Wgu D027 Practice Test 2 questions and
answers with verified solutions 100%
correct!!!!
A female patient has been diagnosed with invasive ductal carcinoma. As an
advanced practice nurse, which medication is considered the "gold standard"
endocrine therapy for breast cancer?
a. Fulvestrant (Faslodex), an antiestrogen indicated for metastatic estrogen
receptor-positive breast cancer in post-menopausal women
✔✔ b. Tamoxifen (Nolvadex), a prodrug that must be converted to active
metabolites in order to block estrogen receptors in breast tissue
c. Trastuzumab (Herceptin), a monoclonal antibody approved for HER2-positive
metastatic breast cancer
d. Lapatinib (Tykerb), an oral inhibitor of HER2 tyrosine kinase and EGFR
tyrosine kinase, resulting in apoptosis and suppression of tumor cell growth
A patient with type 2 diabetes comes to the clinic after reading about
metformin in a magazine. Which of the following conditions would be a
contraindication to prescribing metformin?
✔✔ a. Renal disease
b. Congestive heart failure
c. Rheumatoid arthritis
d. Hepatitis C virus
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?
a. Renal disease
b. Congestive heart failure
c. Rheumatoid arthritis
,d. Hepatitic C virus - ANSWER✔✔a. Renal disease
A newborn born with hypoplastic left heart syndrome is receiving intravenous
infusion of prostaglandin. This medication is essential in keeping which two
vessels patent?
a. Foramen ovale
b. Pulmonary vein
c. Ductus arteriosus
d. Hepatic portal vein - ANSWER✔✔a. Foramen ovale
c. Ductus arteriosus
A patient in the clinic reports fever, arthralgia, a rash, and nosebleeds. What other
information should the healthcare professional elicit from this patient?
a. Family history of Marfan's disease
b. History of a recent bacterial infection
c. History of any recent chest trauma
d. Any illnesses in family members - ANSWER✔✔b. History of a recent bacterial
infection
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?
a. Order an ultrasound of the kidneys to rule out sub-acute renal failure
b. Check the patient glucose level
, c. Order a 24-hour urine test for microalbumin
d. Assess for a history of illicit drug or alcohol use - ANSWER✔✔b. Check the
patient glucose level
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?
a. Calcium
b. Sodium
c. Potassium
d. Chloride - ANSWER✔✔c. Potassium
A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment
finding by the healthcare professional would be most consistent with this reading?
a. Pink, frothy sputum
b. Normal lung sounds
c. Rhonchi
d. Eupnea - ANSWER✔✔a. Pink, frothy sputum
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?
a. Extremely careful handling
answers with verified solutions 100%
correct!!!!
A female patient has been diagnosed with invasive ductal carcinoma. As an
advanced practice nurse, which medication is considered the "gold standard"
endocrine therapy for breast cancer?
a. Fulvestrant (Faslodex), an antiestrogen indicated for metastatic estrogen
receptor-positive breast cancer in post-menopausal women
✔✔ b. Tamoxifen (Nolvadex), a prodrug that must be converted to active
metabolites in order to block estrogen receptors in breast tissue
c. Trastuzumab (Herceptin), a monoclonal antibody approved for HER2-positive
metastatic breast cancer
d. Lapatinib (Tykerb), an oral inhibitor of HER2 tyrosine kinase and EGFR
tyrosine kinase, resulting in apoptosis and suppression of tumor cell growth
A patient with type 2 diabetes comes to the clinic after reading about
metformin in a magazine. Which of the following conditions would be a
contraindication to prescribing metformin?
✔✔ a. Renal disease
b. Congestive heart failure
c. Rheumatoid arthritis
d. Hepatitis C virus
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?
a. Renal disease
b. Congestive heart failure
c. Rheumatoid arthritis
,d. Hepatitic C virus - ANSWER✔✔a. Renal disease
A newborn born with hypoplastic left heart syndrome is receiving intravenous
infusion of prostaglandin. This medication is essential in keeping which two
vessels patent?
a. Foramen ovale
b. Pulmonary vein
c. Ductus arteriosus
d. Hepatic portal vein - ANSWER✔✔a. Foramen ovale
c. Ductus arteriosus
A patient in the clinic reports fever, arthralgia, a rash, and nosebleeds. What other
information should the healthcare professional elicit from this patient?
a. Family history of Marfan's disease
b. History of a recent bacterial infection
c. History of any recent chest trauma
d. Any illnesses in family members - ANSWER✔✔b. History of a recent bacterial
infection
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?
a. Order an ultrasound of the kidneys to rule out sub-acute renal failure
b. Check the patient glucose level
, c. Order a 24-hour urine test for microalbumin
d. Assess for a history of illicit drug or alcohol use - ANSWER✔✔b. Check the
patient glucose level
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?
a. Calcium
b. Sodium
c. Potassium
d. Chloride - ANSWER✔✔c. Potassium
A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment
finding by the healthcare professional would be most consistent with this reading?
a. Pink, frothy sputum
b. Normal lung sounds
c. Rhonchi
d. Eupnea - ANSWER✔✔a. Pink, frothy sputum
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?
a. Extremely careful handling
