STUDY Advanced Pathophysiology | Questions and Verified
Answers| 100% Correct |Graded A+
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 Family History Of Breast Cancer. The Patient'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
Bladder
Ovarian
Brain
CORRECT ANS>>Ovarian
, A Patient Presents To The Hospital Complaining Of Blurred Vision, Muscle Weaknesses, Impaired Gait,
And Fatigue Lasting More Than 24 Hours. The Patient Has A History Of Smoking And Vitamin D
Deficiency. Extensive Diagnostic Testing And A Comprehensive Neurological Assessment Reveals A
Diagnosis Of Multiple Sclerosis. 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
CORRECT ANS>>A Loss Of Myelin Sheaths, Causing A Disruption Of Nerve Conduction
A Child Presents To A Clinic With A White Pupillary Reflex Noted In The Right Eye. The 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. What Is The Pathological Mechanism Of This Disorder?
Autosomal Dominant Linked To Genes Results In Mutations On Chromosome 21
Deficiency Of Hexosaminidase Causes Accumulation Enzymes That Damage The Brain
Mutations Of A Gene On Chromosome 13q14 Lead To Neoplastic Proliferation Of Cells
Invasion Of Astrocytomas Of The Brain Structure Destroys Normal Defenses
CORRECT ANS>>Mutations Of A Gene On Chromosome 13q14 Lead To Neoplastic Proliferation Of Cells
A Patient Is Seen By An Advanced Practice Registered Nurse (APRN) At A Primary Care Clinic For Follow-
Up To Discuss Abnormal Results Of Testing For Peripheral Nervous System Impairment. Which Diagnosis
Should The APRN Suspect?
Autonomic Hyperreflexia
Diffuse Axonal Injury
Spinal Cord Injury
Demyelinating Polyneuropathy
CORRECT ANS>>Demyelinating Polyneuropathy