Study Guide D115 OA Exam Questions and Answers (100% Correct)
Conductive hearing loss involves the middle ear and is usually the result of one of the following:
inner ear blockage of the ear canal, a hole in the ear drum, problems
middle ear with three small bones in the ear, or fluid in the space
5th cranial nerve between the ear drum and cochlea
8th cranial nerve
Study Guide D115 OA Exam Questions and Answers (100% Correct)
,Study Guide D115 OA Exam Questions and Answers (100% Correct)
A 30-day-old infant presents to the relative deficiency of factor B
emergency room with decreased oral
intake, decreased urine output, and a fever
of 101.8. The infant is admitted for further
evaluation with a workup to include a blood
culture, a urine culture, a spinal tap, and a
chest X-ray.
Which issue of innate immunity, as it relates
to neonates, is of concern?
dysfunctional chemotactic factor response
excess collectin and collectin like protein
relative deficiency of factor b
high levels of mannose
12-year-old African American patient C1 esterase inhibitor
presents with unilateral eye swelling and
lower lip swelling. The patient's parent
reports that the swelling is spontaneous and
resolves over several days. The patient does
not have complaints of fever, hives, or
vomiting. Serum lab results show
hyperactivation of three plasma protein
systems. The APRN suspects hereditary
angioedema.
C1 esterase inhibitor
Plasminogen
Bradykinin
Hageman factor
angioedema painless swelling under the skin, triggered by an allergy to
animal dander, pollen, drugs, venom, food, or medication.
The parent of a child diagnosed with Down Gastroesophageal reflux disease causes aspiration of thin
syndrome expresses concerns about the fluids.
child's recurrent respiratory tract infections
to an advanced practice registered nurse
(APRN). The infections have occurred
regularly since birth.
What should the APRN tell the parent is the
underlying cause of this illness?
Hyperthyroidism causes an increased risk of
infection.
Gastroesophageal reflux disease causes
aspiration of thin fluids.
Short stature causes poor lung
development.
Hypertonia causes airway restriction.
Study Guide D115 OA Exam Questions and Answers (100% Correct)
,Study Guide D115 OA Exam Questions and Answers (100% Correct)
A 36-year-old patient is being seen by an It decreases glucose uptake
advanced practice registered nurse (APRN)
in a primary care clinic for the first time. The
patient reports feeling depressed due to a
major life change. Additional symptoms
include weight gain, sedentary activity, and
insomnia. The APRN plans on providing the
patient with several exercises to reduce the
physiological effect of stress.
· It increases protein synthesis.
· It increases smooth muscle contraction.
· It decreases glucose uptake
Turner syndrome Single X chromosome. Short stature, wide spaced nipples,
sparse body hair, normal IQ. All females.
Klinefelter syndrome Individuals w at least two X chromosomes and a Y
chromosome in each cell. XXY chromosome. Have male
appearance, Usually sterile, and half develop female like
breasts. Testes are small, body hair sparse, voice is somewhat
high pitched, stature elevated, and moderate metal
impairment may be present.
Prader-Willi syndrome Chromosome 15 long arm deletion. INHERITED FROM THE
FATHER with features that include short stature, hypotonia,
small hands and feet, obesity, mild to moderate intellectual
disability, and hypogonadism
Angelman syndrome Chromosome 15 long arm deletion.
INHERITED FROM MOTHER which is characterized by severe
intellectual disability, seizures, and an ataxic gait
Study Guide D115 OA Exam Questions and Answers (100% Correct)
, Study Guide D115 OA Exam Questions and Answers (100% Correct)
A patient presents to the hospital A loss of myelin sheaths, causing a disruption of nerve
complaining of blurred vision, muscle conduction
weaknesses, impaired gait, and fatigue
lasting more than 24 hours. The patient has a Multiple Sclerosis- is a potentially disabling disease of the
history of smoking and vitamin D deficiency. brain and spinal cord (central nervous system). In MS, the
Extensive diagnostic testing and a immune system attacks the protective sheath (myelin) that
comprehensive neurological assessment covers nerve fibers and causes communication problems
reveals a diagnosis of multiple sclerosis. between your brain and the rest of your body.
Which pathological mechanism will support
this diagnosis?
A loss of myelin sheaths, causing a
disruption of nerve conduction
Demyelination caused by antibody and cell-
mediated immunologic reaction of the
peripheral nerves
A defect in nerve impulse transmission at the
neuromuscular junction
Degeneration of the neuromuscular junction
and the upper and lower motor neurons
A child presents to a clinic with a white Mutations of a gene on chromosome 13q14 lead to neoplastic
pupillary reflex noted in the right eye. The proliferation of cells
child is constantly crying and rubbing her
eyes. An advanced practice registered
nurse (APRN) performs a complete
ophthalmologic examination and orders
several diagnostic tests. Based on the
findings, a diagnosis of retinoblastoma is
confirmed.
Mutations of a gene on chromosome 13q14
lead to neoplastic proliferation of cells
Invasion of astrocytomas of the brain
structure destroys normal defenses
Deficiency of hexosaminidase causes
accumulation enzymes that damage the
brain
Autosomal dominant linked to genes results
in mutations on chromosome 21
Study Guide D115 OA Exam Questions and Answers (100% Correct)
Conductive hearing loss involves the middle ear and is usually the result of one of the following:
inner ear blockage of the ear canal, a hole in the ear drum, problems
middle ear with three small bones in the ear, or fluid in the space
5th cranial nerve between the ear drum and cochlea
8th cranial nerve
Study Guide D115 OA Exam Questions and Answers (100% Correct)
,Study Guide D115 OA Exam Questions and Answers (100% Correct)
A 30-day-old infant presents to the relative deficiency of factor B
emergency room with decreased oral
intake, decreased urine output, and a fever
of 101.8. The infant is admitted for further
evaluation with a workup to include a blood
culture, a urine culture, a spinal tap, and a
chest X-ray.
Which issue of innate immunity, as it relates
to neonates, is of concern?
dysfunctional chemotactic factor response
excess collectin and collectin like protein
relative deficiency of factor b
high levels of mannose
12-year-old African American patient C1 esterase inhibitor
presents with unilateral eye swelling and
lower lip swelling. The patient's parent
reports that the swelling is spontaneous and
resolves over several days. The patient does
not have complaints of fever, hives, or
vomiting. Serum lab results show
hyperactivation of three plasma protein
systems. The APRN suspects hereditary
angioedema.
C1 esterase inhibitor
Plasminogen
Bradykinin
Hageman factor
angioedema painless swelling under the skin, triggered by an allergy to
animal dander, pollen, drugs, venom, food, or medication.
The parent of a child diagnosed with Down Gastroesophageal reflux disease causes aspiration of thin
syndrome expresses concerns about the fluids.
child's recurrent respiratory tract infections
to an advanced practice registered nurse
(APRN). The infections have occurred
regularly since birth.
What should the APRN tell the parent is the
underlying cause of this illness?
Hyperthyroidism causes an increased risk of
infection.
Gastroesophageal reflux disease causes
aspiration of thin fluids.
Short stature causes poor lung
development.
Hypertonia causes airway restriction.
Study Guide D115 OA Exam Questions and Answers (100% Correct)
,Study Guide D115 OA Exam Questions and Answers (100% Correct)
A 36-year-old patient is being seen by an It decreases glucose uptake
advanced practice registered nurse (APRN)
in a primary care clinic for the first time. The
patient reports feeling depressed due to a
major life change. Additional symptoms
include weight gain, sedentary activity, and
insomnia. The APRN plans on providing the
patient with several exercises to reduce the
physiological effect of stress.
· It increases protein synthesis.
· It increases smooth muscle contraction.
· It decreases glucose uptake
Turner syndrome Single X chromosome. Short stature, wide spaced nipples,
sparse body hair, normal IQ. All females.
Klinefelter syndrome Individuals w at least two X chromosomes and a Y
chromosome in each cell. XXY chromosome. Have male
appearance, Usually sterile, and half develop female like
breasts. Testes are small, body hair sparse, voice is somewhat
high pitched, stature elevated, and moderate metal
impairment may be present.
Prader-Willi syndrome Chromosome 15 long arm deletion. INHERITED FROM THE
FATHER with features that include short stature, hypotonia,
small hands and feet, obesity, mild to moderate intellectual
disability, and hypogonadism
Angelman syndrome Chromosome 15 long arm deletion.
INHERITED FROM MOTHER which is characterized by severe
intellectual disability, seizures, and an ataxic gait
Study Guide D115 OA Exam Questions and Answers (100% Correct)
, Study Guide D115 OA Exam Questions and Answers (100% Correct)
A patient presents to the hospital A loss of myelin sheaths, causing a disruption of nerve
complaining of blurred vision, muscle conduction
weaknesses, impaired gait, and fatigue
lasting more than 24 hours. The patient has a Multiple Sclerosis- is a potentially disabling disease of the
history of smoking and vitamin D deficiency. brain and spinal cord (central nervous system). In MS, the
Extensive diagnostic testing and a immune system attacks the protective sheath (myelin) that
comprehensive neurological assessment covers nerve fibers and causes communication problems
reveals a diagnosis of multiple sclerosis. between your brain and the rest of your body.
Which pathological mechanism will support
this diagnosis?
A loss of myelin sheaths, causing a
disruption of nerve conduction
Demyelination caused by antibody and cell-
mediated immunologic reaction of the
peripheral nerves
A defect in nerve impulse transmission at the
neuromuscular junction
Degeneration of the neuromuscular junction
and the upper and lower motor neurons
A child presents to a clinic with a white Mutations of a gene on chromosome 13q14 lead to neoplastic
pupillary reflex noted in the right eye. The proliferation of cells
child is constantly crying and rubbing her
eyes. An advanced practice registered
nurse (APRN) performs a complete
ophthalmologic examination and orders
several diagnostic tests. Based on the
findings, a diagnosis of retinoblastoma is
confirmed.
Mutations of a gene on chromosome 13q14
lead to neoplastic proliferation of cells
Invasion of astrocytomas of the brain
structure destroys normal defenses
Deficiency of hexosaminidase causes
accumulation enzymes that damage the
brain
Autosomal dominant linked to genes results
in mutations on chromosome 21
Study Guide D115 OA Exam Questions and Answers (100% Correct)