Deck 11: Disorders of the Immune System

Question 1

A nurse is assessing four clients who are suspected to have systemic lupus erythematosus. Which client has developed the disease?
1) Client 1
2) Client 2
3) Client 3
4) Client 4

Answer 1

1

Question 2

A nurse who is engaged in maternal-child health care has a blood sample drawn for rubella antibody screening. The test result shows very low titer values. Compare the nursing intervention stated and choose the best nursing intervention for the given situation.
1) The nurse should consult the physician and receive the rubella vaccine immediately.
2) The nurse should consult the physician and receive the MMR vaccine immediately.
3) The nurse does not require any vaccinations.
4) None of the above

Answer 2

1

Question 3

Which cells are known as granular lymphocytes?
1) Kupffer cells
2) Microglial cells
3) T cells
4) Natural killer cells

Answer 3

4

Question 4

A nurse is reviewing the prescriptions of four clients who are being treated for chronic mucocutaneous candidiasis. Compare the effects of the medications and choose the medication that is least effective in treating chronic mucocutaneous candidiasis (CMC).
1) Client 1
2) Client 2
3) Client 3
4) Client 4

Question 5

Which is the predominant immunoglobulin produced after a host's re-exposure to an antigen?
1) Immunoglobulin G (IgG)
2) Immunoglobulin A (IgA)
3) Immunoglobulin E (IgE)
4) Immunoglobulin D (IgD)

Question 6

A registered nurse is teaching a nursing student about the diagnostic test done for chronic mucocutaneous candidiasis. What statement made by the student nurse indicates effective teaching?
1) "Potassium hydroxide wet mount is used to diagnose candida infection."
2) "An antinuclear antibodies test is used to diagnose candida infection."
3) "A C-reactive protein test is used to diagnose candida infection."
4) "Urinalysis is used to diagnose candida infection."

Question 7

A registered nurse is teaching a student nurse about assessing the results of a Mantoux test done on a 15-year-old client. The results indicate 5 mm tissue induration. Which statement made by the student nurse indicates effective learning?
1) "The client is has an active case of tuberculosis (TB)."
2) "The client has had an exposure to TB."
3) "The client has not had an exposure to TB."
4) "The client should be given TB vaccine immediately."

Question 8

IgA is found most in
1) tears.
2) plasma.
3) blood.
4) All of the above.

Question 9

A nurse is reviewing the prescriptions of four clients in the hospital. Compare the effects of the medications prescribed to the clients and identify the client who is most likely being treated for systemic lupus erythematosus (SLE).
1) Client 1
2) Client 2
3) Client 3
4) Client 4

Question 10

Where does maturation of T lymphocytes occur?
1) Spleen
2) Bone marrow
3) Thymus gland
4) Lymph nodes

Question 11

A nurse is reviewing the prescriptions of four clients. Assess the effects of the medication prescribed and identify the client who is most likely being treated for chronic mucocutaneous candidiasis.

1) Client 1
2) Client 2
3) Client 3
4) Client 4

Question 12

A registered nurse is teaching a student nurse about the common side effects of methotrexate therapy, which is used to treat clients with rheumatoid arthritis. Which statement made by the student nurse indicates effective learning?
1) "The client's white blood cell count will be below 4,500 cells per microliter."
2) "The client's weight will increase by 2 kg."
3) "The client's urine specific gravity will be 1.030."
4) All of the above.

Question 13

Which immunity is developed by an individual after experiencing an illness?
1) Innate immunity
2) Active acquired adaptive immunity
3) Passive acquired adaptive immunity
4) None of the above

Question 14

Which is an example of passive acquired adaptive immunity?
1) Newborns receiving immunity through breast milk
2) Individuals becoming immune to chicken pox after infection
3) Individuals becoming immune to measles after infection
4) None of the above

Question 15

A registered nurse is teaching nursing students about passive acquired adaptive immunity. Which statement made by a student nurse indicates effective learning?
1) "It provides immediate immunity."
2) "It is a short-term immunity."
3) "It is not associated with immunologic memory."
4) All of the above.

Question 16

A 27-year-old client is pregnant. The blood group of the client and the fetus are incompatible. Which antibodies produced by the mother against the fetus's blood cells do not affect the fetus?
1) IgM
2) IgG
3) IgD
4) None of the above

Question 17

A client develops an erythematosus rash on the hands two days after working in the garden. What type of hypersensitivity reaction has the client developed?
1) Type I immediate
2) Type II cytotoxic
3) Type III immune complex-mediated
4) Type IV delayed

Question 18

A client has a positive ELISA test. On examination, the client is found to have fever, weight loss, and candida infections. The client also complains of night sweats. What would be the CD4 levels?
1) 700 cells per microliter
2) 500 cells per microliter
3) 200 cells per microliter
4) 350 cells per microliter

Question 19

A client with scleroderma complains of painful ulcers on the knees. Which condition has the client?
1) Telangiectasis
2) Calcinosis
3) Sclerodactyly
4) Raynaud's phenomenon

Question 20

A woman who is planning to get pregnant is ordered to obtain an antibody screening test. The test shows negative IgM. What does the test result indicate about the client?
1) She has been exposed to rubella.
2) She has developed rubella infection.
3) She needs to be given the rubella vaccine.
4) She is immune to rubella.

Question 21

A registered nurse is teaching nursing students about CD4 cells. Which statements made by a student nurse indicate effective teaching?
1) "The CD4 cells directly attack antigens."
2) "The CD4 cells produce immunoglobulins."
3) "The CD4 cells mature into plasma cells."
4) "The human immunodeficiency virus attacks CD4 cells."
5) "The CD4 cells are T cells that take part in cell-mediated immunity."

Question 22

A registered nurse is teaching a student nurse about the diagnosis of AIDS. Assess the statements made by the student nurse and identify the statements that indicate effective learning.
1) "HIV RNA assay measures the viral load in clients with AIDS."
2) "A viral load of 5,000 copies indicates the client is at a high risk of developing AIDS."
3) "A CD4 to CD8 ratio of 2:1 is observed in clients with AIDS."
4) "A negative ELISA test indicates the client is positive for HIV."
5) "A Western Blot test is a conformity test for HIV antibody."

Question 23

A registered nurse is teaching a student nurse about the diagnosis and treatment of hypogammaglobulinemia. Assess the statements made by the student nurse and identify the statements that indicate the need for further teaching.
1) "The diagnosis should be made when a child is 1 year old."
2) "Bronchiectasis is common in clients with hypogammaglobulinemia."
3) "Decreased IgG levels are observed in clients with hypogammaglobulinemia."
4) "Decreased levels of IgM are observed in clients with hypogammaglobulinemia."
5) "Live vaccine should be administered to the client."

Question 24

Which is an autoimmune disease?
1) Osteoarthritis
2) Rheumatoid arthritis
3) Type II diabetes
4) All of the above

Question 25

A registered nurse is teaching a student nurse about interpreting blood test reports and urinalysis reports of clients with systemic lupus erythematosus (SLE). Which statements made by the student nurse indicate effective teaching?
1) "A high antinuclear antibodies (ANA) level is more specific to clients with SLE."
2) "Erythrocyte sedimentation rate is high in clients with SLE."
3) "Leukopenia and thrombocytopenia are often observed in clients with SLE."
4) "C-reactive proteins are low in clients with acute SLE."
5) "Urinalysis reports of clients with SLE show bacteriuria and pyuria."