D027 Practice Exam # 2 questions WITH
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ANSWERS
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1.During the body's inflammatory process, what causes edema?
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Vasodilation of blood vessels
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Emigration of neutrophils |/ |/
Endothelial cell expansion |/ |/
Increased capillary permeability - CORRECT ANSWERS
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✔✔Increased capillary permeability. The increased flow and
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capillary permeability result in a leakage of plasma from the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
vessels causing swelling (edema) 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
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days due to him "feeling well without it". He is admitted to the
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ED with an elevated blood sugar. What electrolyte should be
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
assessed FIRST? - CORRECT ANSWERS ✔✔Calcium
|/ |/ |/ |/ |/ |/
Sodium
Potassium
Chloride
ANS: Potassium. Insulin facilitates the intracellular transport of
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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
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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. - CORRECT ANSWERS
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✔✔Kawasaki's disease
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Down syndrome |/
Down syndrome risk increases with Maternal age.
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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? - CORRECT ANSWERS ✔✔Reduced insulin
|/ |/ |/ |/ |/ |/ |/
production by the pancreas
|/ |/ |/ |/
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 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: - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔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
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
|/ |/ |/ |/ |/ |/
ANSWERS
|/
1.During the body's inflammatory process, what causes edema?
|/ |/ |/ |/ |/ |/ |/
Vasodilation of blood vessels
|/ |/ |/ |/
Emigration of neutrophils |/ |/
Endothelial cell expansion |/ |/
Increased capillary permeability - CORRECT ANSWERS
|/ |/ |/ |/ |/
✔✔Increased capillary permeability. The increased flow and
|/ |/ |/ |/ |/ |/ |/
capillary permeability result in a leakage of plasma from the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
vessels causing swelling (edema) in the surrounding tissue and
|/ |/ |/ |/ |/ |/ |/ |/ |/
is solely responsible for inflammation induced edema
|/ |/ |/ |/ |/ |/ |/
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? - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/
✔✔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? - CORRECT ANSWERS ✔✔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: - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔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
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