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NSG 554/ NSG554 EXAM 1: (NEW UPDATE)
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- WILKES
1. A nurse is conducting a wellness exam for an adult patient. Which of the following
interventions should be included in the physical domain of the assessment? Select all
that apply.
A. Screening for domestic violence
B. Evaluating nutritional status
C. Assessing physical activity levels
D. Discussing substance use
E. Evaluating stress management
CORRECT ANSWER: B, C, E
RATIONALE: The physical domain of a wellness exam focuses on the physiological
aspects of health. Key components include nutrition (B), physical activity (C), and
stress (E), as stress has significant physiological effects. Screening for domestic
violence (A) and substance use (D) are part of the emotional/psychosocial domain.
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2. A patient asks the nurse to explain the difference between natural immunity and
vaccine-induced immunity. Which statement accurately describes both?
A. Both are forms of passive immunity that provide immediate protection.
B. Both are forms of active immunity where the body produces its own antibodies,
either through infection or vaccination.
C. Natural immunity is passive, while vaccine-induced immunity is active.
D. Natural immunity is long-lasting, while vaccine-induced immunity is always
temporary.
CORRECT ANSWER: B
RATIONALE: Both natural immunity (acquired through infection with the actual
disease) and vaccine-induced immunity (acquired through vaccination with a killed or
weakened organism) are forms of active immunity. In both cases, the individual's own
immune system produces antibodies and memory cells.
3. A nurse is explaining passive immunity to a new mother. Which statement accurately
describes how passive immunity is acquired?
A. Through exposure to a disease organism via infection.
B. Through vaccination with a killed or weakened form of the organism.
C. Through the transfer of pre-formed antibodies from another source, such as from
mother to baby or through immune globulin.
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D. Through building up immunity over a lifetime of exposure.
CORRECT ANSWER: C
RATIONALE: Passive immunity involves receiving pre-formed antibodies from an
external source, rather than producing them through one's own immune system.
Examples include antibodies transferred from mother to fetus across the placenta or
through medical administration of immune globulin.
4. A postpartum patient asks how her baby received immunity while she was pregnant.
The nurse explains that this is an example of passive immunity, which occurs when:
A. The baby's immune system produced antibodies in response to the mother's
infections.
B. Antibodies crossed the placenta from the mother's bloodstream to the baby.
C. The mother received a vaccine during pregnancy.
D. The baby will develop immunity after birth through breastfeeding only.
CORRECT ANSWER: B
RATIONALE: Passive immunity in newborns is acquired naturally when maternal
antibodies (IgG) cross the placenta during pregnancy, providing protection against
certain infections during the first few months of life.
5. A nursing student correctly identifies the major advantage of active immunity as:
A. Protection is immediate.
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B. Protection is long-lasting, and sometimes life-long.
C. It requires no exposure to antigens.
D. It lasts only a few weeks or months.
CORRECT ANSWER: B
RATIONALE: The key advantage of active immunity, whether acquired naturally or
through vaccination, is that it generates immunological memory. This results in long-
lasting protection, often for many years or even a lifetime, because the body retains
memory B and T cells that can respond rapidly upon re-exposure.
6. A patient needs immediate protection against a disease after a known exposure. The
nurse understands that the major advantage of passive immunity in this situation is
that:
A. It provides life-long protection after a single dose.
B. Protection is immediate, whereas active immunity takes time to develop.
C. It stimulates the body's own immune system to produce antibodies.
D. It is more effective than active immunity for all diseases.
CORRECT ANSWER: B
RATIONALE: The primary advantage of passive immunity is the immediacy of
protection. Because pre-formed antibodies are administered, there is no lag period for
the body to mount its own immune response. However, this protection is temporary,
NSG 554/ NSG554 EXAM 1: (NEW UPDATE)
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- WILKES
1. A nurse is conducting a wellness exam for an adult patient. Which of the following
interventions should be included in the physical domain of the assessment? Select all
that apply.
A. Screening for domestic violence
B. Evaluating nutritional status
C. Assessing physical activity levels
D. Discussing substance use
E. Evaluating stress management
CORRECT ANSWER: B, C, E
RATIONALE: The physical domain of a wellness exam focuses on the physiological
aspects of health. Key components include nutrition (B), physical activity (C), and
stress (E), as stress has significant physiological effects. Screening for domestic
violence (A) and substance use (D) are part of the emotional/psychosocial domain.
,2|Page
2. A patient asks the nurse to explain the difference between natural immunity and
vaccine-induced immunity. Which statement accurately describes both?
A. Both are forms of passive immunity that provide immediate protection.
B. Both are forms of active immunity where the body produces its own antibodies,
either through infection or vaccination.
C. Natural immunity is passive, while vaccine-induced immunity is active.
D. Natural immunity is long-lasting, while vaccine-induced immunity is always
temporary.
CORRECT ANSWER: B
RATIONALE: Both natural immunity (acquired through infection with the actual
disease) and vaccine-induced immunity (acquired through vaccination with a killed or
weakened organism) are forms of active immunity. In both cases, the individual's own
immune system produces antibodies and memory cells.
3. A nurse is explaining passive immunity to a new mother. Which statement accurately
describes how passive immunity is acquired?
A. Through exposure to a disease organism via infection.
B. Through vaccination with a killed or weakened form of the organism.
C. Through the transfer of pre-formed antibodies from another source, such as from
mother to baby or through immune globulin.
,3|Page
D. Through building up immunity over a lifetime of exposure.
CORRECT ANSWER: C
RATIONALE: Passive immunity involves receiving pre-formed antibodies from an
external source, rather than producing them through one's own immune system.
Examples include antibodies transferred from mother to fetus across the placenta or
through medical administration of immune globulin.
4. A postpartum patient asks how her baby received immunity while she was pregnant.
The nurse explains that this is an example of passive immunity, which occurs when:
A. The baby's immune system produced antibodies in response to the mother's
infections.
B. Antibodies crossed the placenta from the mother's bloodstream to the baby.
C. The mother received a vaccine during pregnancy.
D. The baby will develop immunity after birth through breastfeeding only.
CORRECT ANSWER: B
RATIONALE: Passive immunity in newborns is acquired naturally when maternal
antibodies (IgG) cross the placenta during pregnancy, providing protection against
certain infections during the first few months of life.
5. A nursing student correctly identifies the major advantage of active immunity as:
A. Protection is immediate.
, 4|Page
B. Protection is long-lasting, and sometimes life-long.
C. It requires no exposure to antigens.
D. It lasts only a few weeks or months.
CORRECT ANSWER: B
RATIONALE: The key advantage of active immunity, whether acquired naturally or
through vaccination, is that it generates immunological memory. This results in long-
lasting protection, often for many years or even a lifetime, because the body retains
memory B and T cells that can respond rapidly upon re-exposure.
6. A patient needs immediate protection against a disease after a known exposure. The
nurse understands that the major advantage of passive immunity in this situation is
that:
A. It provides life-long protection after a single dose.
B. Protection is immediate, whereas active immunity takes time to develop.
C. It stimulates the body's own immune system to produce antibodies.
D. It is more effective than active immunity for all diseases.
CORRECT ANSWER: B
RATIONALE: The primary advantage of passive immunity is the immediacy of
protection. Because pre-formed antibodies are administered, there is no lag period for
the body to mount its own immune response. However, this protection is temporary,
