1. A child with Down's syndrome has had frequent respiratory tract infections
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since birth. What should the APRN tell the parent is the underlying cause
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of this illness?: Gastroesophageal reflux disease causes aspiration of thin
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fluids. Feedback: Gastroesophageal reflux is commonly seen in children with
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Down syn- drome and can be severe enough to result in aspiration of stomach contents,
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causing respiratory symptoms such as persistent coughing, wheezing, and
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pneumonia
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2. The FNP understands that a female patient with a complete or partial ab-
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sence of the second sex chromosome may also display which of the following
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physical signs?: Ovarian failure
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Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is
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diagnosed by complete or partial absence of the second sex chromosome (45, X
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Patients may also demonstrate congenital lymphedema of hands and feet, webbed
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neck, high-arched palate, and short fourth metacarpal.Short stature, Ovarian failure,
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cardiovascular and renal issues, ear malformations, and other health problems, a
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well as amenorrhea due to premature ovarian failure
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3. An example of a disease that is caused by a chromosomal deletion is cri du
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chat syndrome. Children affected with this disorder commonly display which
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of the following symptoms?: Symptoms associated with cri du chat include
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low birth weight, severe intellectual disability, microcephaly, and heart defects.
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4. What type of immunity is the body's 3rd line of defense and includes the
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primary characteristics of specificity and memory.: Adaptive
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Feedback: The third line of defense in the human body is adaptive (acquired)
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immunity.
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5. The local manifestations of inflammation result from vascular changes and
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the circulation of associated components into the tissue.The 4 cardinal signs
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of inflammation include all of the following:: Swelling, pain, heat, and
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, redness are the cardinal signs of inflammation.
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6. Patients with trisomy of the 21st chromosome are also predisposed to
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which of the following diseases, which is also affected by alterations in
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the 21st chromosome?: Alzheimer Disease
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7. Which assessment findings are typically associated with a diagnosis of
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systemic lupus erythematous?: Joint pain, malar rash, and photosensitivity
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Feedback:The symptoms most often experiences with SLE are arthritis, arthralgias,
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fatigue, Reynaud phenomenon, chronic low-grade fever, sun sensitivity, hair
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loss, weakness, malar facial rash, and weight loss.
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8. The FNP understands the the most common form of facial paralysis is bells
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palsy. This disorder primarily affects which cranial nerve?: Bell palsy may
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be caused by reactivation of herpesviruses in cranial nerve VII
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