D027 PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS

D027PRACTICETEST QUESTIONS b b b




WITHCORRECTANSWERS 2025/2026 b b b




1. Duringthebody'sinflammatoryprocess,whatcausesedema?
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a. Vasodilationofbloodvessels b b b




b. Emigrationofneutrophils b b




c. Endothelial cellexpansion b b




d. Increasedcapillarypermeability-CORRECTANSWER-D.Increasedcapillary b b b b b b b b




permeability b




2. A 56 yo diabetic patient has not taken his insulin in 4 days due to him feeling well without
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it".HeisadmittedtotheEDwithanelevatedbloodsugar.Whatelectrolyte should be
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assessed FIRST?
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a. Calcium

B.Sodium
b




C. Potassium
b




D.Chloride- CORRECTANSWER -C.Potassium
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3. InsulinfacilitatestheintracellulartransportofK,phos,andmag.W/o insulin,Kdoesnot get
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transported to the intracellular environment and the serum K will rise
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4. A46yowomanisconsideringhavinganother child.TheHCPareexplainingto the
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womanthatchildrenborntowomenlateinlifehaveanincreasedrateinhavingchildren with
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which condition?
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a. Kawasaki's disease b




b. Down syndrome b




c. Turnersyndrome b




d. Klinefeltersyndrome-CORRECTANSWER-B.Downsyndrome b b b b b b b




5. Downsyndromeriskincreaseswithmaternalage
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,6. AptwithseveralriskfactorsisconcernedaboutdevelopingType2DM.TheHCP advises the pt
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to lose weight, explaining that obesity is an important risk factor for type 2 DM because it
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causes:
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a. Reducedinsulinproductionbythepancreas b b b b b




b. Increasedresistancetoinsulininthecells b b b b b b




c. Obstructedoutflowofinsulinfromthepancreas b b b b b b




7. Stimulationofglucoseproductionbytheliver -CORRECTANSWER-B.Increased b b b b b b b b b b b




resistance to insulin in the cells
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8. Peoplewithtype2diabetesmellitussufferfrominsulinresistance.Obesitycausesthis
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resistance so their cells have difficulty using insulin. Obesity does not lead to reduced
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insulin production, obstructed insulin outflow, or stimulation of glucose production.
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9. Whenevaluatingapatientforhypertensivetargetorgandamage,theAPRNlooksfor
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evidence of:
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a. Lipid abnormality b




b. Insulinresistance b




c. Leftventricularhypertrophy b b




d. Clottingdisorders-CORRECTANSWER-c.Leftventricularhypertrophy b b b b b b b b




10. On ultrasound a patient had 4-chamber dilation with an ejection fraction of 15% and a pleural
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effusion on chest x-ray. Elevated liver function tests, hypokalemia, and hypomagnesemia
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areseenonlabresults.Bloodpressureis115/60andheartrateis110 bpm withregular rate
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and rhythm, respiratory rate 30bpm and O2 saturation is88%on room air. Initial therapy
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should include all of the following except:
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a. Diuretic
b. ACE Inhibitor b




c. Digoxin
d. BetaBlocker -CORRECT ANSWER-c.Digoxin
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, 11. Apatientintheemergencydepartmentissuspectedofhavingamyocardialinfarction (MI).
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bThe initial cardiac troponin 1 level was negative. What action by the healthcare
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bprofessional is best? b b




a. Administerthrombolytictherapy. b b




b. Dischargethepatient. b b




c. Schedulerepeattroponinwithinafewhours. b b b b b b




d. Preparethepatientforcardiaccatheterization.-CORRECTANSWER-c.Scheduleb b b b b b b b b b




repeat troponin within a few hours
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12. Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI
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bbeginstorisewithin2to4hoursaftercardiacinjury,soiftheinitialresultisnormal, the test
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bshould be repeated within 6 to 9 hours and again at 12 to 24 hours. It is not known yet if the
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bpatient has had an MI so treatment with thrombolytic therapy and/or catheterization would
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bbe premature. The patient should not be discharged since the professional suspected an MI.
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13. Whichpatientwouldthehealthcareprofessionalassessforelevatedlevelsof
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bantidiuretic hormone (ADH) secretion? b b b




a. Beingtreatedforsmallcell carcinomaofthestomach
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b. Takinghighdoseacetaminophen(Tylenol)forarthritis b b b b b b




c. Hadahipreplacementoperation14daysago
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d. Haslong-standingkidneydiseasefromdiabetes -CORRECTANSWER-a.Being
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treated for small cell carcinoma of the stomach
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14. A post-operative patient with gallbladder surgery has an epidural infusion of Astramorph.
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bThepatientsrespiratoryratestartstodeclineto9breaths/minute.Which medication
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bshould the healthcare provider anticipate administering to this patient?
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a. Protaminesulfate b