D115 OA PRE-EXAM AND
ACTUAL SOLUTIONS
[Document subtitle]
, An advanced practice registered nurse (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 contribute to the development
of congenital malformations in the fetus. The APRN reviews the patient's
current medication list and finds one medication that is a concern.
Which medication is the APRN concerned about? - correct ans:Retinoic acid
A newborn's screening for cystic fibrosis is positive. An advanced practice
registered nurse (APRN) is reviewing screening results and taking a
comprehensive genetic screening of the parents. The APRN asks the parents
questions to help determine the transmission of this disease.
Which question should the APRN ask? - correct ans:"Are you both the genetic
donor parents?"
A 30-day-old infant presents to the 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? -
correct ans:Relative deficiency of factor B
A 12-year-old African American patient 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.
What is the cause of the genetic defect suspected in this situation? - correct
ans:C1 esterase inhibitor
The parent of a child diagnosed with Down syndrome expresses concerns
about the child's recurrent respiratory tract infections to an advanced
practice registered nurse (APRN). The infections have occurred regularly
since birth.
ACTUAL SOLUTIONS
[Document subtitle]
, An advanced practice registered nurse (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 contribute to the development
of congenital malformations in the fetus. The APRN reviews the patient's
current medication list and finds one medication that is a concern.
Which medication is the APRN concerned about? - correct ans:Retinoic acid
A newborn's screening for cystic fibrosis is positive. An advanced practice
registered nurse (APRN) is reviewing screening results and taking a
comprehensive genetic screening of the parents. The APRN asks the parents
questions to help determine the transmission of this disease.
Which question should the APRN ask? - correct ans:"Are you both the genetic
donor parents?"
A 30-day-old infant presents to the 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? -
correct ans:Relative deficiency of factor B
A 12-year-old African American patient 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.
What is the cause of the genetic defect suspected in this situation? - correct
ans:C1 esterase inhibitor
The parent of a child diagnosed with Down syndrome expresses concerns
about the child's recurrent respiratory tract infections to an advanced
practice registered nurse (APRN). The infections have occurred regularly
since birth.
