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BRUNNER AND SUDDARTH'S 14TH EDITION MEDICAL-SURGICAL
NURSING QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
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 - ANSWER-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
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 - ANSWER-Ans: A
Feedback:
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
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plasma cells that manufacture antibodies. The natural immune response system is rapid,
nonspecific immunity present at birth.A
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 - ANSWER-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.
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 - ANSWER-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.
A nurse has administered a childs scheduled vaccination for rubella. This vaccination will cause
the child to develop which of the following?
, 3|Page
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - ANSWER-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.
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 - ANSWER-Ans: A
Feedback:
Corticosteroids such as prednisone can cause immunosuppression. Corticosteroids do not
typically cause agranulocytosis, anemia, or low platelet counts.
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
D) Hispanics - ANSWER-Ans: C
Feedback:
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon
believed to be correlated with sex hormones.
BRUNNER AND SUDDARTH'S 14TH EDITION MEDICAL-SURGICAL
NURSING QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
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 - ANSWER-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
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 - ANSWER-Ans: A
Feedback:
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
,2|Page
plasma cells that manufacture antibodies. The natural immune response system is rapid,
nonspecific immunity present at birth.A
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 - ANSWER-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.
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 - ANSWER-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.
A nurse has administered a childs scheduled vaccination for rubella. This vaccination will cause
the child to develop which of the following?
, 3|Page
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - ANSWER-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.
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 - ANSWER-Ans: A
Feedback:
Corticosteroids such as prednisone can cause immunosuppression. Corticosteroids do not
typically cause agranulocytosis, anemia, or low platelet counts.
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
D) Hispanics - ANSWER-Ans: C
Feedback:
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon
believed to be correlated with sex hormones.
