WGUD027 PRACTICE TEST 2 COMPLETE
REVIEW PACK WITH ANSWER KEY
◉ 2.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.
Answer: Calcium
Sodium
Potassium
Chloride
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.
◉ 3.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..
Answer: Kawasaki's disease
Down syndrome
,Down syndrome risk increases with Maternal age.
Klinefelter syndrome
Turner syndrome
◉ 4.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?.
Answer: 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
,◉ 5.When evaluating a patient for hypertensive target organ
damage, the APRN looks for evidence of:.
Answer: Lipid abnormality
Insulin resistance
Left ventricular hypertrophy
Clotting disorders
◉ 6.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:.
Answer: Diuretic
ACE Inhibitor
Digoxin
, Beta Blocker
◉ 7.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?.
Answer: 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 9 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.
REVIEW PACK WITH ANSWER KEY
◉ 2.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.
Answer: Calcium
Sodium
Potassium
Chloride
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.
◉ 3.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..
Answer: Kawasaki's disease
Down syndrome
,Down syndrome risk increases with Maternal age.
Klinefelter syndrome
Turner syndrome
◉ 4.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?.
Answer: 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
,◉ 5.When evaluating a patient for hypertensive target organ
damage, the APRN looks for evidence of:.
Answer: Lipid abnormality
Insulin resistance
Left ventricular hypertrophy
Clotting disorders
◉ 6.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:.
Answer: Diuretic
ACE Inhibitor
Digoxin
, Beta Blocker
◉ 7.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?.
Answer: 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 9 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.
