D027 PRACTICE TEST 2 EXAM
QUESTIONS WITH CORRECT
ANSWERS 100%
Question : During the body's inflammatory process, what
causes edema? Vasodilation of blood vessels Emigration of neutrophils Endothelial cell expansion Increased capillary permeability
CORRECT ANSWER : Increased capillary permeability.
The increased flow and capillary permeability result in a leakage of plasma from the vessels causing swelling (edema) in the surrounding tissue and is solely responsible for inflammation induced edema
Question : A 56-year-old diabetic patient has not taken his
insulin in 4 days due to him "feeling well without it". He is admitted to the ED with an elevated blood sugar. What electrolyte should be assessed FIRST? Calcium Sodium Potassium Chloride CORRECT ANSWER : ANS: Potassium. Insulin facilitates the intracellular transport of potassium, phosphate, and magnesium. Without insulin, potassium does not get
transported to the intracellular environment and the serum potassium will rise.
Question : A 46-year-old women is considering having
another child. The healthcare providers are explaining to the woman that children born to women late in life have an increase rate in having children with which condition.Kawasaki's disease Down syndrome Down syndrome risk increases with Maternal age. Klinefelter syndrome Turner syndrome
CORRECT ANSWER: Down syndrome risk increases with
Maternal age.
Question : A patient with several risk factors is concerned
about developing type 2 diabetes. The healthcare professional advises the patient to lose weight, explaining that obesity is an important risk factor for type 2 diabetes mellitus because it causes what? Reduced insulin production by the pancreas Increased resistance to insulin in the cells People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes this resistance so their cells have difficulty using insulin. Obesity does not lead to reduced insulin production, obstructed insulin outflow, or stimulation of glucose
production. Obstructed outflow of insulin from the pancreas Stimulation of glucose production by the liver
CORRECT ANSWER : Increased resistance to insulin in the
cells People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes this resistance so their cells have difficulty using insulin. Obesity does not lead to reduced insulin production, obstructed insulin outflow, or stimulation of glucose production.
Question : When evaluating a patient for hypertensive target
organ damage, the APRN looks for evidence of: Lipid
abnormality Insulin resistance Left ventricular hypertrophy Clotting disorders
CORRECT ANSWER : Left ventricular hypertrophy
Question : On ultrasound a patient had 4-chamber dilation
with an ejection fraction of 15% and a pleural effusion on chest x-ray. Elevated liver function tests, hypokalemia, and hypomagnesema are seen on lab results. Blood pressure is 115/60 and heart rate is 110 bpm with regular rate and rhythm, respiratory rate 30 bpm and O2 saturation is 88% on
room air. Initial therapy should include all of the following
except: Diuretic ACE Inhibitor Digoxin Beta Blocker
CORRECT ANSWER : Beta Blocker
Question : A patient in the emergency department is
suspected of having a myocardial infarction (MI). The initial cardiac troponin 1 level was negative. What action by the healthcare professional is best? Administer thrombolytic therapy. Discharge the patient. Schedule repeat troponin within a few hours. Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI begins to rise within 2 to 4 hours after cardiac injury, so if the initial result is normal, the test should be repeated within 6 to
- hours and again at 12 to 24 hours. It is not known yet if the
patient has had an MI so treatment with thrombolytic therapy and/or catheterization would be premature. The patient should not be discharged since the professional suspected an MI.Prepare the patient for cardiac catheterization.
CORRECT ANSWER : Schedule repeat troponin within a
few hours. Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI begins to rise within 2 to 4 hours after cardiac injury, so if the initial result is normal, the test should be repeated within 6 to 9 hours and