficiencies should the nurse include?.
Answer: B lymphocytes and complement
◍ A nurse is describing histamine receptors. Histamine receptors that stimulate
gastric acid secretion in the stomach are which?.
Answer: H2
◍ What type of cell becomes cancerous in multiple myeloma?.
Answer: Plasma cells (WBCs that produce antibodies)
◍ How can DIC lead to organ ischemia and potentially organ death?.
Answer: Hypercoagulation in DIC → ischemia → necrosis → organ death
◍ A patient has an immunodeficiency disorder from an X-linked recessive
disease characterized by decreased IgM production. Which diagnosis will
the nurse observe documented on the chart?.
Answer: Wiskott-Aldrich Syndrome
◍ What does hypercoagulation mean?.
, Answer: Increased ability to form blood clots; blood clots too easily
◍ If the kidneys release erythropoietin, what happens to red blood cell
production?.
Answer: RBC production increases
◍ When a nurse checks the patient's PPD tuberculosis skin test, the area is
hard and red. Which term should the nurse use to describe the hard area?.
Answer: Induration
◍ A cancer patient develops an immune deficiency due to the course of the
disease. This immune deficiency would be identified as which type?.
Answer: Secondary
◍ A patient has phagocytic deficiency. What component of the phagocytic
process does the nurse suspect the patient is missing?.
Answer: hydrogen peroxide
◍ The nurse is interpreting a patient's positive tuberculin skin test. This finding
is consistent with which type of hypersensitivity reaction?.
Answer: Type IV
◍ A nurse wants to teach about the most common primary immune deficiency
condition. Which of the following should the nurse describe?.
Answer: Common variable immune deficiency
◍ A patient has Wiskott-Aldrich syndrome. Which typical assessment findings
should the nurse monitor for in this patient?.
Answer: decrease in IgM and bleeding
◍ What differentiates lymphoma from leukemia?.
Answer: Lymphoma is a malignancy of the lymphatic system; leukemia is a
blood malignancy
◍ A patient has a hypersensitivity reaction mediated by Tc cells. A nurse
recalls that this type of hypersensitivity reaction is called:.
Answer: Type IV
◍ What is the problem that causes uncontrolled bleeding related to DIC?.
