D027 Practice Exam # 2 questions and Answers 2025/2026

D027 PRACTICE EXAM 2 QUESTIONS WITH s s s s s




CORRECT ANSWERS 2025/2026 s s s




1. During the body's inflammatory process, what causes edema? Vasodilation of blood vessels
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Emigration of neutrophils s s




Endothelial cell expansion s s




Increased capillary permeability - CORRECT ANSWER -Increased capillary permeability. The increased
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flow and capillary permeability result in a leakage of plasma from the vessels causing swelling (edema)
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in the surrounding tissue and is solely responsible for inflammation induced edema
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2. A 56-year-old diabetic patient has not taken his insulin in 4 days due to him "feeling well
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without it". He is admitted to the ED with an elevated blood sugar. What electrolyte should be
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assessed FIRST? - CORRECT ANSWER -Calcium
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Sodium

Potassiu
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m

Chloride
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ANS: Potassium. Insulin facilitates the intracellular transport of potassium, phosphate, and magnesium.
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Without insulin, potassium does not get transported to the intracellular
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environment and the serum potassium will rise. s s s s s s




3. A 46-year-old women is considering having another child. The healthcare providers are
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s explaining to the woman that children born to women late in life have an increase rate in having
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s children with which condition. - CORRECT ANSWER -Kawasaki's disease
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Down syndrome s

,Down syndrome risk increases with Maternal age.
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Klinefelter syndrome s




Turner syndrome s




4. A patient with several risk factors is concerned about developing type 2 diabetes. The
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healthcare professional advises the patient to lose weight, explaining that obesity is an
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important risk factor for type 2 diabetes mellitus because it causes what? - CORRECT ANSWER -
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Reduced insulin production by the pancreas
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Increased resistance to insulin in the cells
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People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes this resistance
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so their cells have difficulty using insulin. Obesity does not lead to reduced insulin production,
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obstructed insulin outflow, or stimulation of glucose production.
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Obstructed outflow of insulin from the pancreas s s s s s s




Stimulation of glucose production by the liver s s s s s s




5. When evaluating a patient for hypertensive target organ damage, the APRN looks for evidence of:
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s - CORRECT ANSWER -Lipid abnormality
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Insulin resistance s




Left ventricular hypertrophy
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, Clotting disorders s




6. On ultrasound a patient had 4-chamber dilation with an ejection fraction of 15% and a pleural
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effusion on chest x-ray. Elevated liver function tests, hypokalemia, and hypomagnesema are
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seen on lab results. Blood pressure is 115/60 and heart rate is 110 bpm with regular rate and
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rhythm, respiratory rate 30 bpm and O2 saturation is 88% on room air. Initial therapy should
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include all of the following except: - CORRECT ANSWER -Diuretic
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ACE Inhibitor s




Digoxin




Beta Blocker s




7. A patient in the emergency department is suspected of having a myocardial infarction (MI).
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s The initial cardiac troponin 1 level was negative. What action by the healthcare professional is
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s best? - CORRECT ANSWER -Administer thrombolytic therapy.
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Discharge the patient. s s




Schedule repeat troponin within a few hours. s s s s s s




Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI begins
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to rise within 2 to 4 hours after cardiac injury, so if the initial result is normal, the test should be
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repeated within 6 to 9 hours and again at 12 to 24 hours. It is not known yet if the
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