Chapter 10: The Immune and Lymphatic Systems

Chapter 10: The Immune and Lymphatic Systems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse points out that as a result of the aging process, one change in the immune system is:

a.	thickened skin.
b.	reduced ciliary action.
c.	thinned periosteum.
d.	reduced saliva.

 

 

ANS:  B

Reduced ciliary action in the respiratory and gastrointestinal tracts results in a decrease in the removal of harmful organisms.

 

DIF:    Cognitive Level: Knowledge            REF:   197-198         OBJ:   5 (theory)

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

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The nurse differentiates the humoral response from the cell-mediated response in that in the cell-mediated response:

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.

 

 

ANS:  A

Cell-mediated response occurs when the specifically antigen-sensitized T lymphocytes attack whole cells, infectious organisms, and nonliving matter such as pollen and dust.

 

DIF:    Cognitive Level: Comprehension     REF:   199                OBJ:   1 (theory)

TOP:   Cell-Mediated Response                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. The nurse clarifies that the lymphocytes that actually produce either sensitized lymphocytes or antibodies are the:

a.	B lymphocytes.
b.	T cells.
c.	suppressor T cells.
d.	stem cells.

 

 

ANS:  A

The B cells secrete immunoglobulins that are called antibodies.

 

DIF:    Cognitive Level: Comprehension     REF:   197                OBJ:   1 (theory)

TOP:   Production of Antibodies                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

4. The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response, which causes the discomfort by the:

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.

 

 

ANS:  A

The swelling brought on by the fluid that collects at the site compresses nerves, causing pain.

 

DIF:    Cognitive Level: Application           REF:   198                OBJ:   1 (theory)

TOP:   Inflammatory Process                      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance