NUR 307 EXAM 2 QUESTIONS AND
ANSWERS. VERIFIED 2025/2026.
C. Providing protection against invading organisms - ANS 1. The student nurse learns that the
most important function of inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-tolerance
a. Assess the client for more specific signs. - ANS 2. A nurse is assessing an older client for the
presence of infection. The client's temperature is 97.6° F (36.4° C). What response by the nurse
is best?
a. Assess the client for more specific signs.
b. Conclude that an infection is not present.
c. Document findings and continue to monitor.
d. Request that the provider order blood cultures.
a. "Avoid large crowds and people who are ill." - ANS 3. A client is taking prednisone to
prevent transplant rejection. What instruction by the nurse is most important?
a. "Avoid large crowds and people who are ill."
b. "Check over-the-counter meds for acetaminophen."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,c. "Take this medicine exactly as prescribed."
d. "You have a higher risk of developing cancer."
a. Assessing vaccination records for booster shot needs - ANS 4. A clinic nurse is working with
an older client. What assessment is most important for preventing infections in this client?
a. Assessing vaccination records for booster shot needs
b. Encouraging the client to eat a nutritious diet
c. Instructing the client to wash minor wounds carefully
d. Teaching hand hygiene to prevent the spread of microbes
b. Purulent drainage - ANS 5. A client has a leg wound that is in the second stage of the
inflammatory response. For what manifestation does the nurse assess?
a. Noticeable rubor
b. Purulent drainage
c. Swelling and pain
d. Warmth at the site
a. Bone marrow - ANS 6. A nursing student learning about antibody-mediated immunity
learns that the cell with the most direct role in this process begins development in which tissue
or organ?
a. Bone marrow
b. Spleen
c. Thymus
d. Tonsils
c. Natural active - ANS 7. The nurse understands that which type of immunity is the longest
acting?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,a. Artificial active
b. Inflammatory
c. Natural active
d. Natural passive
d. Suppressor T cells - ANS 8. The nurse working with clients who have autoimmune diseases
understands that what component of cell-mediated immunity is the problem?
a. CD4+ cells
b. Cytotoxic T cells
c. Natural killer cells
d. Suppressor T cells
a. Dialysis - ANS 9. A client has been on dialysis for many years and now is receiving a kidney
transplant. The client experiences hyperacute rejection. What treatment does the nurse prepare
to facilitate?
a. Dialysis
b. High-dose steroid administration
c. Monoclonal antibody therapy
d. Plasmapheresis
c. Creatinine of 3.9 mg/dL - ANS 10. A nurse is assessing a client for acute rejection of a
kidney transplant. What assessment finding requires the most rapid communication with the
provider?
a. Blood urea nitrogen (BUN) of 18 mg/dL
b. Cloudy, foul-smelling urine
c. Creatinine of 3.9 mg/dL
d. Urine output of 340 mL/8 hr
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, b. Identical twin - ANS 11. The nurse working in an organ transplantation program knows that
which individual is typically the best donor of an organ?
a. Child
b. Identical twin
c. Parent
d. Same-sex sibling
d. Treat the client as if he or she has tuberculosis (TB). - ANS 12. An older adult has a mild
temperature, night sweats, and productive cough. The client's tuberculin test comes back
negative. What action by the nurse is best?
a. Recommend a pneumonia vaccination.
b. Teach the client about viral infections.
c. Tell the client to rest and drink plenty of fluids.
d. Treat the client as if he or she has tuberculosis (TB).
a. "It increases the elimination of T lymphocytes from circulation." - ANS 13. A client
receiving muromonab-CD3 (Orthoclone OKT3) asks the nurse how the drug works. What
response by the nurse is best?
a. "It increases the elimination of T lymphocytes from circulation."
b. "It inhibits cytokine production in most lymphocytes."
c. "It prevents DNA synthesis, stopping cell division in activated lymphocytes."
d. "It prevents the activation of the lymphocytes responsible for rejection."
a. Antibody-mediated immunity
b. Cell-mediated immunity
c. Inflammation - ANS 14. For a person to be immunocompetent, which processes need to be
functional and interact appropriately with each other? (Select all that apply.)
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2025/2026.
C. Providing protection against invading organisms - ANS 1. The student nurse learns that the
most important function of inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-tolerance
a. Assess the client for more specific signs. - ANS 2. A nurse is assessing an older client for the
presence of infection. The client's temperature is 97.6° F (36.4° C). What response by the nurse
is best?
a. Assess the client for more specific signs.
b. Conclude that an infection is not present.
c. Document findings and continue to monitor.
d. Request that the provider order blood cultures.
a. "Avoid large crowds and people who are ill." - ANS 3. A client is taking prednisone to
prevent transplant rejection. What instruction by the nurse is most important?
a. "Avoid large crowds and people who are ill."
b. "Check over-the-counter meds for acetaminophen."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,c. "Take this medicine exactly as prescribed."
d. "You have a higher risk of developing cancer."
a. Assessing vaccination records for booster shot needs - ANS 4. A clinic nurse is working with
an older client. What assessment is most important for preventing infections in this client?
a. Assessing vaccination records for booster shot needs
b. Encouraging the client to eat a nutritious diet
c. Instructing the client to wash minor wounds carefully
d. Teaching hand hygiene to prevent the spread of microbes
b. Purulent drainage - ANS 5. A client has a leg wound that is in the second stage of the
inflammatory response. For what manifestation does the nurse assess?
a. Noticeable rubor
b. Purulent drainage
c. Swelling and pain
d. Warmth at the site
a. Bone marrow - ANS 6. A nursing student learning about antibody-mediated immunity
learns that the cell with the most direct role in this process begins development in which tissue
or organ?
a. Bone marrow
b. Spleen
c. Thymus
d. Tonsils
c. Natural active - ANS 7. The nurse understands that which type of immunity is the longest
acting?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,a. Artificial active
b. Inflammatory
c. Natural active
d. Natural passive
d. Suppressor T cells - ANS 8. The nurse working with clients who have autoimmune diseases
understands that what component of cell-mediated immunity is the problem?
a. CD4+ cells
b. Cytotoxic T cells
c. Natural killer cells
d. Suppressor T cells
a. Dialysis - ANS 9. A client has been on dialysis for many years and now is receiving a kidney
transplant. The client experiences hyperacute rejection. What treatment does the nurse prepare
to facilitate?
a. Dialysis
b. High-dose steroid administration
c. Monoclonal antibody therapy
d. Plasmapheresis
c. Creatinine of 3.9 mg/dL - ANS 10. A nurse is assessing a client for acute rejection of a
kidney transplant. What assessment finding requires the most rapid communication with the
provider?
a. Blood urea nitrogen (BUN) of 18 mg/dL
b. Cloudy, foul-smelling urine
c. Creatinine of 3.9 mg/dL
d. Urine output of 340 mL/8 hr
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, b. Identical twin - ANS 11. The nurse working in an organ transplantation program knows that
which individual is typically the best donor of an organ?
a. Child
b. Identical twin
c. Parent
d. Same-sex sibling
d. Treat the client as if he or she has tuberculosis (TB). - ANS 12. An older adult has a mild
temperature, night sweats, and productive cough. The client's tuberculin test comes back
negative. What action by the nurse is best?
a. Recommend a pneumonia vaccination.
b. Teach the client about viral infections.
c. Tell the client to rest and drink plenty of fluids.
d. Treat the client as if he or she has tuberculosis (TB).
a. "It increases the elimination of T lymphocytes from circulation." - ANS 13. A client
receiving muromonab-CD3 (Orthoclone OKT3) asks the nurse how the drug works. What
response by the nurse is best?
a. "It increases the elimination of T lymphocytes from circulation."
b. "It inhibits cytokine production in most lymphocytes."
c. "It prevents DNA synthesis, stopping cell division in activated lymphocytes."
d. "It prevents the activation of the lymphocytes responsible for rejection."
a. Antibody-mediated immunity
b. Cell-mediated immunity
c. Inflammation - ANS 14. For a person to be immunocompetent, which processes need to be
functional and interact appropriately with each other? (Select all that apply.)
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
