IMMUNOLOGIC PROBLEM EXAM


1. It is an overactive response of the immune system to antigen.
a. Autoimmune reaction b. Hypersensitivity reaction
c. Cell-immediate response d. Organ reaction
2. A client was diagnosed of hay fever and was prescribed with pseudoephedrine. Which of the following is NOT true with decongestants?
a. It should be taken when symptoms occur.
b. Drowsiness may be experienced by the client.
c. It can be used in long term.
d. It relieves nasal congestion.
3. It is a response where the immune system reacts against self antigen instead of foreign antigen.
a. Autoimmune reaction b. Hypersensitivity reaction
c. Cell-immediate response d. Organ reaction
4. A management of type I immediate hypersensitivity is the administration of dug. Which of the following drugs will prevent the release of the chemical mediators/
a. Antihistamines b. Steroids
c. Aerosols c. Decongestants
5. Mae with allergic rhinitis asks the nurse what she should do to release her symptoms. Which of the following instructions would be appropriate for the nurse to give to the client?
a. “Use your nasal decongestant everyday to clear nasal passages”.
b. “Engage in physical activity to increase your resistance”.
c. “Keep a diary of when your symptoms occur. This will help you identify what cause your attacks”.
d. “Ask your doctor to prescribe antibiotics. Antibiotics decrease secretions”.
6. Nursing interventions for a client having transfusion reaction include all EXCEPT which of the following?
a. Discontinue the current transfusion.
b. Start PNSS infusion @ 30 gtts/min.
c. Assess V/S q 15 minutes.
d. Instruct the SO to return blood to the bloodbank.
7. Sexual practices is an important prevention of AIDS. Which of the following is a safe practice to prevent contamination of HIV?
a. Use of latex condom b. Mutual monogamy
c. Abstinence d. All of the above
8. A confirmatory test for AIDS.
a. ELISA test b. Skin Biopsy
c. Western Blot Test d. Polymerase chain reaction
9. A red butterfly rash located on the nose bridge is a clinical manifestation of SLE. This symptom is usually precipitated by.
a. emotional test b. fatigue
c. infection d. exposure to sunlight
10. All of the following are management for atopic dermatitis, EXCEPT
a. Provides stress management.
b. Administer anti-histamine as ordered.
c. Use of ethyl alcohol atopically.
d. use of mild soap.
11. A cleansing process that removes circulating autoantibodies and immune complexes from blood is known as.
a. plasmapheresis b.diapedesis
c. dialysis d. phlebotomy
12. All except one are risk factors in the development of hypersensitivity diseases.
a. Nature of allergens b. Route of entrance into the body
c. Year of the person’s age d. Concentration of allergen
13. A client had undergone kidney transplant. The doctor ordered for Cyclosporine to be taken orally and as maintenance. Which of the following should the nurse include in his health teaching about the drug?
a. It must be taken daily for the life of the transplanted organ.
b. Avoid areas where there are infections.
c. In taking the drug for a long treatment, you are at risk for cancer development.
d. All of the above.
14. A standard diagnosis used for food allergy.
a. Stool culture b. Food examination
c. Double blind placebo control challenge d. Elimination test
15. A management for hypersensitivity diseases in which a precise dose of allergens are injected at intervals and increased over a period of time.
a. Re-exposure b. Desensitization
c. Paton Test d. Antinuclear antibody test.

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