NURS 2346 ALTERATIONS IN IMMUNITY FOR THE PEDIATRIC PATIENT EXAM
2025 WITH 100% CORRECT ANSWERS
1. What is infused into a SCID patient during a bone marrow transplant?
Stem cells from a healthy donor
White blood cells from a healthy donor
Platelets from a healthy donor
Red blood cells from a healthy donor
2. Which of the following would the nurse prioritize as the most important
action for the patient to take to prevent anaphylaxis?
Desensitization
Avoid potential allergens
Carry an emergency kit
Wear a medical alert bracelet
3. If a newborn is diagnosed with SCID, what immediate medical
intervention should be prioritized to ensure their health?
Isolation from infections and possible bone marrow transplant.
Administration of antibiotics for all potential infections.
Regular blood transfusions to boost immunity.
Immediate vaccination against all diseases.
4. If a child is diagnosed with a peanut allergy, what dietary changes should
be implemented to ensure their safety?
Allow peanut butter in moderation.
Introduce peanuts gradually to their diet.
,Increase peanut consumption to build tolerance.
, Eliminate all products containing peanuts and check labels for
peanut ingredients.
5. What are the two primary tests used to diagnose food allergies?
CT scan and MRI
blood glucose test and skin biopsy
X-ray and ultrasound
skin prick testing and RAST blood test
6. What is the primary purpose of intravenous immunoglobulin (IVIG)
therapy?
Stimulation of production of endogenous antibodies
Induction of cell-mediated immune response
Transfer of pre-formed antibodies to boost immunity
Direct elimination of pathogens in the bloodstream
7. If a pregnant woman is diagnosed with HIV in her first trimester, what
immediate steps should be taken to minimize the risk of transmission to
her baby?
Start ART medication as soon as possible.
Advise against breastfeeding regardless of treatment.
Only monitor the pregnancy without treatment.
Wait until the second trimester for treatment.
8. Describe the importance of having a school action plan for a child at risk
of anaphylaxis.
A school action plan is only necessary if the child has had multiple
reactions.
, A school action plan is a general guideline for all medical
emergencies.
A school action plan is not needed if the child carries an EpiPen.
A school action plan outlines specific steps to take in case of an
anaphylactic reaction, ensuring timely and appropriate
response.
9. A child presents with suspected food allergies. If the skin prick test is
inconclusive, which test should be considered next for confirmation?
Liver function test
Glucose tolerance test
RAST blood test
Complete blood count
10. In a clinical scenario, if a child with SCID is not responding to long-term
antibiotic therapy, what alternative treatment option should be
considered to ensure the child's safety while awaiting a bone marrow
transplant?
Gene therapy development
Dietary modifications to prevent allergies
Increased antibiotic dosage
Immediate bone marrow transplant
11. If a child presents with a high fever, which combination of strategies
should a caregiver implement based on the management guidelines
provided?
Increase fluid intake and administer antipyretics while ensuring
the child wears light clothing.
Encourage the child to engage in physical activity and avoid
fluids.
2025 WITH 100% CORRECT ANSWERS
1. What is infused into a SCID patient during a bone marrow transplant?
Stem cells from a healthy donor
White blood cells from a healthy donor
Platelets from a healthy donor
Red blood cells from a healthy donor
2. Which of the following would the nurse prioritize as the most important
action for the patient to take to prevent anaphylaxis?
Desensitization
Avoid potential allergens
Carry an emergency kit
Wear a medical alert bracelet
3. If a newborn is diagnosed with SCID, what immediate medical
intervention should be prioritized to ensure their health?
Isolation from infections and possible bone marrow transplant.
Administration of antibiotics for all potential infections.
Regular blood transfusions to boost immunity.
Immediate vaccination against all diseases.
4. If a child is diagnosed with a peanut allergy, what dietary changes should
be implemented to ensure their safety?
Allow peanut butter in moderation.
Introduce peanuts gradually to their diet.
,Increase peanut consumption to build tolerance.
, Eliminate all products containing peanuts and check labels for
peanut ingredients.
5. What are the two primary tests used to diagnose food allergies?
CT scan and MRI
blood glucose test and skin biopsy
X-ray and ultrasound
skin prick testing and RAST blood test
6. What is the primary purpose of intravenous immunoglobulin (IVIG)
therapy?
Stimulation of production of endogenous antibodies
Induction of cell-mediated immune response
Transfer of pre-formed antibodies to boost immunity
Direct elimination of pathogens in the bloodstream
7. If a pregnant woman is diagnosed with HIV in her first trimester, what
immediate steps should be taken to minimize the risk of transmission to
her baby?
Start ART medication as soon as possible.
Advise against breastfeeding regardless of treatment.
Only monitor the pregnancy without treatment.
Wait until the second trimester for treatment.
8. Describe the importance of having a school action plan for a child at risk
of anaphylaxis.
A school action plan is only necessary if the child has had multiple
reactions.
, A school action plan is a general guideline for all medical
emergencies.
A school action plan is not needed if the child carries an EpiPen.
A school action plan outlines specific steps to take in case of an
anaphylactic reaction, ensuring timely and appropriate
response.
9. A child presents with suspected food allergies. If the skin prick test is
inconclusive, which test should be considered next for confirmation?
Liver function test
Glucose tolerance test
RAST blood test
Complete blood count
10. In a clinical scenario, if a child with SCID is not responding to long-term
antibiotic therapy, what alternative treatment option should be
considered to ensure the child's safety while awaiting a bone marrow
transplant?
Gene therapy development
Dietary modifications to prevent allergies
Increased antibiotic dosage
Immediate bone marrow transplant
11. If a child presents with a high fever, which combination of strategies
should a caregiver implement based on the management guidelines
provided?
Increase fluid intake and administer antipyretics while ensuring
the child wears light clothing.
Encourage the child to engage in physical activity and avoid
fluids.
