WGUD027:D027 PRACTICE EXAM # 2| 50 ACTUAL QUESTIONS AND ANSWERS | RATED A”GUIDE!!!

1. 1.During the body's inflammatory process, what causes edema? Vasodila-
tion of blood vessels

Emigration of neutrophils

Endothelial cell expansion

Increased capillary permeability: 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. 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?: Calcium
Sodium
Potassium
Chloride
ANS: Potassium. Insulin facilitates the intracellular transport of potassium, phos-
phate, and magnesium. Without insulin, potassium does not get transported to the
intracellular environment and the serum potassium will rise.
3. 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.: Kawasaki's
disease

Down syndrome

Down syndrome risk increases with Maternal age.

Klinefelter syndrome

Turner syndrome
4. 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
1 B/
19

,because it causes what?: Reduced insulin production by the pancreas

Increased resistance to insulin in the cells




2 B/
19

, People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes
B B B B B B B B B B B


Bthis resistance so their cells have difficulty using insulin. Obesity does not lead
B B B B B B B B B B B B


to reduced insulin production, obstructed insulin outflow, or stimulation of glucose
B B B B B B B B B B


Bproduction.

Obstructed outflow of insulin from the pancreas B B B B B B




Stimulation of glucose production by the liver B B B B B B


5. 5.When evaluating a patient for hypertensive target organ damage, the
B B B B B B B B B


APRN looks for evidence of:: Lipid abnormality
B B B B B B B




Insulin resistance B




Left ventricular hypertrophy
B B




Clotting disorders B


6. 6.On ultrasound a patient had 4-chamber dilation with an ejection fraction
B B B B B B B B B B


of 15% and a pleural effusion on chest x-ray. Elevated liver function tests,
B B B B B B B B B B B B B


hypokalemia, and hypomagnesema are seen on lab results. Blood pressure is
B B B B B B B B B B B


115/60 and heart rate is 110 bpm with regular rate and rhythm, respiratory rate
B B B B B B B B B B B B B B


30 bpm and O2 saturation is 88% on room air. Initial therapy should
B B B B B B B B B B B B B


include all of the following except:: Diuretic
B B B B B B B




ACE Inhibitor B




B Digoxin


Beta Blocker B


7. 7.A patient in the emergency department is suspected of having a
B B B B B B B B B B


myocar- dial infarction (MI). The initial cardiac troponin 1 level was
B B B B B B B B B B B


negative. What action by the healthcare professional is best?: Administer
B B B B B B B B B B


thrombolytic therapy.
B B




Discharge the patient. B B




Schedule repeat troponin within a few hours. B B B B B B




Several cardiac biomarkers exist including the most specific, cardiac troponin 1
B B B B B B B B B B

3 B/
19