EXAM 3 REVIEW QUESTIONS

NCLEX-Style
Paula Ruedebusch, FNP, DNP
QUESTION #1
 The three characteristics that are unique to the
immune system are: (Select all that apply.)

a. Self-regulation
b. Specificity
c. Memory
d. Antigen
QUESTION #2
 A patient is known to have eaten contaminated
food, but has not become ill. The gerontology nurse
practitioner explains to the healthcare team on the
unit that gastric acidity will kill some organisms.
This type of response is known as:

a. Adaptation
b. Innate immunity
c. Passive immunity
d. Acquired passive immunity
QUESTION #3
 Which of the following factors affect proper immune
system function?

a. Age, exercise
b. Sunlight, nutrients in the diet
c. Diagnosis with co-morbidities
d. All of the above
QUESTION #4
 The gerontology clinical nurse specialist is teaching
a group of new graduate nurses how the body
fights infection. When discussing humoral immunity,
the nurse should explain that this protection is
mediated by which cell?

a. Basophil
b. Eosinophil
c. The B cell
d. The monocyte
QUESTION #5
 Which of the following statements are accurate
about the humoral immune response and the
cellular immune response? (Select all that apply.)

a. The humoral immune response is directly related to B cell

surface receptors.
b. The cellular immune response is directly related to the T cell
surface receptors.
c. The humoral immune response is indirectly related to the T
cell surface receptors.
d. The cellular immune response is indirectly related to the B
cell surface receptors.
QUESTION #6
 A nurse is caring for a patient who is deficient in T
cells. The nurse would know that T cell deficiency
would result in which of the following?

a. Hypersensitivity to allergens
b. Impaired cellular immunity
c. A decrease in the cell lifespan of granulocytes
d. A cellular inability to participate in phagocytosis
QUESTION #7
 Which nursing intervention should be attended to
first for a client with a Type I hypersensitivity
reaction?

a. Administering naloxone (Narcan) stat

b. Obtaining blood sample for type and cross-match
c. Initiating 0.9% NaCl intravenous solution
d. Establishing and maintaining a patent airway
QUESTION #8
 Which of the following clinical manifestations of a
patient suggests Type IV hypersensitivity reaction?

a. Dermatitis from a latex allergy

b. Sudden shortness of breath
c. The appearance of hives
d. Swelling of the lips
QUESTION #9
 Under which of the following classifications of
hypersensitivity would systemic lupus
erythematosus (SLE) and rheumatoid arthritis be
classified?

a. Type I hypersensitivity
b. Type II hypersensitivity
c. Type III hypersensitivity
d. Type IV hypersensitivity
QUESTION #10
 Which of the following classifications of drugs are
usually prescribed for patients with rheumatoid
arthritis?

a. Non-steroidal anti-inflammatory (NSAIDs)

b. Glucocorticoids
c. Mineralocorticoid
d. Answers 1 and 2
QUESTION #11
 The older person's susceptibility to infections is
related to: (Select all that apply.)

a. A decline in responsiveness of the immune system

to harmful foreign invaders. 
b. The febrile response that signals infections
sometimes being blunted in the older person. 
c. Medications commonly taken that also decrease
the normal fever response. 
d. The body temperature in older people being
approximately 1ºF lower than normal, meaning a
rise in temperature can go unnoticed.
QUESTION #12
 A child is admitted to the pediatric unit with a
diagnosis of suspected meningococcal meningitis.
Which of the following nursing measures should the
nurse do FIRST?

a. Institute seizure precautions

b. Assess neurologic status
c. Place in respiratory isolation
d. Assess vital signs 
QUESTION #13
 Which of the following is the FIRST priority in
preventing infections when providing care for a
client?

a. Handwashing
b. Wearing gloves
c. Using a barrier between client’s furniture and
nurse’s bag
d. Wearing gowns and goggles 
QUESTION #14
 An eighty five year old man was admitted for surgery for
benign prostatic hypertrophy. Preoperatively he was alert,
oriented, cooperative, and knowledgeable about his
surgery. Several hours after surgery, the evening nurse
found him acutely confused, agitated, and trying to climb
over the protective side rails on his bed. The most
appropriate nursing intervention that will calm an agitated
client is:
a. limit visits by staff.
b. encourage family phone calls.
c. position in a bright, busy area.
d. speak soothingly and provide quiet music. 
QUESTION #15
 The nurse is evaluating whether nonprofessional staff
understand how to prevent transmission of HIV. Which
of the following behaviors indicates correct application of
universal precautions?

a. A lab technician rests his hand on the desk to steady it

while recapping the needle after drawing blood.
b. An aide wears gloves to feed a helpless client.
c. An assistant puts on a mask and protective eye wear
before assisting the nurse to suction a tracheostomy.
d. A pregnant worker refuses to care for a client known to
have AIDS. 
QUESTION #16
 Which question is least useful in the assessment of
a client with AIDS?

a. Are you a drug user?

b. Do you have many sex partners?
c. What is your method of birth control?
d. How old were you when you became sexually
active? 
QUESTION #17
 A foreign protein that invades the body is called an:

a. Antigen
b. Interferon
c. Complement
d. Antibody
QUESTION #18
 Immunity obtained as a result of experiencing an illness is known as:

a. Active natural immunity

b. Passive natural immunity
c. Active acquired immunity
d. Passive acquired immunity
QUESTION #19
 Microorganisms have the ability to invade the body
tissues and proliferate causing infection. One factor
is virulence of organism. What is the other factor?

a. Weakness of the body

b. Resistance of the host
c. Resistance of the organism
d. Weakness of the organism
QUESTION #20
 The nurse is caring for different clients in the
hospital. Which of the following would be the most
susceptible to acquiring an infection?

a. A 45- year old female with abdominal pain and

intact skin
b. An 19-year old male with a casted or broken leg
c. A 78-year old dehydrated male with excoriated
skin
d. A 23-year old female recovering from facial
injuries sustained in a car accident