Chapter 31: Immunologic System Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What is the primary function in the immune process of the spleen?
a. Filter microorganisms from the blood:
b. Store lymphocytes used to fight infections:
c. Produce additional RBCs (red blood cells):
d. Stimulate WBC production:
ANS: A
The spleen filters microorganisms from the blood:
DIF: Cognitive Level: Knowledge REF: p: 555 OBJ: 1
TOP: Functions of the Spleen KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Which laboratory result for a patient with acute leukemia should alert the nurse to the fact
that the drug protocols are not effective?
a. Decreased prothrombin time
b. Platelet count lower than 50,000/mm3
c. Negative Western blot result
d. Neutrophils 50% to 62%
ANS: B
A low platelet count predisposes a patient to bleeding: A count less than 50,000/mm3
is a cause for concern:
DIF: Cognitive Level: Comprehension REF: p: 562 OBJ: 3
TOP: Platelet Count KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What type of bone marrow transplant uses the patient’s own bone marrow?
, a. Allergenic
b. Allogeneic
c. Peripheral blood stem cell
d. Autologous
ANS: D
An autologous bone marrow transplant uses the patient’s own bone marrow:
DIF: Cognitive Level: Knowledge REF: p: 566 OBJ: 3
TOP: Bone Marrow Transplantation KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. Which human immunity is an example of innate immunity?
a. Hoof-and-mouth disease
b. Measles
c. Rabies
d. Mange
ANS: A
Humans, by nature of their innate properties at birth, have an innate immunity to
hoof-and-mouth disease: Cows also have an innate immunity to measles:
DIF: Cognitive Level: Comprehension REF: p: 555 OBJ: 1
TOP: Innate Immunity KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. What is responsible for initiating the inflammatory response in addition to
immunoglobulin E (IgE)?
a. Eosinophils
b. Lymphocytes
c. Basophils
d. Neutrophils
ANS: C
Basophils initiate a massive inflammatory response with histamine that quickly brings
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What is the primary function in the immune process of the spleen?
a. Filter microorganisms from the blood:
b. Store lymphocytes used to fight infections:
c. Produce additional RBCs (red blood cells):
d. Stimulate WBC production:
ANS: A
The spleen filters microorganisms from the blood:
DIF: Cognitive Level: Knowledge REF: p: 555 OBJ: 1
TOP: Functions of the Spleen KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Which laboratory result for a patient with acute leukemia should alert the nurse to the fact
that the drug protocols are not effective?
a. Decreased prothrombin time
b. Platelet count lower than 50,000/mm3
c. Negative Western blot result
d. Neutrophils 50% to 62%
ANS: B
A low platelet count predisposes a patient to bleeding: A count less than 50,000/mm3
is a cause for concern:
DIF: Cognitive Level: Comprehension REF: p: 562 OBJ: 3
TOP: Platelet Count KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What type of bone marrow transplant uses the patient’s own bone marrow?
, a. Allergenic
b. Allogeneic
c. Peripheral blood stem cell
d. Autologous
ANS: D
An autologous bone marrow transplant uses the patient’s own bone marrow:
DIF: Cognitive Level: Knowledge REF: p: 566 OBJ: 3
TOP: Bone Marrow Transplantation KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. Which human immunity is an example of innate immunity?
a. Hoof-and-mouth disease
b. Measles
c. Rabies
d. Mange
ANS: A
Humans, by nature of their innate properties at birth, have an innate immunity to
hoof-and-mouth disease: Cows also have an innate immunity to measles:
DIF: Cognitive Level: Comprehension REF: p: 555 OBJ: 1
TOP: Innate Immunity KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. What is responsible for initiating the inflammatory response in addition to
immunoglobulin E (IgE)?
a. Eosinophils
b. Lymphocytes
c. Basophils
d. Neutrophils
ANS: C
Basophils initiate a massive inflammatory response with histamine that quickly brings
