Conductive hearing loss
involves the inner ear
middle ear
5th cranial nerve
8th cranial nerve - correct answers - middle ear and is usually the
result of one of the following: blockage of the ear canal, a hole in the ear
drum, problems with three small bones in the ear, or fluid in the space
between the ear drum and cochlea
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? dysfunctional chemotactic factor response
excess collectin and collectin like
protein relative deficiency of factor
b
high levels of mannose - correct
answers - relative deficiency of
factor B
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.
C1 esterase
inhibitor
Plasminogen
Bradykinin
Hageman factor
- correct answers
- C1 esterase
inhibitor
angioedema - correct answers - painless swelling under the skin,
triggered by an allergy to animal dander, pollen, drugs, venom, food, or
medication.
GRADED
A+
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
,Hypertonia causes airway restriction. - correct answers -
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.
· It increases protein synthesis.
· It increases smooth muscle contraction.
· It decreases glucose uptake - correct answers - It decreases glucose
uptake
Turner syndrome - correct answers - Single X chromosome. Short
stature, wide spaced nipples, sparse body hair, normal IQ. All females.
Klinefelter syndrome - correct answers - Individuals w at least two X
chromosomes and a Y chromosome in each cell. XXY chromosome. Have
male appearance, Usually sterile, and half develop female like breasts.
Testes are small, body hair sparse, voice is somewhat high pitched, stature
elevated, and moderate metal impairment may be present.
Prader-Willi syndrome - correct answers - Chromosome 15 long arm
deletion. INHERITED FROM THE FATHER with features that include short
stature, hypotonia, small hands and feet, obesity, mild to moderate
intellectual disability, and hypogonadism
Angelman syndrome - correct answers - Chromosome 15 long arm
deletion. INHERITED FROM MOTHER which is characterized by severe
intellectual disability, seizures, and an ataxic gait
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 answers - A loss of myelin sheaths, causing a disruption
of nerve conduction
GRADED
A+
, Multiple Sclerosis- is a potentially disabling disease of the brain and spinal
cord (central nervous system). In MS, the immune system attacks the
protective sheath (myelin) that covers nerve fibers and causes
communication problems between your brain and the rest of your body.
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.
Mutations of a gene on chromosome 13q14 lead to neoplastic
proliferation of cells Invasion of astrocytomas of the brain structure
destroys normal defenses Deficiency of hexosaminidase causes
accumulation enzymes that damage the brain Autosomal dominant linked
to genes results in mutations on chromosome 21 - correct answers -
Mutations of a gene on chromosome 13q14 lead to neoplastic proliferation
of cells
A patient is seeing an advanced practice registered nurse (APRN) in an
occupational health setting. The patient has been referred by employee
assistance for reckless and self-destructive behaviors and a violent incident
at work regarding a fellow employee. The APRN suspects post-traumatic
stress disorder (PTSD).
Which diagnostic cluster of PTSD is the patient
exhibiting? Arousal
Reexperiencing
Negative
cognitions
Avoidance -
correct answers -
Arousal
A 45-year-old male patient with altered testosterone levels needs
treatment. An advanced practice registered nurse (APRN) is aware that
three factors affect hormone target cell responses when determining a
treatment approach.
Which factor should be considered by the
APRN? Change of target cell sensitivity
Affinity of receptor for the
hormones Limited number of
target cell receptors
Limited concentration of organs - correct answers - Affinity of
receptor for the hormones
A patient is being admitted to an ICU after a traumatic brain injury. During
the first few hours, the patient develops polydipsia, and his urinary
catheter is draining large volumes of dilute urine. An advanced practice
GRADED
registered nurse (APRN) runs some tests, and the serum lab values show
A+
hypernatremia and hyperosmolarity.
Which diagnosis should the APRN identify for this
patient? Hyperpituitarism
Hypopituitarism
Syndrome of inappropriate antidiuretic hormone
involves the inner ear
middle ear
5th cranial nerve
8th cranial nerve - correct answers - middle ear and is usually the
result of one of the following: blockage of the ear canal, a hole in the ear
drum, problems with three small bones in the ear, or fluid in the space
between the ear drum and cochlea
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? dysfunctional chemotactic factor response
excess collectin and collectin like
protein relative deficiency of factor
b
high levels of mannose - correct
answers - relative deficiency of
factor B
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.
C1 esterase
inhibitor
Plasminogen
Bradykinin
Hageman factor
- correct answers
- C1 esterase
inhibitor
angioedema - correct answers - painless swelling under the skin,
triggered by an allergy to animal dander, pollen, drugs, venom, food, or
medication.
GRADED
A+
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
,Hypertonia causes airway restriction. - correct answers -
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.
· It increases protein synthesis.
· It increases smooth muscle contraction.
· It decreases glucose uptake - correct answers - It decreases glucose
uptake
Turner syndrome - correct answers - Single X chromosome. Short
stature, wide spaced nipples, sparse body hair, normal IQ. All females.
Klinefelter syndrome - correct answers - Individuals w at least two X
chromosomes and a Y chromosome in each cell. XXY chromosome. Have
male appearance, Usually sterile, and half develop female like breasts.
Testes are small, body hair sparse, voice is somewhat high pitched, stature
elevated, and moderate metal impairment may be present.
Prader-Willi syndrome - correct answers - Chromosome 15 long arm
deletion. INHERITED FROM THE FATHER with features that include short
stature, hypotonia, small hands and feet, obesity, mild to moderate
intellectual disability, and hypogonadism
Angelman syndrome - correct answers - Chromosome 15 long arm
deletion. INHERITED FROM MOTHER which is characterized by severe
intellectual disability, seizures, and an ataxic gait
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 answers - A loss of myelin sheaths, causing a disruption
of nerve conduction
GRADED
A+
, Multiple Sclerosis- is a potentially disabling disease of the brain and spinal
cord (central nervous system). In MS, the immune system attacks the
protective sheath (myelin) that covers nerve fibers and causes
communication problems between your brain and the rest of your body.
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.
Mutations of a gene on chromosome 13q14 lead to neoplastic
proliferation of cells Invasion of astrocytomas of the brain structure
destroys normal defenses Deficiency of hexosaminidase causes
accumulation enzymes that damage the brain Autosomal dominant linked
to genes results in mutations on chromosome 21 - correct answers -
Mutations of a gene on chromosome 13q14 lead to neoplastic proliferation
of cells
A patient is seeing an advanced practice registered nurse (APRN) in an
occupational health setting. The patient has been referred by employee
assistance for reckless and self-destructive behaviors and a violent incident
at work regarding a fellow employee. The APRN suspects post-traumatic
stress disorder (PTSD).
Which diagnostic cluster of PTSD is the patient
exhibiting? Arousal
Reexperiencing
Negative
cognitions
Avoidance -
correct answers -
Arousal
A 45-year-old male patient with altered testosterone levels needs
treatment. An advanced practice registered nurse (APRN) is aware that
three factors affect hormone target cell responses when determining a
treatment approach.
Which factor should be considered by the
APRN? Change of target cell sensitivity
Affinity of receptor for the
hormones Limited number of
target cell receptors
Limited concentration of organs - correct answers - Affinity of
receptor for the hormones
A patient is being admitted to an ICU after a traumatic brain injury. During
the first few hours, the patient develops polydipsia, and his urinary
catheter is draining large volumes of dilute urine. An advanced practice
GRADED
registered nurse (APRN) runs some tests, and the serum lab values show
A+
hypernatremia and hyperosmolarity.
Which diagnosis should the APRN identify for this
patient? Hyperpituitarism
Hypopituitarism
Syndrome of inappropriate antidiuretic hormone
