Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 18. Immune System Function, Assessment, and Therapeutic Measures
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse determines that a patient has long-term immunity against a disease. Which part of the immune system should the nurse recognize is responsible for this patient’s long-term immunity?
| a. | IgE |
| b. | IgG |
| c. | Mast cells |
| d. | Plasma cells |
____ 2. The nurse is reviewing the immune system prior to discussing the actions with a patient. What type of cell should the nurse identify that is involved in cell-mediated immunity and has a cytotoxic action on tumor cells?
| a. | Lysosomes |
| b. | Memory cells |
| c. | Natural killer cells |
| d. | Histocompatibility cells |
____ 3. The nurse is caring for a patient who is experiencing an immune response involving B and T cells. Which type of immunity is the patient demonstrating?
| a. | Passive immunity |
| b. | Humoral immunity |
| c. | Acquired immunity |
| d. | Cell-mediated immunity |
____ 4. A patient is experiencing an immune response that involves the T lymphocytes. For which types of immunity should the nurse plan care for this patient?
| a. | Passive immunity |
| b. | Humoral immunity |
| c. | Acquired immunity |
| d. | Cell-mediated immunity |
____ 5. The nurse is preparing an injection for an individual who requires passive immunity. In which situation would passive immunity be indicated?
| a. | For permanent immunity against a disease |
| b. | To overcome an allergic reaction that is relatively mild |
| c. | To have ready-made antibodies after an exposure to pathogens |
| d. | As a booster dose to stimulate the production of specific antibodies |
MULTIPLE CHOICE
IgG provides long-term immunity following a vaccine or illness recovery. A. IgE is responsible for allergic reactions. C. Mast cells contribute to inflammation. D. Plasma cells respond to foreign antigens.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis
Cytotoxic, or killer, T cells (CD8) are able to lyse cells such as cancer cells. A. B. D. These cells do not have a cytotoxic action on tumor cells.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
Humoral immunity involves primarily B cells but is assisted by T cells. A. C. D. These types of immunity do not use both B and T cells.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis
Cell-mediated immunity involves T cells. A. B. C. These types of immunity involve other types of cells.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
Artificially acquired passive immunity involves injection of preformed antibodies; this may help prevent disease after exposure to a pathogen. A. B. D. These situations are not appropriate for the injection of an antibody.
PTS: 1 DIF: Moderate
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