NUR 257 - Test 1 Ch31-36
Immunity - answerthe body's specific protective response to foreign agent or organism;
resistance to a disease, specifically infectious disease.
Bone Marrow - answerT cells and B cells
Lymphoid Tissue - answerspleen and lymph nodes
Immunocompromised - answerIf a person has had their spleen removed, they are
considered to be ____________________________.
B lymphocytes - answermature in bone marrow
T lymphocytes - answermature in thymus where they also differentiate into cells with
various functions.
Immune System - answerFunctions to remove foreign antigens such as viruses and
bacteria to maintain homeostasis.
Natural Immunity - answernonspecific response to any foreign invader
Includes: white blood cell action, inflammatory response and physical barriers
Ex: COVID-19
acquired immunity - answerspecific against a foreign antigen
-result of prior exposure to an antigen
-active or passive
-ex: chicken pox
Active Immunity - answerImmunologic defenses developed by person's own body
Lasts many years; may last a lifetime
Passive Immunity - answerTemporary immunity
Results from transfer of a source outside of the body that has developed immunity
through previous disease or immunization
Passive Immunity - answerExamples include: •transfer of antibodies from mother to
infant through breast feeding; receiving immune globulin through injections
,High protein - answerWhich diet should be recommended to someone that is
immunocompromised?
A. acquired immunity. - answerDuring a mumps outbreak at a local school, a teacher
has been exposed. The client has previously been immunized for mumps, and
consequently possesses:
A. acquired immunity.
B. natural immunity.
C. phagocytic immunity.
D. humoral immunity.
A. Antibodies - answerA gardener sustained a deep laceration while working and
requires sutures. The date of the client's last tetanus shot was over 10 years ago.
Based on this information, the client will receive a tetanus immunization, which will allow
for the release of which type of substance?
A. Antibodies
B. Antigens
C. Cytokines
D. Phagocytes
A. Agglutination - answerAn infection control nurse is presenting an in-service reviewing
the immune response. The nurse describes the clumping effect that occurs when an
antibody acts like a cross-link between two antigens. What process is the nurse
explaining?
A. Agglutination
B. Cellular immune response
C. Humoral response
D. Phagocytic immune response
B. Passive acquired immunity - answerA nurse has given an 8-year-old client the
scheduled vaccination for rubella. This vaccination will cause the client to develop which
expected and desired condition?
A. Natural immunity
B. Passive acquired immunity
C. Cellular immunity
D. Mild hypersensitivity
A. Immunosuppression - answerA client with a history of dermatitis takes corticosteroids
on a regular basis. The nurse should assess the client for which complication of
therapy?
A. Immunosuppression
B. Agranulocytosis
C. Anemia
D. Thrombocytopenia
,C. Women - answerA nurse is planning the assessment of a client who is exhibiting
signs and symptoms of an autoimmune disorder. The nurse should be aware that the
incidence and prevalence of autoimmune diseases is known to be higher among which
group?
A. Young adults
B. Native Americans/First Nations
C. Women
D. People of Hispanic descent
B. Phagocytic cells - answerA client has been brought to the emergency department by
the parents after falling through the glass of a patio door, sustaining a laceration. The
nurse caring for this client knows that the site of the injury will have an invasion of which
type of cell?
A. Interferons
B. Phagocytic cells
C. Helper T cells
D. Cytokines
B. Proliferation stage - answerA client was scratched by an old tool and developed a
virulent staphylococcus infection. During the immune response, circulating lymphocytes
containing the antigenic message returned to the nearest lymph node. During what
stage of the immune response did this occur?
A. Recognition stage
B. Proliferation stage
C. Response stage
D. Effector stage
C. Cellular - answerA client with cystic fibrosis has received a double lung transplant
and is now experiencing signs of rejection. Which immune response predominates in
this situation?
A. Humoral
B. Nonspecific
C. Cellular
D. Antibody
D. Effector stage - answerA client being treated for bacterial pneumonia initially
experienced dyspnea and a high fever but now claims to be feeling better and is
afebrile. The client is most likely in which stage of the immune response?
A. Recognition stage
B. Proliferation stage
C. Response stage
D. Effector stage
A. Stem cell transplantation - answerThe nurse is providing care for a client who has
multiple sclerosis. The nurse recognizes the autoimmune etiology of this disease and
the potential benefits of what treatment?
, A. Stem cell transplantation
B. Serial immunizations
C. Immunosuppression
D. Genetic engineering
D. Neutrophils - answerA client's injury has initiated an immune response that involves
inflammation. What are the first cells to arrive at this client's site of inflammation?
A. Eosinophils
B. Red blood cells
C. Lymphocytes
D. Neutrophils
B. Proliferation stage - answerA nurse is planning a client's care and is relating it to
normal immune response. During which stage of the immune response do sensitized
lymphocytes stimulate some of the resident T and B lymphocytes to enlarge, divide, and
proliferate?
A. Recognition stage
B. Proliferation stage
C. Response stage
D. Effector stage
B. Spleen - answerThe nurse should recognize a client's risk for impaired immune
function if the client has undergone surgical removal of which of the following?
A. Thyroid gland
B. Spleen
C. Kidney
D. Pancreas
C. Complement system - answerA client with hepatitis B has been admitted to the
medical intensive care unit with sepsis. Which immunity function was most likely
compromised?
A. Lymphatic system
B. Passive immunity
C. Complement system
D. Monoclonal antibodies
D. Humoral - answerA nurse has admitted a client who has been diagnosed with
urosepsis. Which immune response predominates in sepsis?
A. Mitigated
B. Nonspecific
C. Cellular
D. Humoral
C. An antineoplastic - answerA nurse is reviewing a client's medication administration
record in an effort to identify drugs that may contribute to the client's recent
immunosuppression. What drug is most likely to have this effect?
Immunity - answerthe body's specific protective response to foreign agent or organism;
resistance to a disease, specifically infectious disease.
Bone Marrow - answerT cells and B cells
Lymphoid Tissue - answerspleen and lymph nodes
Immunocompromised - answerIf a person has had their spleen removed, they are
considered to be ____________________________.
B lymphocytes - answermature in bone marrow
T lymphocytes - answermature in thymus where they also differentiate into cells with
various functions.
Immune System - answerFunctions to remove foreign antigens such as viruses and
bacteria to maintain homeostasis.
Natural Immunity - answernonspecific response to any foreign invader
Includes: white blood cell action, inflammatory response and physical barriers
Ex: COVID-19
acquired immunity - answerspecific against a foreign antigen
-result of prior exposure to an antigen
-active or passive
-ex: chicken pox
Active Immunity - answerImmunologic defenses developed by person's own body
Lasts many years; may last a lifetime
Passive Immunity - answerTemporary immunity
Results from transfer of a source outside of the body that has developed immunity
through previous disease or immunization
Passive Immunity - answerExamples include: •transfer of antibodies from mother to
infant through breast feeding; receiving immune globulin through injections
,High protein - answerWhich diet should be recommended to someone that is
immunocompromised?
A. acquired immunity. - answerDuring a mumps outbreak at a local school, a teacher
has been exposed. The client has previously been immunized for mumps, and
consequently possesses:
A. acquired immunity.
B. natural immunity.
C. phagocytic immunity.
D. humoral immunity.
A. Antibodies - answerA gardener sustained a deep laceration while working and
requires sutures. The date of the client's last tetanus shot was over 10 years ago.
Based on this information, the client will receive a tetanus immunization, which will allow
for the release of which type of substance?
A. Antibodies
B. Antigens
C. Cytokines
D. Phagocytes
A. Agglutination - answerAn infection control nurse is presenting an in-service reviewing
the immune response. The nurse describes the clumping effect that occurs when an
antibody acts like a cross-link between two antigens. What process is the nurse
explaining?
A. Agglutination
B. Cellular immune response
C. Humoral response
D. Phagocytic immune response
B. Passive acquired immunity - answerA nurse has given an 8-year-old client the
scheduled vaccination for rubella. This vaccination will cause the client to develop which
expected and desired condition?
A. Natural immunity
B. Passive acquired immunity
C. Cellular immunity
D. Mild hypersensitivity
A. Immunosuppression - answerA client with a history of dermatitis takes corticosteroids
on a regular basis. The nurse should assess the client for which complication of
therapy?
A. Immunosuppression
B. Agranulocytosis
C. Anemia
D. Thrombocytopenia
,C. Women - answerA nurse is planning the assessment of a client who is exhibiting
signs and symptoms of an autoimmune disorder. The nurse should be aware that the
incidence and prevalence of autoimmune diseases is known to be higher among which
group?
A. Young adults
B. Native Americans/First Nations
C. Women
D. People of Hispanic descent
B. Phagocytic cells - answerA client has been brought to the emergency department by
the parents after falling through the glass of a patio door, sustaining a laceration. The
nurse caring for this client knows that the site of the injury will have an invasion of which
type of cell?
A. Interferons
B. Phagocytic cells
C. Helper T cells
D. Cytokines
B. Proliferation stage - answerA client was scratched by an old tool and developed a
virulent staphylococcus infection. During the immune response, circulating lymphocytes
containing the antigenic message returned to the nearest lymph node. During what
stage of the immune response did this occur?
A. Recognition stage
B. Proliferation stage
C. Response stage
D. Effector stage
C. Cellular - answerA client with cystic fibrosis has received a double lung transplant
and is now experiencing signs of rejection. Which immune response predominates in
this situation?
A. Humoral
B. Nonspecific
C. Cellular
D. Antibody
D. Effector stage - answerA client being treated for bacterial pneumonia initially
experienced dyspnea and a high fever but now claims to be feeling better and is
afebrile. The client is most likely in which stage of the immune response?
A. Recognition stage
B. Proliferation stage
C. Response stage
D. Effector stage
A. Stem cell transplantation - answerThe nurse is providing care for a client who has
multiple sclerosis. The nurse recognizes the autoimmune etiology of this disease and
the potential benefits of what treatment?
, A. Stem cell transplantation
B. Serial immunizations
C. Immunosuppression
D. Genetic engineering
D. Neutrophils - answerA client's injury has initiated an immune response that involves
inflammation. What are the first cells to arrive at this client's site of inflammation?
A. Eosinophils
B. Red blood cells
C. Lymphocytes
D. Neutrophils
B. Proliferation stage - answerA nurse is planning a client's care and is relating it to
normal immune response. During which stage of the immune response do sensitized
lymphocytes stimulate some of the resident T and B lymphocytes to enlarge, divide, and
proliferate?
A. Recognition stage
B. Proliferation stage
C. Response stage
D. Effector stage
B. Spleen - answerThe nurse should recognize a client's risk for impaired immune
function if the client has undergone surgical removal of which of the following?
A. Thyroid gland
B. Spleen
C. Kidney
D. Pancreas
C. Complement system - answerA client with hepatitis B has been admitted to the
medical intensive care unit with sepsis. Which immunity function was most likely
compromised?
A. Lymphatic system
B. Passive immunity
C. Complement system
D. Monoclonal antibodies
D. Humoral - answerA nurse has admitted a client who has been diagnosed with
urosepsis. Which immune response predominates in sepsis?
A. Mitigated
B. Nonspecific
C. Cellular
D. Humoral
C. An antineoplastic - answerA nurse is reviewing a client's medication administration
record in an effort to identify drugs that may contribute to the client's recent
immunosuppression. What drug is most likely to have this effect?
