NRNP 6541 FINAL EXAM 3 LATEST VERSIONS
2024-2025 /NRNP 6541 WEEK 11 FINAL REAL
EXAM QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (WALDEN
Terms in this set (24)
,(4) A 15-year-old female A. The obese adolescent in this case has findings of
has a 1-month history of diabetes mellitus. Her cutaneous candidiasis is likely
urinary frequency without an indication of secondary immunosuppression
dysuria and recent onset related to hyperglycemia. In diabetes, hyperglycemia
of an itchy rash beneath promotes neutrophil dysfunction, and circulatory
both breasts. She has insufficiency contributes to ineffective neutrophil
been gaining weight over chemotaxis during infection. HIV infection is possible
the past year and and antibody testing might be reasonable, but this
regularly complains of scenario is most consistent with hyperglycemia.
fatigue. She is febrile with
a weight greater than the
99th percentile and has an
erythematous, macular
rash beneath both breasts
characterized by satellite
lesions. UA is significant
for 2+ glucosuria, but no
pyuria. Which of the
following is the most likely
diagnosis?
A. Diabetes mellitus
B. Fanconi syndrome
C. Human
immunodeficiency virus
D. Occult malignancy
E. Severe combined
immunodeficiency (SCID)
, (4) A mother notes her 6- C. You suspect leukocyte adhesion deficiency (LAD)
week-old son's umbilical as the etiology of this child's problem. LAD is an
cord is still attached. His inheritable disorder of leukocyte chemotaxis and
activity and intake are adherence characterized by recurring sinopulmonary,
normal; there has been no oropharyngeal, and cutaneous infections with
illness or fever. Delivery delayed wound healing. Neutrophila is common with
was at term without WBC counts of typically more than 50,000 cells/mm.
problems. His examination Severe, life-threatening infection is possible with
is notable for a cord Staphylococcus species, Enterobacteriaceae, and
without evidence of Candida species. Good skin and oral hygiene are
separation and a shallow, important; broad-spectrum antimicrobials and
0.5cm ulceration at the surgical debridement are early consideration with
occiput without discharge infection.
or surrounding erythema.
Mother declares that the
"sore," caused by a scalp
probe, has been slowly
healing since birth and
was deemed
unremarkable at his 2-
week checkup. Which of
the following is consistent
with this child's likely
diagnosis?
A. Defective humoral
response
B. Functional leukocyte
adherence glycoproteins
C. Marked neutrophilia
D. Normal wound healing
E. Purulent abscess
formation
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