Deck 10: The Immune and Lymphatic System

Question 1

Which scenario explains how a patient can be protected by passive artificial immunity?

A) Receiving an injection with immune globulin
B) Receiving immunizations
C) Contracting the disease
D) Consuming sufficient antioxidants

Answer 1

Receiving an injection with immune globulin

Question 2

The nurse is working in a flu immunization clinic.Which situation would require a postponement of immunization?

A) A patient has a history of asthma.
B) A patient takes herbal remedies such as valerian and Ginkgo biloba daily.
C) A patient has a history of poorly controlled diabetes.
D) A patient received immune globulin 2 weeks ago.

Answer 2

A patient received immune globulin 2 weeks ago.

Question 3

How does long-term alcohol abuse lead to alteration in the immune system?

A) It alters the effectiveness of antibodies.
B) It stimulates autoimmune activity.
C) It impairs the ability of B lymphocytes to produce antibodies.
D) It shortens the life of circulating antibodies.

Answer 3

It impairs the ability of B lymphocytes to produce antibodies.

Question 4

The nurse is preparing a presentation on the inflammatory response.While preparing a cartoon picture of lysis,the nurse correctly draws which scenario?

A) An antibody acting through the process of neutralization
B) An individual's arm that is red and swollen
C) A phagocyte eating an antigen
D) A cell that is originating in the bone marrow

Question 5

After assessing a patient,the nurse suspects that the patient has an abscessed tooth.Which assessment finding confirms that the immune system is fighting the abscess?

A) Anorexia
B) Purulent expectorate
C) Foul breath
D) Enlarged cervical lymph node

Question 6

Which statements about passive immunity are true?

A) Passive immunity lasts for several years.
B) Passive immunity stimulates the production of antibodies.
C) Passive immunity prevents further tissue damage.
D) Passive immunity provides temporary immunity from the disease.
E) Passive immunity is given by vaccination.

Question 7

The nurse is evaluating the patient's understanding of his new diagnosis of rheumatoid arthritis.Which statement reflects an understanding of the disease process?

A) "My body lacks an appropriate response to invading bacteria."
B) "My body produces an immune response to my own cells and tissues."
C) "My body immediately produces a protein that is specifically designed to fight off an antigen."
D) My body has a delayed response in which lymphocytes attack whole cells like bacteria."

Question 8

The nurse is reviewing laboratory results of a patient who had surgery 2 days ago.The nurse notes that the C-reactive protein is elevated.What potential problem does this finding indicate?

A) Impending infection
B) Possible hemorrhage
C) A drug allergic reaction
D) Fluid deficit

Question 9

Which mechanisms are ways in which antibodies can protect the body by either destroying or inactivating a particular antigen?

A) Mechanically harming the antigen
B) Activating the complement system
C) Releasing chemicals that alter the environment of the antigen
D) Directly attacking the nucleus of the antigen
E) Forming organic "chains" that sweep out the antigen

Question 10

The nurse differentiates the humoral response from the cell-mediated response.Which statement about cell-mediated response is true?

A) The sensitized lymphocytes attack the cell for which they were sensitized.
B) Cells produce new antibodies.
C) The response does not occur until the white blood cell (WBC) count rises.
D) There is a systemic response of fever and malaise.

Question 11

Which type of lymphocytes actually produces either sensitized lymphocytes or antibodies?

A) B lymphocytes
B) T cells
C) Suppressor T cells
D) Stem cells

Question 12

The industrial nurse should teach all middle-aged employees to receive a tetanus booster how often?

A) Every 2 years
B) Every 4 years
C) Every 7 years
D) Every 10 years

Question 13

A vaccination or immunization gives a patient which type of immunity?

A) Active acquired immunity
B) Passive acquired immunity
C) Passive immunity
D) Natural immunity

Question 14

The outpatient clinic nurse is collecting a health history on a 78-year-old patient who has a history of emphysema.Which annual immunization is most important for the patient to receive?

A) Tetanus
B) Influenza
C) Pneumonia
D) Hepatitis B

Question 15

The nurse is teaching about changes in the immune system that result from the aging process.Which change should the nurse include?

A) Thickened skin
B) Reduced ciliary action
C) Thinned periosteum
D) Reduced saliva

Question 16

The mother of a young child voices concern about immunizations for her child.Which response is best?

A) "Immunization is generally a safe method of avoiding certain diseases and the complications that go along with these diseases."
B) "There are no risk factors associated with immunizations, so there is no reason to worry."
C) "I really don't understand the thinking behind people not immunizing their children if it can prevent disease."
D) "Recommendations of Healthy People 2020 Goal 14 is to reduce or eliminate cases of vaccine-preventable diseases, so I strongly urge you to immunize your child."

Question 17

Which analogy best describes the action of killer T cells?

A) A tiger slowly stalking an antigen to devour it.
B) A mad hornet flying through circulating fluids seeking and killing antigens.
C) A spider waiting in a web for an antigen to get caught in it.
D) A bird dog pointing to an antigen so it can be attacked by phagocytes.

Question 18

The young father tells the industrial nurse at work that he is afraid he will give his 2-week-old baby his cold.The nurse can assure him that the baby is protected by which type of immunity?

A) Acquired immunity
B) Passive immunity
C) Active immunity
D) Passive natural immunity

Question 19

The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response.What process causes this discomfort?

A) Swelling, which compresses nerves.
B) Enzyme release, which irritates the area.
C) Acidic waste from the destroyed cells.
D) Heat of lysis, which affects the nerves.

Question 20

The nurse is aware that unlike dogs,humans do not contract such diseases as distemper.Which type of immunity explains this protection?

A) Passive immunity
B) Acquired immunity
C) Innate immunity
D) Passive natural immunity

Question 21

Which patient would the nurse consider to be immunosuppressed?

A) A patient on chemotherapy for cancer
B) A patient using corticosteroids
C) A patient pregnant at 28 weeks gestation
D) A patient recovering from joint replacement
E) A patient diagnosed with human immunodeficiency virus (HIV)

Question 22

Place the events of the complement system of proteins in the correct sequence.

Step 2

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 23

The nurse explains that the immediate response of a person's body that produces an antibody is called the _____________.

Question 24

Place the events of the complement system of proteins in the correct sequence.

Step 1

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 25

Lymphoid tissue that is typically found in the ileum portion of the small bowel is called ____________.

Question 26

Place the events of the complement system of proteins in the correct sequence.

Step 5

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 27

Techniques of testing for possible allergy include which of the following?

A) The scratch test
B) Drinking diluted solution of antigen
C) Intradermal injection
D) Dropping solution in the eye
E) Adhesive patches

Question 28

Plasma cells are stimulated to produce large quantities of specific antibodies by ____________.

Question 29

The bone marrow produces a(n)_______ cell that can differentiate itself to acquire individual characteristics.

Question 30

The nurse is caring for an immunosuppressed patient.Which care considerations should the nurse include?

A) Increase fresh fruit intake.
B) Adhere to Standard Precautions.
C) Avoid bringing potted plants into the patient's room.
D) Employ reverse isolation.
E) Use filters on air conditioner vents.

Question 31

Place the events of the complement system of proteins in the correct sequence.

Step 3

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 32

Place the events of the complement system of proteins in the correct sequence.

Step 4

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.