D027 Practice Test #2 Exam 2025 With
Complete And Well Verified Answers
Latest Update
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?
a. The CDC recommends that payers and employers promote healthy
workspaces to decrease environmental trigger exposures.
b. The CDC recommends that providers prescribe the most cost-
efficient long-acting inhalers to lower patient co-pays.
c. The CDC recommends that providers deviate from the stepwise
approach to lessen the financial impact to the patient.
d. The CDC recommends that co-pays be removed for inhaled
corticosteroids and other prescribed medications - CORRECT
ANSWER-d. 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?
a. Cri du chat syndrome
b. Down syndrome
c. Klinefelter syndrome
, d. Turner syndrome - CORRECT ANSWER-d. 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?
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 - CORRECT ANSWER-b. Tamoxifen (Nolvadex), a
prodrug that must be converted to active metabolites in order to
block estrogen receptors in breast tissue
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?
a. Renal disease
b. Congestive heart failure
c. Rheumatoid arthritis
d. Hepatitic C virus - CORRECT ANSWER-a. Renal disease
, 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?
a. Foramen ovale
b. Pulmonary vein
c. Ductus arteriosus
d. Hepatic portal vein - CORRECT ANSWER-a. Foramen ovale
6. c. Ductus arteriosus
7. 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 - CORRECT ANSWER-b. History of a
recent bacterial infection
8. 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
Complete And Well Verified Answers
Latest Update
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?
a. The CDC recommends that payers and employers promote healthy
workspaces to decrease environmental trigger exposures.
b. The CDC recommends that providers prescribe the most cost-
efficient long-acting inhalers to lower patient co-pays.
c. The CDC recommends that providers deviate from the stepwise
approach to lessen the financial impact to the patient.
d. The CDC recommends that co-pays be removed for inhaled
corticosteroids and other prescribed medications - CORRECT
ANSWER-d. 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?
a. Cri du chat syndrome
b. Down syndrome
c. Klinefelter syndrome
, d. Turner syndrome - CORRECT ANSWER-d. 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?
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 - CORRECT ANSWER-b. Tamoxifen (Nolvadex), a
prodrug that must be converted to active metabolites in order to
block estrogen receptors in breast tissue
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?
a. Renal disease
b. Congestive heart failure
c. Rheumatoid arthritis
d. Hepatitic C virus - CORRECT ANSWER-a. Renal disease
, 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?
a. Foramen ovale
b. Pulmonary vein
c. Ductus arteriosus
d. Hepatic portal vein - CORRECT ANSWER-a. Foramen ovale
6. c. Ductus arteriosus
7. 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 - CORRECT ANSWER-b. History of a
recent bacterial infection
8. 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
