Question 1

The nurse encourages a new mother to breastfeed her infant, even for a short time, because colostrum will provide the infant with which of the following types of immunity?

Accepted Answer

A)  Innate
B)  Active
C)  Passive
D)  Cell-mediated C

Question 2

Which of the following adverse effects is related to cyclosporine administration?

Accepted Answer

A)  Nephrotoxicity
B)  Aseptic necrosis
C)  Peptic ulcer
D)  Leukopenia A

Question 3

The nurse is caring for a client in the outpatient clinic who has an immune deficiency involving the T-lymphocytes. Which of the following areas should the nurse teach the client about the need for more frequent screening?

Accepted Answer

A)  Allergies
B)  Malignancy
C)  Antibody deficiency
D)  Autoimmune disorders B

Question 4

Immediately after the nurse administers an intradermal injection of an allergen on the forearm, a client complains of itching at the site and of weakness and dizziness. Which of the following actions is priority for the nurse to implement?

Accepted Answer

A)  Remind the client to remain calm.
B)  Administer subcutaneous epinephrine.
C)  Apply a tourniquet above the injection site.
D)  Rub a local anti-inflammatory cream on the site.

Question 5

To determine whether a client's angioedema has responded to prescribed therapies, which of the following actions should the nurse take first?

Accepted Answer

A)  Ask about any clear nasal discharge.
B)  Obtain blood pressure and heart rate.
C)  Check for swelling of the lips and tongue.
D)  Assess extremities for wheal and flare lesions.

Question 6

After being stung by a wasp, a client is brought to the clinic by a coworker. Upon arrival the client is anxious and having difficulty breathing. Which of the following actions is priority for the nurse to implement?

Accepted Answer

A)  Have the client lie down.
B)  Assess the client's airway.
C)  Administer high-flow oxygen.
D)  Remove the stinger from the site.

Question 7

The nurse is admitting a client to hospital who has an acute rejection of an organ transplant. Which of the following clients is the most appropriate roommate?

Accepted Answer

A)  A client who has viral pneumonia
B)  A client with second-degree burns
C)  A client who is recovering from an anaphylactic reaction to a bee sting
D)  A client with graft-versus-host disease after a recent bone marrow transplant

Question 8

The nurse is caring for a client who receives weekly immunotherapy and has missed the previous appointment. Which of the following actions should the nurse implement when the client comes for the next injection?

Accepted Answer

A)  Schedule an additional dose that week.
B)  Administer the usual dosage of the allergen.
C)  Consult with the health care provider about giving a lower allergen dose.
D)  Re-evaluate the client's sensitivity to the allergen with a repeat skin test.

Question 9

The nurse is caring for a client at an outpatient clinic who is experiencing an allergic reaction to an unknown allergen. Which of the following actions is most appropriate for the nurse to implement?

Accepted Answer

A)  Perform a focused physical assessment.
B)  Obtain the health history from the client.
C)  Teach the client about the various diagnostic studies.
D)  Administer skin testing by the cutaneous scratch method.

Question 10

Which information about client and donor tissue typing results for a client who needs a kidney transplant is most important for the nurse to communicate to the health care provider?

Accepted Answer

A)  Client is Rh positive and donor is Rh negative.
B)  Six antigen matches are present in HLA typing.
C)  Results of client-donor crossmatching are positive.
D)  Panel of reactive antibodies (PR
A)   percentage is low.

Question 11

The nurse is completing an assessment and health history with a client. Which of the following statements made by the client should alert the nurse to a possible immunodeficiency disorder?

Accepted Answer

A)  "I take one baby Aspirin every day to prevent stroke."
B)  "I usually eat eggs or meat for at least two meals a day."
C)  "I had my spleen removed many years ago after a car accident."
D)  "I had a chest x-ray 6 months ago when I had walking pneumonia."

Question 12

For early detection of an anaphylactic reaction in a client who has received allergen testing using the cutaneous scratch method, which of the following actions should the nurse take first?

Accepted Answer

A)  Check blood pressure and pulse rate.
B)  Auscultate the lung sounds bilaterally.
C)  Monitor pupil size and reaction to light.
D)  Assess the arm at the site of the skin testing.

Question 13

The nurse is caring for a client who has experienced Goodpasture's syndrome. Which of the following adverse effects should the nurse be aware of?

Accepted Answer

A)  Thrombocytopenia
B)  Leukopenia
C)  Angioedema
D)  Pulmonary hemorrhage

Question 14

Which of the following adverse reactions should the nurse monitor when a client is undergoing plasmapheresis?

Accepted Answer

A)  Shortness of breath
B)  High blood pressure
C)  Transfusion reactions
D)  Hypotension and paresthesia

Question 15

Chickenpox is an example of which of the following types of immunities?

Accepted Answer

A)  Innate
B)  Natural active
C)  Artificial
D)  Cell-mediated

Question 16

A client diagnosed with systemic lupus erythematosus (SLE) is scheduled for plasmapheresis. Which of the following pathophysiological events should the nurse plan to teach the client about this procedure?

Accepted Answer

A)  It eliminates eosinophils and basophils from blood.
B)  It removes antibody-antigen complexes from circulation.
C)  It prevents foreign antibodies from damaging various body tissues.
D)  It decreases the damage to organs caused by attacking T-lymphocytes.

Question 17

The nurse is assessing a client for possible atopic dermatitis. Which of the following laboratory values should the nurse review?

Accepted Answer

A)  IgE
B)  IgA
C)  Basophils
D)  Neutrophils

Question 18

Which information about a client who is receiving immunotherapy and has just received an allergen injection is most important to communicate to the health care provider?

Accepted Answer

A)  The client's IgG level is increased.
B)  The injection site is red and swollen.
C)  The client's allergy symptoms have not improved.
D)  There is a 3-cm wheal at the site of the allergen injection.

Question 19

The nurse is admitting a client to the hospital with a diagnosis of an acute rejection of a kidney transplant. Which of the following actions should the nurse anticipate implementing?

Accepted Answer

A)  Administration of immunosuppressant medications
B)  Insertion of an arteriovenous graft for hemodialysis
C)  Placement of the client on the transplant waiting list
D)  Drawing blood for human leukocyte antigen (HL
A)   and ABO compatibility matching

Question 20

Which of the following antibodies is involved with an anaphylactic reaction?

Accepted Answer

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

Exam 16: Altered Immune Response and Transplantation