MEDSURG: AUTOIMMUNE: FINAL EXAM QUESTIONS WITH
ACCURATE SOLUTIONS
1) The nurse reviews a patient's medical record and identifies which diagnosis as a
cause of a secondary immunodeficiency disorder?
1. Diabetes mellitus
2. Thymic hypoplasia
3. Ataxia-telangiectasia
4. Graft-versus-host disease -- Answer ✔✔ 1. Diabetes mellitus
2) A patient has taken amoxicillin once as a child for an ear infection. When given an
injection of penicillin V, the patient develops a systemic anaphylactic reaction.
Which manifestation would be seen first?
1. Dilated pupils
2. Dyspnea
3. Edema
4. Wheal-and-flare reaction -- Answer ✔✔ 3. Edema
3) The nursing instructor asks a nursing student to identify the central lymphoid
organs. Which example provided by the student is correct? Select all that apply.
1. Lymph nodes
2. Tonsils
3. Spleen
4. Thymus gland
, 5. Bone marrow -- Answer ✔✔ 4. Thymus gland 5. Bone marrow
4) Which role does an antigen serve in the immune system?
1. Provide immunity
2. Promote homeostasis
3. Elicit an immune response
4. Protect the body against microorganisms -- Answer ✔✔ 3.
Elicit an immune response
5) The nurse is teaching an older adult patient about the need for a pneumococcal
vaccination and explains that the immunization provides which type of immunity?
1. Innate
2. Active
3. Natural
4. Passive -- Answer ✔✔ 2. Active
6) When administering the patient's initial dose of subcutaneous immunotherapy for
treatment of intractable environmental allergies, which action would the nurse
implement?
1. Monitor the patient's fluid balance.
2. Assess the patient's need for analgesia.
3. Monitor for signs and symptoms of an adverse reaction.
4. Assess the patient for changes in level of consciousness. --
Answer ✔✔ 3. Monitor for signs and symptoms of an adverse
reaction.
7) Which pathophysiologic response would the nurse need to understand when
providing care for a patient with systemic lupus erythematosus?
1. Autoimmunity
2. Hypersensitivity
3. Immunodeficiency
4. Delayed hypersensitivity -- Answer ✔✔ 1. Autoimmunity
ACCURATE SOLUTIONS
1) The nurse reviews a patient's medical record and identifies which diagnosis as a
cause of a secondary immunodeficiency disorder?
1. Diabetes mellitus
2. Thymic hypoplasia
3. Ataxia-telangiectasia
4. Graft-versus-host disease -- Answer ✔✔ 1. Diabetes mellitus
2) A patient has taken amoxicillin once as a child for an ear infection. When given an
injection of penicillin V, the patient develops a systemic anaphylactic reaction.
Which manifestation would be seen first?
1. Dilated pupils
2. Dyspnea
3. Edema
4. Wheal-and-flare reaction -- Answer ✔✔ 3. Edema
3) The nursing instructor asks a nursing student to identify the central lymphoid
organs. Which example provided by the student is correct? Select all that apply.
1. Lymph nodes
2. Tonsils
3. Spleen
4. Thymus gland
, 5. Bone marrow -- Answer ✔✔ 4. Thymus gland 5. Bone marrow
4) Which role does an antigen serve in the immune system?
1. Provide immunity
2. Promote homeostasis
3. Elicit an immune response
4. Protect the body against microorganisms -- Answer ✔✔ 3.
Elicit an immune response
5) The nurse is teaching an older adult patient about the need for a pneumococcal
vaccination and explains that the immunization provides which type of immunity?
1. Innate
2. Active
3. Natural
4. Passive -- Answer ✔✔ 2. Active
6) When administering the patient's initial dose of subcutaneous immunotherapy for
treatment of intractable environmental allergies, which action would the nurse
implement?
1. Monitor the patient's fluid balance.
2. Assess the patient's need for analgesia.
3. Monitor for signs and symptoms of an adverse reaction.
4. Assess the patient for changes in level of consciousness. --
Answer ✔✔ 3. Monitor for signs and symptoms of an adverse
reaction.
7) Which pathophysiologic response would the nurse need to understand when
providing care for a patient with systemic lupus erythematosus?
1. Autoimmunity
2. Hypersensitivity
3. Immunodeficiency
4. Delayed hypersensitivity -- Answer ✔✔ 1. Autoimmunity
