Chapter 19: Immune Disorders

Chapter 19: Immune Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse takes into consideration that a child does not have a mature immune system until:

a.	2 years of age
b.	4 years of age
c.	6 years of age
d.	8 years of age

 

 

ANS:   C

The child does not have a mature immune system until about 6 years of age.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 355              OBJ:    N/A

TOP:    Immune System Maturity                  KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The nurse clarifies that each antibody has a specific antigen target. For instance, IgE antibody is activated with:

a.	Allergic responses
b.	Bacterial infections
c.	Viral infections
d.	Fungal infections

 

 

ANS:   A

IgE is activated with allergic responses.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 355              OBJ:    N/A

TOP:    IgE Antibody                                     KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

3. The nurse is aware that the function of the killer T cell is to attach to the antigen and:

a.	Disrupt the cell membrane
b.	Alter the DNA of the antigen
c.	Digest it
d.	Tag it for a swifter response

 

 

ANS:   A

The killer T cells attach to the antigen, disrupt the cell membrane, and cause the cell’s destruction.

 

DIF:    Cognitive Level: Comprehension      REF:    pp. 355-356     OBJ:    N/A

TOP:    Killer T Cells                                      KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

4. In the second phase of Kawasaki disease, the nurse anticipates that the child will exhibit:

a.	Desquamation of the hands
b.	Cleared conjunctiva
c.	Increased appetite
d.	A pleasant and cooperative attitude

 

 

ANS:   A

In the second phase of Kawasaki disease, the reddened hands and feet desquamate. The child still has reddened conjunctiva and anorexia and is extremely irritable.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 356              OBJ:    1

TOP:    Desquamation                                    KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

5. The cranky child with Kawasaki disease demands to know how much longer the aspirin protocol will continue. The nurse bases the response on the knowledge that the aspirin protocol will:

a.	Continue for 6 to 8 weeks if there are no coronary problems
b.	Continue for the rest of the child’s life on low dosages
c.	Be titrated down after the temperature has stayed below 99° for 5 days
d.	Be terminated when C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) have returned to normal

 

 

ANS:   A

Aspirin is continued for 6 to 8 weeks after recovery if there are no coronary abnormalities.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 357              OBJ:    1

TOP:    Kawasaki Disease                              KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies