Today’s NCLEX® LPN question of the day focuses on active adaptive immunity. Do you know the answer? Let’s find out!

The nurse is reviewing a list of patients scheduled to be seen at the community health clinic. Which patient is most likely to develop active adaptive immunity?

A. A newborn who is breastfed

B. An older patient who has received hepatitis B immunoglobulin

C. A child who has been diagnosed with measles

D. A patient receiving monoclonal antibody therapy

Scroll down for the correct answer!

The correct answer to today’s NCLEX-PN® Question is…

C. A child who has been diagnosed with measles

Rationale: Active adaptive immunity occurs when a patient’s immune system produces antibodies following exposure to a particular antigen, such as the morbillivirus which causes measles. 

Main Takeaway

Active adaptive immune response refers to antibodies produced by the patient’s immune system following exposure to a particular antigen.  

Passive adaptive immunity is when ready-made antibodies are provided to a person. An example is breastfeeding provides passive adaptive immunity because maternal antibodies are transferred to the infant through breast milk. Lab-made antibodies against a specific pathogen, called monoclonal antibodies, can also be given to treat a particular infection like COVID-19 or even certain types of cancer cells. 

Educational graphic illustrating the active adaptive immune response. It explains that the body's own immune system produces antibodies after exposure to a specific antigen. The graphic compares the humoral immune response, in which B cells produce antibodies, with the cell-mediated immune response, in which T cells activate other immune cells to eliminate infected or abnormal cells.
Educational graphic illustrating passive adaptive immunity, in which ready-made antibodies are transferred to a person who has not produced their own. The image shows antibodies passing from a pregnant person to a fetus through the placenta, providing protection at birth, and depicts monoclonal antibodies delivered by injection to treat specific infections or certain cancers.

Incorrect Answer Explanations

A. A newborn who is breastfed

Rationale: Breastfeeding provides passive adaptive immunity because maternal antibodies are transferred to the infant through breast milk.

B. An older patient who has received hepatitis B immunoglobulin

Rationale: A patient receiving hepatitis immunoglobulin is receiving passive adaptive immunity because preformed antibodies provide short-term protection against the hepatitis B viral infection.

D. A patient receiving monoclonal antibody therapy

Rationale: Monoclonal antibody therapy provides passive adaptive immunity because preformed antibodies are administered to the patient rather than being produced by the patient’s own immune system.

Want to learn more about this topic?

Watch this Osmosis video: Immune response – Adaptive: Nursing

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