D027 ACTUAL TEST QUESTIONS AND
ANSWERS WITH DETAILED SOLUTION
GUIDE
●● According to the Centers for Disease Control and Prevention, the 10
most costly chronic conditions include cardiovascular diseases, obesity,
asthma, diabetes, smoking and alcohol related conditions, cancer,
Alzheimer's disease, arthritis and stroke. Which are the top 4 in ranking
from most costly to least costly?
Answer: Cardiovascular diseases, Smoking-related conditions, Alcohol-
related conditions, diabetes
●● A mother brought her child to the doctor for genetic testing. The
health care provider was trying to explain the genetic results of the child.
During his explanation he tells the mother that the child has 2 X
chromosomes and a Y chromosome in each cell. He begins to explain
some physical appearances the mother might notice on her son. He
explains that she might notice that he has sparse body hair, long limbs
and small testes. The health care practitioner is explaining which
syndrome to the mother.
Answer: Klinefelter syndrome
●● A patient reports a maternal family history of Lynch syndrome.
Which laboratory finding might indicate a need for further testing for the
presence of Lynch syndrome in this patient?
, Answer: Positive heme-occult test
●● An individual's acquired immunity is dependent on the function of
which cells?
Answer: B lymphocytes
T lymphocytes
Macrophages
●● A 17-year-old female comes to the clinic for a physical exam. As part
of the visit, the APRN considers her risk factors for type 2 diabetes
mellitus (T2DM). Risk factors for T2DM would likely include all of the
following except:
Answer: Family history of type 1 diabetes mellitus (T1DM)
●● Some older adults have impaired inflammation and wound healing
because of which problem?
Answer: Underlying chronic illness(es) exists.
●● A patient is diagnosed with chronic obstructive pulmonary disease
(COPD) and has elevated pulmonary vascular resistance. Which
symptom would indicate the need to assess for the complication of cor
pulmonale (right-sided heart failure)?
Answer: jugular venous distention
ANSWERS WITH DETAILED SOLUTION
GUIDE
●● According to the Centers for Disease Control and Prevention, the 10
most costly chronic conditions include cardiovascular diseases, obesity,
asthma, diabetes, smoking and alcohol related conditions, cancer,
Alzheimer's disease, arthritis and stroke. Which are the top 4 in ranking
from most costly to least costly?
Answer: Cardiovascular diseases, Smoking-related conditions, Alcohol-
related conditions, diabetes
●● A mother brought her child to the doctor for genetic testing. The
health care provider was trying to explain the genetic results of the child.
During his explanation he tells the mother that the child has 2 X
chromosomes and a Y chromosome in each cell. He begins to explain
some physical appearances the mother might notice on her son. He
explains that she might notice that he has sparse body hair, long limbs
and small testes. The health care practitioner is explaining which
syndrome to the mother.
Answer: Klinefelter syndrome
●● A patient reports a maternal family history of Lynch syndrome.
Which laboratory finding might indicate a need for further testing for the
presence of Lynch syndrome in this patient?
, Answer: Positive heme-occult test
●● An individual's acquired immunity is dependent on the function of
which cells?
Answer: B lymphocytes
T lymphocytes
Macrophages
●● A 17-year-old female comes to the clinic for a physical exam. As part
of the visit, the APRN considers her risk factors for type 2 diabetes
mellitus (T2DM). Risk factors for T2DM would likely include all of the
following except:
Answer: Family history of type 1 diabetes mellitus (T1DM)
●● Some older adults have impaired inflammation and wound healing
because of which problem?
Answer: Underlying chronic illness(es) exists.
●● A patient is diagnosed with chronic obstructive pulmonary disease
(COPD) and has elevated pulmonary vascular resistance. Which
symptom would indicate the need to assess for the complication of cor
pulmonale (right-sided heart failure)?
Answer: jugular venous distention
