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Comprehensive D115 quiz and answers rated A+

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A child with Down’s syndrome has had frequent respiratory tract infections since birth. What should the APRN tell the parent is the underlying cause of this illness? Gastroesophageal reflux disease causes aspiration of thin fluids. Feedback: Gastroesophageal reflux is commonly seen in children...

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  • September 10, 2023
  • 16
  • 2023/2024
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Comprehensive D115 quiz and answers
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A child with Down’s syndrome has had frequent respiratory tract infections since birth. What

should the APRN tell the parent is the underlying cause of this illness?

Gastroesophageal reflux disease causes aspiration of thin fluids.

Feedback: Gastroesophageal reflux is commonly seen in children with Down syndrome and can

be severe enough to result in aspiration of stomach contents, causing respiratory symptoms such

as persistent coughing, wheezing, and pneumonia

The FNP understands that a female patient with a complete or partial absence of the second sex

chromosome may also display which of the following physical signs?

Ovarian failure

Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is diagnosed by

complete or partial absence of the second sex chromosome (45, X). Patients may also

demonstrate congenital lymphedema of hands and feet, webbed neck, high-arched palate, and

short fourth metacarpal. Short stature, Ovarian failure, cardiovascular and renal issues, ear

malformations, and other health problems, as well as amenorrhea due to premature ovarian

failure

An example of a disease that is caused by a chromosomal deletion is cri du chat syndrome.

Children affected with this disorder commonly display which of the following symptoms?

,Symptoms associated with cri du chat include low birth weight, severe intellectual disability,

microcephaly, and heart defects.

What type of immunity is the body's 3rd line of defense and includes the primary characteristics

of specificity and memory.

Adaptive

Feedback: The third line of defense in the human body is adaptive (acquired) immunity.

The local manifestations of inflammation result from vascular changes and the circulation of

associated components into the tissue. The 4 cardinal signs of inflammation include all of the

following:

Swelling, pain, heat, and redness are the cardinal signs of inflammation.

Patients with trisomy of the 21st chromosome are also predisposed to which of the following

diseases, which is also affected by alterations in the 21st chromosome?

Alzheimer Disease

Which assessment findings are typically associated with a diagnosis of systemic lupus

erythematous?

Joint pain, malar rash, and photosensitivity

Feedback: The symptoms most often experiences with SLE are arthritis, arthralgias, fatigue,

Reynaud phenomenon, chronic low-grade fever, sun sensitivity, hair loss, weakness, malar facial

rash, and weight loss.

, The FNP understands the the most common form of facial paralysis is bells palsy. This disorder

primarily affects which cranial nerve?

Bell palsy may be caused by reactivation of herpesviruses in cranial nerve VII

A patient presents with symptoms of fever, tachycardia, chills, throbbing headache, severe

photophobia, and nuchal rigidity. Based on the presumed diagnosis, the FNP understands that the

following symptoms may also occur in response to irritation and inflammation of the cranial

nerves:

deafness, tinnitus, and vertigo

Feedback: These symptoms can occur due to damage to cranial nerve VIII.

The clinical manifestations of myasthenia gravis include diplopia, ptosis, ocular palsies, facial

droop, and difficulty swallowing and chewing. The symptoms are a direct result of a defect in

nerve impulse transmission at the neuromuscular junction. These symptoms usually have an

insidious onset and can commonly occur during which significant life event?

Pregnancy

When prescribing an antibiotic to treat acute otitis media, the FNP is aware that there are 4

common bacteria that cause AOM. Which of the following is not a common cause?

Streptococcus pyogenes - The most common pathogens are Haemophilus influenzae, Moraxella

catarrhalis, Streptococcus pneumonia, and Staphylococcus aureus.

During an intake interview with a 26-year-old patient diagnosed with generalized anxiety

disorder, the FNP might observe what type of behavior?

Inability to concentrate and irritability when questioned

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