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D115 OA PRE-EXAM WITH LATEST VERIFIED QUESTIONS AND 100% CORRECT ANSWERS ALREADY RATED A+ $21.99   Add to cart

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D115 OA PRE-EXAM WITH LATEST VERIFIED QUESTIONS AND 100% CORRECT ANSWERS ALREADY RATED A+

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D115 OA PRE-EXAM WITH LATEST VERIFIED QUESTIONS AND 100% CORRECT ANSWERS ALREADY RATED A+ 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 contribut...

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  • August 19, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
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D115 OA PRE-EXAM 2024-2025 WITH
LATEST VERIFIED QUESTIONS AND 100%
CORRECT ANSWERS ALREADY RATED A+




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? - ANS-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? - ANS-"Are you both the genetic donor parents?"

An advanced practice registered nurse (APRN) is caring for a patient who experienced a 20% total body
surface area (TBSA) burn injury. Current assessment findings include massive evaporative water losses, a
flux of large amounts of fluid and electrolytes in the tissues, generalized edema, and circulatory
hypovolemia. The APRN needs to take immediate action to prevent irreversible hypovolemic shock and
death.

Which priority action should be taken by the APRN? - ANS-Administer up to 30 L of lactated ringer
solution over 24 hours

, An advanced practice registered nurse (APRN) is caring for an adult patient who fell off a ladder and has
a T5 compression and a compound fracture of the femur.

The following assessment data is noted:

Vital signs: BP 102/52

Apical pulse: 48

Weak peripheral pulses

Flaccid lower extremities

Severe bruising of the femur

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? - ANS-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? - ANS-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? - ANS-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? - ANS-It decreases glucose uptake.

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