WGU D027 Practice Test 2

WGU D027 Practice Test 2

As an advanced practice nurse, you want to learn more about the CDC's initiatives relative to asthma care and management in order to advocate for asthma sufferers at the state legislative level. Your goal is to reduce medications costs to patients. Which CDC recommendation supports your goal?

• The CDC recommends that payers and employers promote healthy

workspaces to decrease environmental trigger exposures.

• The CDC recommends that providers prescribe the most cost-efficient

long-acting inhalers to lower patient co-pays.

• The CDC recommends that providers deviate from the stepwise

approach to lessen the financial impact to the patient.

• The CDC recommends that co-pays be removed for inhaled

corticosteroids and other prescribed medications (Ans- d. The CDC recommends that co-pays be removed for inhaled corticosteroids and other prescribed medications

What syndrome, characterized by an absent homologous X chromosome with only a single X chromosome, exhibits features that include a short stature, total chromosome count of 45, webbed neck, and a shield like chest?

• Cri du chat syndrome
• Down syndrome
• Klinefelter syndrome
• Turner syndrome

(Ans- d. Turner syndrome

A female patient has been recently diagnosed with invasive ductal carcinoma. As an advanced practice nurse, you understand that she will be undergoing a multi-faceted treatment approach that will include one or 1 / 3

more medications. Which medication is considered the "gold standard" endocrine treatment for breast cancer?

• Fulvestrant (Faslodex), an antiestrogen indicated for metastatic estrogen

receptor-positive breast cancer in post-menopausal women

• Tamoxifen (Nolvadex), a prodrug that must be converted to active

metabolites in order to block estrogen receptors in breast tissue

• Trastuzumab (Herceptin), a monoclonal antibody approved for HER2-

positive metastatic breast cancer

• Lapatinib (Tykerb), an oral inhibitor of HER2 tyrosine kinase and EGFR

tyrosine kinase, resulting in apoptosis and suppression of tumor cell growth (Ans- b. Tamoxifen (Nolvadex), a prodrug that must be converted to active metabolites in order to block estrogen receptors in breast tissue

A patient with T2DM comes to the clinic after reading about metformin in a magazine. Which of the following conditions that the patient also has would be a contraindication to taking metformin?

• Renal disease
• Congestive heart failure
• Rheumatoid arthritis
• Hepatitic C virus

(Ans- a. Renal disease

A newborn born with hypoplastic left heart syndrome is receiving intravenous infusion of prostaglandin. This medication is essential in keeping which two vessels patent?

• Foramen ovale
• Pulmonary vein
• Ductus arteriosus
• Hepatic portal vein

(Ans-

• Foramen ovale
• Ductus arteriosus 2 / 3

A patient in the clinic reports fever, arthralgia, a rash, and nosebleeds.What other information should the healthcare professional elicit from this patient?

• Family history of Marfan's disease
• History of a recent bacterial infection
• History of any recent chest trauma
• Any illnesses in family members

(Ans- b. History of a recent bacterial infection

Urinalysis is ordered for a diabetic patient. The results are 4+ ketones, trace leukocytes, negative nitrates, and red blood cells. Which of the following actions would the health practitioner take next?

• Order an ultrasound of the kidneys to rule out sub-acute renal failure
• Check the patient glucose level
• Order a 24-hour urine test for microalbumin
• Assess for a history of illicit drug or alcohol use

(Ans- b. Check the patient glucose level

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

(Ans- c. Potassium

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