ACTUAL EXAM 2025 TEST |\ |\ |\ |\
COMPREHENSIVE QUESTIONS AND |\ |\ |\
VERIFIED ANSWERS |\ |\
An advanced practice registered nurse (APRN) is
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consulting with a teen patient who has recently learned |\ |\ |\ |\ |\ |\ |\ |\ |\
that she is pregnant. The APRN knows that a certain
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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
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and finds one medication that is a concern.
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Which medication is the APRN concerned about? -
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CORRECT ANSWERS ✔✔Retinoic acid |\ |\ |\
A newborn's screening for cystic fibrosis is positive. An
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advanced practice registered nurse (APRN) is reviewing
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screening results and taking a comprehensive genetic
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screening of the parents. The APRN asks the parents|\ |\ |\ |\ |\ |\ |\ |\ |\
questions to help determine the transmission of this
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disease.
Which question should the APRN ask? - CORRECT
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ANSWERS ✔✔"Are you both the genetic donor parents?"|\ |\ |\ |\ |\ |\ |\
A 30-day-old infant presents to the emergency room with
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decreased oral intake, decreased urine output, and a |\ |\ |\ |\ |\ |\ |\ |\
fever of 101.8. The infant is admitted for further
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,evaluation with a workup to include a blood culture, a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urine culture, a spinal tap, and a chest X-ray.
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Which issue of innate immunity, as it relates to neonates,
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is of concern? - CORRECT ANSWERS ✔✔Relative deficiency
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of factor B
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A 12-year-old African American patient presents with
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unilateral eye swelling and lower lip swelling. The |\ |\ |\ |\ |\ |\ |\ |\
patient's parent reports that the swelling is spontaneous
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and resolves over several days. The patient does not have
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complaints of fever, hives, or vomiting. Serum lab results
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show hyperactivation of three plasma protein systems.
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The APRN suspects hereditary angioedema.
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What is the cause of the genetic defect suspected in this
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situation? - CORRECT ANSWERS ✔✔C1 esterase inhibitor |\ |\ |\ |\ |\ |\
The parent of a child diagnosed with Down syndrome
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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
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cause of this illness? - CORRECT ANSWERS
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✔✔Gastroesophageal reflux disease causes aspiration of |\ |\ |\ |\ |\ |\
thin fluids. |\
A 36-year-old patient is being seen by an advanced
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practice registered nurse (APRN) in a primary care clinic
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for the first time. The patient reports feeling depressed
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due to a major life change. Additional symptoms include
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, weight gain, sedentary activity, and insomnia. The APRN
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plans on providing the patient with several exercises to
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reduce the physiological effect of stress.|\ |\ |\ |\ |\
Why is the APRN concerned about relieving this emotional
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response? - CORRECT ANSWERS ✔✔It decreases glucose
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uptake.
An 80-year-old patient brings her grandchildren with her
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to a routine medical appointment. The patient has
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moderate chronic obstructive pulmonary disease (COPD) |\ |\ |\ |\ |\ |\
and is concerned about developing pneumonia because of
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its increased incidence at the senior center.
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What should the nurse practitioner recommend for this
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patient? - CORRECT ANSWERS ✔✔Getting an annual |\ |\ |\ |\ |\ |\ |\
influenza vaccine |\
An advanced practice nurse (APRN) is working with a
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patient who is choosing to undergo breast removal due to
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family history of breast cancer. The patient's genetic
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testing revealed an abnormal BRCA1. The patient shares
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with the APRN that she is relieved that she will not need
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to worry about cancer once the breast tissue is removed.
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The APRN proceeds to educate the patient about
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additional risks. |\
Which other type of cancer is the patient at risk for
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developing? - CORRECT ANSWERS ✔✔Ovarian |\ |\ |\ |\
A patient presents to the hospital complaining of blurred
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vision, muscle weaknesses, impaired gait, and fatigue
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lasting more than 24 hours. The patient has a history of
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