Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
TEST BANK
Brunner and Suddarths Medical-Surgical Nursing,
15th Edition by Hinkle
MULTIPLE CHOICES
Question: A woman has been diagnosed with breast cancer and is being treated aggressively with a
chemotherapeutic regimen. As a result of this regimen, she has an inability to fight infection due to the
fact that her bone marrow is unable to produce a sufficient amount of what?
A) Lymphocytes
B) Cytoblasts
C) Antibodies
D) Capillaries - ✓✓Correct Ans: A
Feedback:
The white blood cells involved in immunity (including lymphocytes) are produced in the bone marrow.
Cytoblasts are the protoplasm of the cell outside the nucleus. Antibodies are produced by
lymphocytes, but not in the bone marrow. Capillaries are small blood vessels
Question: During a mumps outbreak at a local school, a patient, who is a school teacher, is exposed.
She has previously been immunized for mumps. What type of immunity does she possess?
A) Acquired immunity
B) Natural immunity
C) Phagocytic immunity
D) Humoral immunity - ✓✓Correct Ans: A
Feedback:
1
,Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
Acquired immunity usually develops as a result of prior exposure to an antigen, often through
immunization. When the body is attacked by bacteria, viruses, or other pathogens, it has three means
of defense. The first line of defense, the phagocytic immune response, involves the WBCs that have
the ability to ingest foreign particles. A second protective response is the humoral immune response,
which begins when the B lymphocytes transform themselves into plasma cells that manufacture
antibodies. The natural immune response system is rapid, nonspecific immunity present at birth.A
Question: gardener sustained a deep laceration while working and requires sutures. The patient is
asked about the date of her last tetanus shot, which is over 10 years ago. Based on this information,
the patient will receive a tetanus immunization. The tetanus injection will allow for the release of what?
A) Antibodies
B) Antigens
C) Cytokines
D) Phagocytes - ✓✓Correct Ans: A
Feedback:
Immunizations activate the humoral immune response, culminating in antibody production. Antigens
are the substances that induce the production of antibodies. Immunizations do not prompt cytokine or
phagocyte production.
Question: An infection control nurse is presenting an inservice 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 - ✓✓Correct Ans: A
Feedback:
Agglutination refers to the clumping effect occurring when an antibody acts as a cross-link between
two antigens. This takes place within the context of the humoral immune response, but is not
synonymous with it. Cellular immune response, the immune systems third line of defense, involves
the attack of pathogens by T-cells. The phagocytic immune response, or immune response, is the
systems first line of defense, involving white blood cells that have the ability to ingest foreign particles.
2
,Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
Question: A nurse has administered a childs scheduled vaccination for rubella. This vaccination will
cause the child to develop which of the following?
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - ✓✓Correct Ans: B
Feedback:
Active acquired immunity usually develops as a result of vaccination or contracting a disease. Natural
immunity is present at birth and provides a nonspecific response to any foreign invader.
Immunizations do not activate the process of cellular immunity. Hypersensitivity is not an expected
outcome of immunization.
Question: A patient with a history of dermatitis takes corticosteroids on a regular basis. The nurse
should assess the patient for which of the following complications of therapy?
A) Immunosuppression
B) Agranulocytosis
C) Anemia
D) Thrombocytopenia - ✓✓Correct Ans: A
Feedback:
Corticosteroids such as prednisone can cause immunosuppression. Corticosteroids do not typically
cause agranulocytosis, anemia, or low platelet counts.
Question: A nurse is planning the assessment of a patient 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 what group?
A) Young adults
B) Native Americans
C) Women
3
, Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
D) Hispanics - ✓✓Correct Ans: C
Feedback:
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon
believed to be correlated with sex hormones.
Question: A 16-year-old has been brought to the emergency department by his parents after falling
through the glass of a patio door, suffering a laceration. The nurse caring for this patient knows that
the site of the injury will have an invasion of what?
A) Interferons
B) Phagocytic cells
C) Apoptosis
D) Cytokines - ✓✓Correct Ans: B
Feedback:
Monocytes migrate to injury sites and function as phagocytic cells, engulfing, ingesting, and
destroying greater numbers and quantities of foreign bodies or toxins than granulocytes. This occurs
in response to the foreign bodies that have invaded the laceration from the dirt on the broken glass.
Interferon, one type of biologic response modifier, is a nonspecific viricidal protein that is naturally
produced by the body and is capable of activating other components of the immune system.
Apoptosis, or programmed cell death, is the bodys way of destroying worn out cells such as blood or
skin cells or cells that need to be renewed. Cytokines are the various proteins that mediate the
immune response. These do not migrate to injury sites.
Question: A man was scratched by an old tool and developed a virulent staphylococcus infection. In
the course of the mans 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 - ✓✓Correct Ans: B
4
TEST BANK
Brunner and Suddarths Medical-Surgical Nursing,
15th Edition by Hinkle
MULTIPLE CHOICES
Question: A woman has been diagnosed with breast cancer and is being treated aggressively with a
chemotherapeutic regimen. As a result of this regimen, she has an inability to fight infection due to the
fact that her bone marrow is unable to produce a sufficient amount of what?
A) Lymphocytes
B) Cytoblasts
C) Antibodies
D) Capillaries - ✓✓Correct Ans: A
Feedback:
The white blood cells involved in immunity (including lymphocytes) are produced in the bone marrow.
Cytoblasts are the protoplasm of the cell outside the nucleus. Antibodies are produced by
lymphocytes, but not in the bone marrow. Capillaries are small blood vessels
Question: During a mumps outbreak at a local school, a patient, who is a school teacher, is exposed.
She has previously been immunized for mumps. What type of immunity does she possess?
A) Acquired immunity
B) Natural immunity
C) Phagocytic immunity
D) Humoral immunity - ✓✓Correct Ans: A
Feedback:
1
,Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
Acquired immunity usually develops as a result of prior exposure to an antigen, often through
immunization. When the body is attacked by bacteria, viruses, or other pathogens, it has three means
of defense. The first line of defense, the phagocytic immune response, involves the WBCs that have
the ability to ingest foreign particles. A second protective response is the humoral immune response,
which begins when the B lymphocytes transform themselves into plasma cells that manufacture
antibodies. The natural immune response system is rapid, nonspecific immunity present at birth.A
Question: gardener sustained a deep laceration while working and requires sutures. The patient is
asked about the date of her last tetanus shot, which is over 10 years ago. Based on this information,
the patient will receive a tetanus immunization. The tetanus injection will allow for the release of what?
A) Antibodies
B) Antigens
C) Cytokines
D) Phagocytes - ✓✓Correct Ans: A
Feedback:
Immunizations activate the humoral immune response, culminating in antibody production. Antigens
are the substances that induce the production of antibodies. Immunizations do not prompt cytokine or
phagocyte production.
Question: An infection control nurse is presenting an inservice 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 - ✓✓Correct Ans: A
Feedback:
Agglutination refers to the clumping effect occurring when an antibody acts as a cross-link between
two antigens. This takes place within the context of the humoral immune response, but is not
synonymous with it. Cellular immune response, the immune systems third line of defense, involves
the attack of pathogens by T-cells. The phagocytic immune response, or immune response, is the
systems first line of defense, involving white blood cells that have the ability to ingest foreign particles.
2
,Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
Question: A nurse has administered a childs scheduled vaccination for rubella. This vaccination will
cause the child to develop which of the following?
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - ✓✓Correct Ans: B
Feedback:
Active acquired immunity usually develops as a result of vaccination or contracting a disease. Natural
immunity is present at birth and provides a nonspecific response to any foreign invader.
Immunizations do not activate the process of cellular immunity. Hypersensitivity is not an expected
outcome of immunization.
Question: A patient with a history of dermatitis takes corticosteroids on a regular basis. The nurse
should assess the patient for which of the following complications of therapy?
A) Immunosuppression
B) Agranulocytosis
C) Anemia
D) Thrombocytopenia - ✓✓Correct Ans: A
Feedback:
Corticosteroids such as prednisone can cause immunosuppression. Corticosteroids do not typically
cause agranulocytosis, anemia, or low platelet counts.
Question: A nurse is planning the assessment of a patient 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 what group?
A) Young adults
B) Native Americans
C) Women
3
, Hinkle: Brunner and Suddarths Medical-Surgical Nursing, 15th Edition
D) Hispanics - ✓✓Correct Ans: C
Feedback:
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon
believed to be correlated with sex hormones.
Question: A 16-year-old has been brought to the emergency department by his parents after falling
through the glass of a patio door, suffering a laceration. The nurse caring for this patient knows that
the site of the injury will have an invasion of what?
A) Interferons
B) Phagocytic cells
C) Apoptosis
D) Cytokines - ✓✓Correct Ans: B
Feedback:
Monocytes migrate to injury sites and function as phagocytic cells, engulfing, ingesting, and
destroying greater numbers and quantities of foreign bodies or toxins than granulocytes. This occurs
in response to the foreign bodies that have invaded the laceration from the dirt on the broken glass.
Interferon, one type of biologic response modifier, is a nonspecific viricidal protein that is naturally
produced by the body and is capable of activating other components of the immune system.
Apoptosis, or programmed cell death, is the bodys way of destroying worn out cells such as blood or
skin cells or cells that need to be renewed. Cytokines are the various proteins that mediate the
immune response. These do not migrate to injury sites.
Question: A man was scratched by an old tool and developed a virulent staphylococcus infection. In
the course of the mans 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 - ✓✓Correct Ans: B
4
