[DOCUMENT TITLE]
[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?
Retinoic acid
Clindamycin
Benzoyl peroxide
Bisphenol A - 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?
"Do any of your siblings have cystic fibrosis?"
"Do you wish to have maternal genetic testing done?"
"Are either of you showing symptoms of cystic fibrosis?"
"Are you both the genetic donor parents?" - 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?
High levels of mannose-binding lectin
Relative deficiency of factor B
Excess collectin and collectin-like protein
Dysfunctional chemotactic factor response - 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?
Plasminogen
Hageman factor
Bradykinin
C1 esterase inhibitor - 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.
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.
Hypertonia causes airway restriction.
, Short stature causes poor lung development. - correct ans:Gastroesophageal
reflux disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an 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.
Why is the APRN concerned about relieving this emotional response?
It increases protein synthesis.
It increases smooth muscle contraction.
It decreases glucose uptake. - correct ans:It decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine medical
appointment. The patient has
moderate chronic obstructive pulmonary disease (COPD) and is concerned
about developing pneumonia because of
its increased incidence at the senior center.
What should the nurse practitioner recommend for this patient?
Avoiding her grandchildren this winter
Increasing inhaler use to four times daily
Undergoing prophylactic anticoagulation
Getting an annual influenza vaccine - correct ans:Getting an annual
influenza vaccine
An advanced practice nurse (APRN) is working with a patient who is choosing
to undergo breast removal due to
[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?
Retinoic acid
Clindamycin
Benzoyl peroxide
Bisphenol A - 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?
"Do any of your siblings have cystic fibrosis?"
"Do you wish to have maternal genetic testing done?"
"Are either of you showing symptoms of cystic fibrosis?"
"Are you both the genetic donor parents?" - 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?
High levels of mannose-binding lectin
Relative deficiency of factor B
Excess collectin and collectin-like protein
Dysfunctional chemotactic factor response - 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?
Plasminogen
Hageman factor
Bradykinin
C1 esterase inhibitor - 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.
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.
Hypertonia causes airway restriction.
, Short stature causes poor lung development. - correct ans:Gastroesophageal
reflux disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an 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.
Why is the APRN concerned about relieving this emotional response?
It increases protein synthesis.
It increases smooth muscle contraction.
It decreases glucose uptake. - correct ans:It decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine medical
appointment. The patient has
moderate chronic obstructive pulmonary disease (COPD) and is concerned
about developing pneumonia because of
its increased incidence at the senior center.
What should the nurse practitioner recommend for this patient?
Avoiding her grandchildren this winter
Increasing inhaler use to four times daily
Undergoing prophylactic anticoagulation
Getting an annual influenza vaccine - correct ans:Getting an annual
influenza vaccine
An advanced practice nurse (APRN) is working with a patient who is choosing
to undergo breast removal due to
