PATHO PA EXAM WITH WELL DETAILED QUESTION &
ANSWERS PERFECTLY A+ GRADED WITH RATIONALE
NEW UPDATE
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 ANSWER>>>>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 ANSWER>>>>"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 ANSWER>>>>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 ANSWER>>>>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
ANSWER>>>>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 ANSWER>>>>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 ANSWER>>>>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?
ANSWERS PERFECTLY A+ GRADED WITH RATIONALE
NEW UPDATE
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 ANSWER>>>>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 ANSWER>>>>"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 ANSWER>>>>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 ANSWER>>>>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
ANSWER>>>>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 ANSWER>>>>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 ANSWER>>>>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?
