Deck 7: Adaptive Immunity

Question 1

Which statement indicates a correct understanding of antibodies? The most abundant class of antibody in the serum is:

A) IgG.
B) IgM.
C) IgA.
D) IgE.

Answer 1

IgG.

Question 2

Which of the following statements indicates more teaching is needed regarding secondary lymph organs? ________ is/are a secondary lymphoid organ.

A) The spleen
B) Peyer patches
C) Adenoids
D) The liver

Answer 2

The liver

Question 3

A 23-year-old pregnant female visits her primary care provider for her final prenatal checkup.The primary care provider determines that the fetus has developed an infection in utero.Which of the following would be increased in the fetus at birth?

A) IgG
B) IgA
C) IgM
D) IgD

Answer 3

IgM

Question 4

Direct effects of antibodies include: (select all that apply)

A) neutralization.
B) agglutination.
C) precipitation.
D) phagocytosis.
E) division.

Question 5

The predominant antibody of a typical primary immune response is:

A) IgG.
B) IgM.
C) IgA.
D) IgE.

Question 6

A 10-year-old male is stung by a bee while playing in the yard.He experiences a severe allergic reaction and has to go to the ER.The nurse providing care realizes this reaction is the result of:

A) toxoids.
B) IgA.
C) IgE.
D) IgM.

Question 7

A patient has a disease state that results from the secretion of toxins by bacteria.Which medical diagnosis will the nurse see documented on the chart?

A) Malaria
B) Tetanus
C) Smallpox
D) Hepatitis

Question 8

A macrophage was isolated and analyzed for major histocompatibility complex.Which of the following would be expected?

A) MHC I only
B) MHC II only
C) MHC I and II
D) Neither MHC I nor MHC II

Question 9

Which patient will develop active immunity? A patient who:

A) has natural exposure to an antigen or receives an immunization.
B) receives preformed antibodies or T cells from a donor.
C) has T cells that become B cells.
D) receives immunoglobulin.

Question 10

A patient has done research on monoclonal antibodies on the Internet.Which statement indicates a correct understanding? Pure monoclonal antibodies are produced by:

A) T lymphocytes.
B) bone marrow.
C) laboratories.
D) fetuses.

Question 11

Which of the following is responsible for initiating clonal selection?

A) T cells
B) B cells
C) Antigens
D) Lymphocytes

Question 12

Which portion of the antibody is responsible for the biologic functions of antibodies?

A) Heavy chain
B) Variable region
C) Fc portion
D) Epitope

Question 13

While planning care for an elderly patient, the nurse remembers that increased age is associated with: (select all that apply)

A) increased T-cell function.
B) decreased immune function.
C) increased production of antibodies.
D) decreased numbers of circulating immune complexes.
E) decreased ability to fight infection.

Question 14

A 20-year-old female is applying for nursing school and is required to be tested for immunity against several illnesses.Testing that looks at which of the following would be the best to determine immunity?

A) Culture and sensitivity
B) Agglutination
C) Precipitation
D) Titer

Question 15

When a patient asks about secondary lymph organs, how should the nurse respond? Secondary lymph organs include: (select all that apply)

A) the spleen.
B) Peyer patches.
C) adenoids.
D) the liver.
E) bone marrow.
F) the appendix.

Question 16

A 25-year-old female has sexual relations with her boyfriend.Later she is told that the boyfriend is infected with Neisseria gonorrhoeae.Testing reveals that she does not have the disease.How is it possible that she did not contract the disease?

A) Antibodies covered sites of attachment.
B) She was vaccinated against it.
C) Platelets provided protection.
D) IgE was released.

Question 17

An experiment is designed to determine specific cell types involved in cell-mediated immune response.The experimenter is interested in finding cells that attack cells that have specific antigens.Which cells should be isolated?

A) Lymphokine-producing cells
B) T-cytotoxic cells
C) Helper T cells
D) Macrophages

Question 18

A 6-year-old female is diagnosed with a bacterial infection of the respiratory system.Which of the following will most likely try to fight the antigen?

A) Antibodies
B) Cytotoxic T cells
C) Self-antigens
D) Helper T cells

Question 19

An immunology nurse is caring for a patient.While planning care, which principle will the nurse remember? The primary role of IgA1 is to prevent infections in the:

A) blood.
B) kidneys.
C) lungs.
D) mucous membranes.

Question 20

A 5-month-old child is admitted to the hospital with recurring respiratory infections.A possible cause of this condition is:

A) hypergammaglobulinemia.
B) increased maternal IgG.
C) immune insufficiency.
D) decreased maternal antibody breakdown, resulting in hyposensitivity.