patho . PA . and . course
. quizzes
1. An .advanced .practice .registered .nurse Retinoic .acid
.(APRN) .is .consulting .with .a .teen .patient .who
.has .recently .learned .that .she .is
pregnant. .The .APRN .knows .that .a .certain
.medication .taken .by .the .patient .can .con-
.tribute .to .the .development .of
congenital .malformations .in .the .fetus. .The
.APRN .reviews .the .patient's .current .medica-
.tion .list .and .finds .one
medication .that . is . a .concern.
Which .medication .is .the .APRN .concerned
.about?
Retinoic .acid
.Clindamycin
.Benzoyl .peroxide
.Bisphenol .A
2. A .newborn's .screening .for .cystic .fibrosis .is "Are .you .both .the .genetic .donor .par-
.positive. .An .advanced .practice .registered .ents?"
.nurse .(APRN) .is .reviewing
screening .results .and .taking .a .comprehen-
.sive .genetic .screening .of .the .parents. .The
.APRN .asks .the .parents
questions .to .help .determine .the .transmis-
.sion .of .this .disease.
Which .question .should .the .APRN .ask?
."Do .any .of .your .siblings .have .cystic .fibro-
.sis?"
"Do . you . wish . to . have . maternal . genetic
. test- .ing .done?"
"Are . either . of . you . showing . symptoms . of
, patho . PA . and . course
. quizzes
cystic .fibrosis?"
"Are . you . both . the . genetic . donor . parents?"
3. A .30-day-old .infant .presents .to .the .emer- Relative .deficiency .of .factor .B
.gency .room .with .decreased .oral .intake, .de-
.creased .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?
High .levels .of .mannose-binding .lectin
.Relative .deficiency .of .factor .B
Excess .collectin .and .collectin-like .protein
.Dysfunctional .chemotactic .factor .response
4. A .12-year-old .African .American .patient .pre- C1 .esterase .inhibitor
.sents .with .unilateral .eye .swelling .and .lower
.lip .swelling. .The .patient's
parent .reports .that .the .swelling .is .sponta-
.neous .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.
.What .is .the .cause .of .the .genetic .defect .sus-
.pected .in .this .situation?
Plasminogen
.Hageman .factor
, patho . PA . and . course
. quizzes
Bradykinin
C1 .esterase .inhibitor
5. The .parent .of .a .child .diagnosed .with .Down Gastroesophageal .reflux .disease .causes
.syndrome .expresses .concerns .about .the .aspiration .of .thin .fluids.
.child's .recurrent .respiratory
tract .infections .to .an .advanced .practice .reg-
.istered .nurse .(APRN). .The .infections .have .oc-
.curred .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 .as-
.piration .of .thin .fluids.
Hypertonia .causes .airway .restriction.
.Short .stature .causes .poor .lung .develop-
.ment.
6. 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 .de-
.pressed .due .to .a .major .life .change. .Addition-
.al .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.
Why .is .the .APRN .concerned .about .relieving
.this .emotional .response?
It . increases . protein . synthesis.
, patho . PA . and . course
. quizzes
.
It . increases . smooth . muscle B
. contraction. .It .decreases .glucose
l
.uptake.
a
d
7. An . 80-year-old . patient . brings . her . grandchil-
d
.dren .with .her .to .a .routine .medical .appoint-
e
.ment. .The .patient .has
r
moderate .chronic .obstructive .pulmonary
.disease .(COPD) .and .is .concerned .about .de-
.veloping .pneumonia .because .of
its .increased .incidence .at .the .senior .center.
.What .should .the .nurse .practitioner .recom-
.mend .for .this .patient?
Avoiding .her .grandchildren .this .winter
.Increasing .inhaler .use .to .four .times .daily
.Undergoing . prophylactic . anticoagulation
. Getting .an .annual .influenza .vaccine
8. An .advanced .practice .nurse .(APRN) .is .work-
.ing .with .a .patient .who .is .choosing .to .under-
.go .breast .removal .due .to
family .history .of .breast .cancer. .The .pa-
.tient's .genetic .testing .revealed .an .abnormal
.BRCA1. .The .patient .shares .with
the .APRN .that .she .is .relieved .that .she .will .not
.need .to .worry .about .cancer .once .the .breast
.tissue .is .removed. .The
APRN .proceeds .to .educate .the .patient .about
.additional .risks.
Which .other .type .of .cancer .is .the .patient .at
.risk .for .developing?
Liver
. quizzes
1. An .advanced .practice .registered .nurse Retinoic .acid
.(APRN) .is .consulting .with .a .teen .patient .who
.has .recently .learned .that .she .is
pregnant. .The .APRN .knows .that .a .certain
.medication .taken .by .the .patient .can .con-
.tribute .to .the .development .of
congenital .malformations .in .the .fetus. .The
.APRN .reviews .the .patient's .current .medica-
.tion .list .and .finds .one
medication .that . is . a .concern.
Which .medication .is .the .APRN .concerned
.about?
Retinoic .acid
.Clindamycin
.Benzoyl .peroxide
.Bisphenol .A
2. A .newborn's .screening .for .cystic .fibrosis .is "Are .you .both .the .genetic .donor .par-
.positive. .An .advanced .practice .registered .ents?"
.nurse .(APRN) .is .reviewing
screening .results .and .taking .a .comprehen-
.sive .genetic .screening .of .the .parents. .The
.APRN .asks .the .parents
questions .to .help .determine .the .transmis-
.sion .of .this .disease.
Which .question .should .the .APRN .ask?
."Do .any .of .your .siblings .have .cystic .fibro-
.sis?"
"Do . you . wish . to . have . maternal . genetic
. test- .ing .done?"
"Are . either . of . you . showing . symptoms . of
, patho . PA . and . course
. quizzes
cystic .fibrosis?"
"Are . you . both . the . genetic . donor . parents?"
3. A .30-day-old .infant .presents .to .the .emer- Relative .deficiency .of .factor .B
.gency .room .with .decreased .oral .intake, .de-
.creased .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?
High .levels .of .mannose-binding .lectin
.Relative .deficiency .of .factor .B
Excess .collectin .and .collectin-like .protein
.Dysfunctional .chemotactic .factor .response
4. A .12-year-old .African .American .patient .pre- C1 .esterase .inhibitor
.sents .with .unilateral .eye .swelling .and .lower
.lip .swelling. .The .patient's
parent .reports .that .the .swelling .is .sponta-
.neous .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.
.What .is .the .cause .of .the .genetic .defect .sus-
.pected .in .this .situation?
Plasminogen
.Hageman .factor
, patho . PA . and . course
. quizzes
Bradykinin
C1 .esterase .inhibitor
5. The .parent .of .a .child .diagnosed .with .Down Gastroesophageal .reflux .disease .causes
.syndrome .expresses .concerns .about .the .aspiration .of .thin .fluids.
.child's .recurrent .respiratory
tract .infections .to .an .advanced .practice .reg-
.istered .nurse .(APRN). .The .infections .have .oc-
.curred .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 .as-
.piration .of .thin .fluids.
Hypertonia .causes .airway .restriction.
.Short .stature .causes .poor .lung .develop-
.ment.
6. 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 .de-
.pressed .due .to .a .major .life .change. .Addition-
.al .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.
Why .is .the .APRN .concerned .about .relieving
.this .emotional .response?
It . increases . protein . synthesis.
, patho . PA . and . course
. quizzes
.
It . increases . smooth . muscle B
. contraction. .It .decreases .glucose
l
.uptake.
a
d
7. An . 80-year-old . patient . brings . her . grandchil-
d
.dren .with .her .to .a .routine .medical .appoint-
e
.ment. .The .patient .has
r
moderate .chronic .obstructive .pulmonary
.disease .(COPD) .and .is .concerned .about .de-
.veloping .pneumonia .because .of
its .increased .incidence .at .the .senior .center.
.What .should .the .nurse .practitioner .recom-
.mend .for .this .patient?
Avoiding .her .grandchildren .this .winter
.Increasing .inhaler .use .to .four .times .daily
.Undergoing . prophylactic . anticoagulation
. Getting .an .annual .influenza .vaccine
8. An .advanced .practice .nurse .(APRN) .is .work-
.ing .with .a .patient .who .is .choosing .to .under-
.go .breast .removal .due .to
family .history .of .breast .cancer. .The .pa-
.tient's .genetic .testing .revealed .an .abnormal
.BRCA1. .The .patient .shares .with
the .APRN .that .she .is .relieved .that .she .will .not
.need .to .worry .about .cancer .once .the .breast
.tissue .is .removed. .The
APRN .proceeds .to .educate .the .patient .about
.additional .risks.
Which .other .type .of .cancer .is .the .patient .at
.risk .for .developing?
Liver
