GNRS 590A FINAL EXAM NEWEST 2025 ACTUAL

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GNRS 590A FINAL EXAM NEWEST 2025 ACTUAL

EXAM COMPLETE 100 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

A nurse practitioner studies the case of a child who seems to have difficulties breathing while asleep. According to the child's parent, the child snores and gasps for breath frequently while asleep. The child is inactive and sleepy throughout the day because of her waking frequently at night. A polysomnography is conducted from which it is clear that the child's breathing stops and started several times in her sleep. Based on this information, what is the diagnosis for child's condition?

• brief resolution unexplained event
• pertussis
• epiglottitis

D. OSA - ANSWER-D. OSA

Rationale; The child suffers from OSA. In occurrences of brief resolved unexplained events (BRUE), the duration of 1 / 4

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the event must be under 1 minute and resolved at the time of patient presentation. Pertussis causes paroxysms of coughing, causing loss of breath in infants and young children.

A child was diagnosed with ondine's curse. What are the risk factors for this condition?

• the presence of the paired-like homeobox (PHOX2B) gene in

one or both parents

• presence of craniofacial abnormalities
• spending time in a shelter, with someone in prison, or with

someone who is HIV positive or who uses illegal drugs

• underlying neuromuscular disorders - ANSWER-A. the

presence of the paired-like homeobox 2B (PHOX2B) gene in one or both parents

Rationale; The presence of the paired-like homeobox 2B (PHOX2B) gene in one or both parents is a risk factor for congenital central hypoventilation (CCH) or ondine's curse.Presence of craniofacial abnormalities and underlying neuromuscular disorders are common risk factors associated with OSA. Spending time in a shelter, with someone in prison, or with someone who is HIV positive or who uses illegal drugs is a risk factor associated with TB. 2 / 4

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Which of the following statements is true about the risk factors associated with TB?

• older children are at higher risk for disease progression than

younger children

• younger children are more likely to test positive than older

children

• lack of breastfeeding is a common risk factor
• consuming unpasteurized dairy products is a common risk

factor - ANSWER-D. consuming unpasteurized dairy products is a common risk factor

Rationale; Consuming unpasteurized dairy products is a common risk factor associated with TB. Older child are more likely to test positive for TB than younger children whereas younger children are at higher risk for TB progression than older children. Lack of breastfeeding is a common risk factor for bronchiolitis.

What is the first line treatment for health, immunized children with community-acquired pneumonia?

• amoxicillin
• isoniazid 3 / 4

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• fluconazole
• rifapentine - ANSWER-A. amoxicillin

Rationale; Amoxicillin is the first-line treatment for healthy, immunized children with community-acquired pneumonia.Isoniazid and rifapentine are used to treat TB. Treatment of severe cases of coccidioidomycosis is done using antifungal medications such as fluconazole and itraconazole.

What are a newborn baby's daily caloric and fluid requirements?

• 95 to 100 kcal/kg; 100 to 110 mL/kg/day
• 105 to 108 kcal/kg; 140 to 160 mL/kg/day
• 90 to 98 kcal/kg; 50 to 75 mL/kg/day
• 108 to 110 kcal/kg; 100 to 120 mL/kg/day - ANSWER-B.

105 to 108 kcal/kg; 140 to 160 mL/kg/day

Rationale; The newborn's daily caloric requirements is 105 to 108 kcal/kg. The daily fluid requirement of a newborn is 140 to 160 mL/kg/day.

A premature baby was born 10 weeks early at 30 weeks gestation. When the baby turns 4 months old, the physical

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