Chapter 13: Immunity, Inflammation, and Infection

Chapter 13: Immunity, Inflammation, and Infection

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient in early labor says to the nurse, “I will pass on protection from diseases, and the baby will not ever need any shots.” What is the best response by the nurse?

a.	“Babies are born with innate (natural) immunity at birth.”
b.	“Babies are born with immunoglobulin E (IgE), an antibody that crosses the placenta, but it only briefly protects the baby.”
c.	“Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies.”
d.	“Yes, the mother passes on cell-mediated immunity.”

 

 

ANS:  B

Infants acquire antibodies from the mother, but they only last a few months.

 

DIF:    Cognitive Level: Application           REF:   p. 169-170      OBJ:   2 | 4

TOP:   Newborn Immunity                         KEY:  Nursing Process Step: Implementation

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

 

2. A school nurse starts a clean-up campaign at a local elementary school in an effort to combat allergens. What is the most common allergic response disorder?

a.	Anaphylaxis
b.	Asthma
c.	Contact dermatitis
d.	Urticaria

 

 

ANS:  B

Fungi are principle allergens that can trigger respiratory allergic responses such as asthma.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 186-187      OBJ:   18

TOP:   Reduction of Allergens                    KEY:  Nursing Process Step: Implementation

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

 

3. A nurse is discussing the body’s first and second lines of defense against infection with a community group. What does the body’s first line of defense include?

a.	Teeth
b.	Sweat
c.	White blood cells
d.	T lymphocytes

 

 

ANS:  B

The sweat glands excrete an antimicrobial enzyme.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 168             OBJ:   1

TOP:   Lines of Defense                             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A nurse explains that a medication given to a patient with a severe inflammatory response mimics a hormone secreted by the adrenal cortex. To what hormone is the nurse referring?

a.	Aldosterone
b.	Testosterone
c.	Histamine
d.	Cortisol

 

 

ANS:  D

Cortisol slows the release of antihistamine and stabilizes lysosomal membranes.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 170             OBJ:   5

TOP:   Antiinflammatory Agents                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. With the exposure to an antigen, a nurse explains that the initiator of the inflammatory response is the presence of histamine. What is responsible for releasing histamine?

a.	Neutrophils
b.	Eosinophils
c.	Basophils
d.	Monocytes

 

 

ANS:  C

Basophils release histamine.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 168             OBJ:   5

TOP:   Inflammatory Response                   KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation