1.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?
(0/1 Point)
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
2.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?
(0/1 Point)
Cri du chat syndrome
Down syndrome
Klinefelter syndrome
Turner syndrome
3.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 more medications. Which medication is considered the “gold standard” endocrine treatment for
breast cancer?
(0/1 Point)
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
4.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?
(0/1 Point)
Renal disease
Congestive heart failure
Rheumatoid arthritis
Hepatitic C virus
5.A newborn born with hypoplastic left heart syndrome is receiving intravenous infusion of
prostaglandin. This medication is essential in keeping which two vessels patent?
(0/1 Point)
Foramen ovale
Pulmonary vein
Ductus arteriosus
Hepatic portal vein
6.A patient in the clinic reports fever, arthralgia, a rash, and nosebleeds. What other information should
the healthcare professional elicit from this patient?
(0/1 Point)
Family history of Marfan’s disease
History of a recent bacterial infection
History of any recent chest trauma
Any illnesses in family members
7.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?
(1/1 Point)
Order an ultrasound of the kidneys to rule out sub-acute renal failure
Check the patient glucose level
, ANS: B Check the patient’s blood glucose . Presence of 4+ ketones in the urine indicates sever
hyperglycemia so the health professional should further assess the patient’s status.
Order a 24-hour urine test for microalbumin
Assess for a history of illicit drug or alcohol use
8.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?
(1/1 Point)
Calcium
Sodium
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.
Chloride
9.A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment finding by the
healthcare professional would be most consistent with this reading?
(1/1 Point)
Pink, frothy sputum
Pulmonary edema usually begins to develop at a pulmonary capillary wedge pressure or left atrial
pressure of 20 mmHg. Signs of pulmonary edema include dyspnea, hypoxemia, and increased work of
breathing. Physical examination may reveal inspiratory crackles (rales), dullness to percussion over the
lung bases, and evidence of ventricular dilation (S3 gallop and cardiomegaly). In severe edema, pink,
frothy sputum is expectorated, hypoxemia worsens, and hypoventilation with hypercapnia may develop.
Normal lung sounds
Rhonchi
Eupnea
10.A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal
deformity. What treatment plan does the healthcare professional discuss with the parents?
(1/1 Point)
Extremely careful handling
Increasing vitamin D intake
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?
(0/1 Point)
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
2.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?
(0/1 Point)
Cri du chat syndrome
Down syndrome
Klinefelter syndrome
Turner syndrome
3.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 more medications. Which medication is considered the “gold standard” endocrine treatment for
breast cancer?
(0/1 Point)
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
4.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?
(0/1 Point)
Renal disease
Congestive heart failure
Rheumatoid arthritis
Hepatitic C virus
5.A newborn born with hypoplastic left heart syndrome is receiving intravenous infusion of
prostaglandin. This medication is essential in keeping which two vessels patent?
(0/1 Point)
Foramen ovale
Pulmonary vein
Ductus arteriosus
Hepatic portal vein
6.A patient in the clinic reports fever, arthralgia, a rash, and nosebleeds. What other information should
the healthcare professional elicit from this patient?
(0/1 Point)
Family history of Marfan’s disease
History of a recent bacterial infection
History of any recent chest trauma
Any illnesses in family members
7.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?
(1/1 Point)
Order an ultrasound of the kidneys to rule out sub-acute renal failure
Check the patient glucose level
, ANS: B Check the patient’s blood glucose . Presence of 4+ ketones in the urine indicates sever
hyperglycemia so the health professional should further assess the patient’s status.
Order a 24-hour urine test for microalbumin
Assess for a history of illicit drug or alcohol use
8.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?
(1/1 Point)
Calcium
Sodium
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.
Chloride
9.A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment finding by the
healthcare professional would be most consistent with this reading?
(1/1 Point)
Pink, frothy sputum
Pulmonary edema usually begins to develop at a pulmonary capillary wedge pressure or left atrial
pressure of 20 mmHg. Signs of pulmonary edema include dyspnea, hypoxemia, and increased work of
breathing. Physical examination may reveal inspiratory crackles (rales), dullness to percussion over the
lung bases, and evidence of ventricular dilation (S3 gallop and cardiomegaly). In severe edema, pink,
frothy sputum is expectorated, hypoxemia worsens, and hypoventilation with hypercapnia may develop.
Normal lung sounds
Rhonchi
Eupnea
10.A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal
deformity. What treatment plan does the healthcare professional discuss with the parents?
(1/1 Point)
Extremely careful handling
Increasing vitamin D intake
