A 9-year-old boy with acute lymphoblastic leukemia on chemotherapy, presented with fever, aphthous stomatitis, and fatigue for the last 5 days. His absolute neutrophil count (ANC) was 450/μL and hemoglobin level was 10 gm/dl. The NEXT appropriate therapeutic measure is

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Pediatric Immunization NCLEX Questions Quizlet Questions

Question 1 of 5

A 9-year-old boy with acute lymphoblastic leukemia on chemotherapy, presented with fever, aphthous stomatitis, and fatigue for the last 5 days. His absolute neutrophil count (ANC) was 450/μL and hemoglobin level was 10 gm/dl. The NEXT appropriate therapeutic measure is

Correct Answer: D

Rationale: Severe neutropenia (ANC <500/μL) with fever requires immediate broad-spectrum antibiotics to prevent sepsis, a common complication in chemotherapy patients.

Question 2 of 5

Which of the following immune system components would NOT recognize a macromolecule epitope (binding site)?

Correct Answer: A

Rationale: Phagocytes engulf pathogens nonspecifically and do not recognize specific epitopes, unlike T and B lymphocytes or antibodies which bind specific antigenic sites.

Question 3 of 5

Which of the following components of the innate immune system involves cytokines produced by macrophages, which are produced during infection?

Correct Answer: D

Rationale: Interferons are cytokines produced by macrophages and other cells during infection to combat viruses, a key innate response.

Question 4 of 5

Tissue mast cells

Correct Answer: D

Rationale: Tissue mast cells release histamine and mediators during inflammation or allergic responses, not phagocytosis or lysis.

Question 5 of 5

Recognition of antigen

Correct Answer: A

Rationale: The cognitive phase is the initial recognition of antigen by immune receptors.

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