readiness assessment-patho WGU D115
(Latest 2023/ 2024) Advanced
Pathophysiology for the Advanced
Practice Nurse| Questions and Verified
Answers|100% Correct
What is the most common indication for genetic counseling?
-Maternal Age
-Drug exposure during the first trimester
-Increased maternal alpha-fetoprotein
-History of previous still birth - ANSWER-Maternal Age
The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
amniocentesis at 16
weeks gestation. The FNP would explain that the purpose of this procedure is to:
-Assess for the possibility of twins
-Determine bilirubin level
-Perform genetic studies
-Assess L/S ratio - ANSWER-Perform Genetic studies
Feedback: This woman's age puts her at risk for Down Syndrome
In the most commonly seen form of Turner Syndrome, how is the X chromosome
affected?
-Each cell has only one X chromosome
-Some cells have two X chromosomes, while other cells have only one.
-Each cell has two X chromosomes, but part of the chromosome is missing.
-Each cell has an extra X chromosome. - ANSWER-Each cell has only one X
chromosome
,Feedback: 45% of persons with Turner Syndrome have monosomy X meaning
there is only one copy of the X chromosome in each cell
The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would
suspect which of the following genetic conditions?
-Down Syndrome
-Cri du chat
-Charge syndrome
-Duncan disease - ANSWER-Cri du chat
Feedback: The clinical symptoms of cri du chat syndrome usually include a
high-pitched cat-like cry, mental retardation, delayed development, distinctive
facial features, small head size (microcephaly), widely-spaced eyes
(hypertelorism), low birth weight and weak muscle tone (hypotonia) in infancy.
When explaining the types of adaptive immunity, the FNP student is aware that:
-Adaptive immunity is a cell-mediated immune response which is carried out by T
cells and B cells.
-Adaptive immunity is the level of immunity that all persons are born with.
-Adaptive immunity occurs when antibodies are passed from the mother to the
fetus.
-Adaptive immunity occurs through immunization - ANSWER-Adaptive immunity
is a cell-mediated immune response which is carried out by T cells and B cells.
Feedback: There are two types of adaptive immunity responses: the
cell-mediated immune response, which is carried out by T cells, and the humoral
immune response, which is controlled by activated B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
-Coma
-Persistent vegetative state
-Minimally conscious
-Locked-in syndrome - ANSWER-Minimally conscious
, Feedback: When responses to the environment are seen, the patient is said to
be in a minimally conscious state
Age and the admission of the Glasgow Coma Scale (GCS) are important
diagnostic factors in TBI. Which GCS score describes a severe TBI?
13-15
12-13
9-12
3-8 - ANSWER-3-8
Feedback: The GCS is scored between 3 and 15, 3 being the worst and 15 the
best.
Which term describes recurrent, intrusive thoughts or impulses?
-Hallucinations
-Compulsions
-Obsessions
-Delusions - ANSWER-Obsessions
Feedback: Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or disgust.
During an intake interview with a 26-year-old man diagnosed with generalized
anxiety disorder, the FNP might observe what type of behavior?
-An inflated sense of self
-Constant relation to future events
-Inability to concentrate and irritability when questioned
-Nervousness and fear of the FNP during the interview - ANSWER-Inability to
concentrate and irritability when questioned
Feedback: Impaired concentration and irritability are major characteristics of
GAD.
The FNP would expect which symptoms in a patient with a diagnosis of
schizophrenia?
-High energy with varying sleep patterns and non stop conversation.
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