D027 PRACTICE TEST 2 EXAM
QUESTIONS WITH CORRECT
ANSWERS 100% 2024
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 ANSWERS-d. The CDC recommends that co-pays
be removed for inhaled corticosteroids and other prescribed medications
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 ANSWERS-d. Turner syndrome
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
ANSWERS-b. Tamoxifen (Nolvadex), a prodrug that must be converted to active
metabolites in order to block estrogen receptors in breast tissue
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 ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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?
QUESTIONS WITH CORRECT
ANSWERS 100% 2024
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 ANSWERS-d. The CDC recommends that co-pays
be removed for inhaled corticosteroids and other prescribed medications
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 ANSWERS-d. Turner syndrome
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
ANSWERS-b. Tamoxifen (Nolvadex), a prodrug that must be converted to active
metabolites in order to block estrogen receptors in breast tissue
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 ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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?
