I. Partie Auditive A. Un petit mot de Paris Vous allez entendre une histoire. Écoutez-la attentivement, puis répondez aux questions par des phrases complètes. (6 × 2 pts. = 12 pts.) Please note:  You should play it once through to get familiarized with it. The second time round you should select your response. You should then play it a third time to check your answers. Please do then move on. If you spend too much time here then you will run out of time and may not be able to complete your quiz. 

Depuis quand Lisa est-elle à Paris?

The FNP know which of the patients has the lowest chance of becoming infected with a communicable infectious disease? 

The PNP is caring for a patient with cystic fibrosis presents with high fevers, a cough, malaise, elevated white count, and positive sputum culture. These symptoms are a result of the macrophages phagocytizing the pathogen responsible after recognizing [answer1]. CD4 helper cells then begin to replicate & secrete cytokines due to [answer2] on the macrophage. 

The PNP decides to recommend hospital admission of a 1-year-old child who has experienced low platelet counts and bacterial susceptibility, due to their diagnosis of Wiskott-Aldrich syndrome. The PNP will address & prioritize which of the following in their treatment plan? 

The PNP is concerned a patient could have bacterial meningitis. Meningitis is an inflammation of the membranes (the meninges, which allows for flow of cerebral fluid) of the brain and spinal cord. Which of the following lab findings in the cerebral spinal fluid (CSF) would support a diagnosis of meningitis?

A 24-year-old woman has gone to the OB-GYN clinic for her first visit since she found out she was pregnant. The WHNP tested her blood type along with the usual prenatal testing. On a follow-up visit, the woman was told that she is Rh negative. When asked what that means for her baby, the WHNP explains that Rh-negative women lack RhD antigens on their erythrocytes but produce anti-D antibodies, and: 

Following a spider bite she received while camping, a 20-year-old female presented to the AGNP’s office with rash, edema, and fever and was subsequently diagnosed with serum sickness. Which of the following statements best conveys the physiological rationale for the broad systemic effects of this event?

The NNP student took care of a patient with DiGeorge syndrome. The student monitored closely for infection because this disorder results in:

A 53-year-old female hospital patient has received a kidney transplant following renal failure secondary to hypertension. As part of the teaching while she was on the organ wait list, she was made aware that she would need to take anti-rejection drugs for the rest of her life. Which aspect of the immune system underlies this necessity?