D027 PRACTICE EXAM 2 QUESTIONS WITH CORRECT ANSWERS

D027PRACTICEEXAM2QUESTIONSWITH b b b b b




CORRECT ANSWERS 2025/2026 b b b




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




Emigrationofneutrophils b b




Endothelial cellexpansion b b




Increased capillary permeability - CORRECT ANSWER -Increased capillary permeability. The increased
b b b b b b b b b b




flowandcapillarypermeabilityresultina leakageofplasmafromthevesselscausing swelling (edema) in
b b b b b b b b b b b b b b b b b




the surrounding tissue and is solely responsible for inflammation induced edema
b b b b b b b b b b b




2. A56-year-olddiabeticpatienthasnot takenhisinsulin in4daysduetohim"feelingwell
b b b b b b b b b b b b b b b b




withoutit".HeisadmittedtotheEDwithanelevatedbloodsugar.Whatelectrolyteshouldbe assessed
b b b b b b b b b b b b b b b b b




FIRST? - CORRECT ANSWER -Calcium
b b b b b




Sodium

Potassium
b




Chloride
b




ANS:Potassium.Insulinfacilitatestheintracellulartransportofpotassium,phosphate,and magnesium.
b b b b b b b b b b b




Without insulin, potassium does not get transported to the intracellular
b b b b b b b b b b




environmentandtheserumpotassiumwillrise. b b b b b b




3. A 46-year-old women is considering having another child. The healthcare providers are explaining
b b b b b b b b b b b b




tothewomanthatchildrenborntowomenlateinlifehaveanincreaserateinhaving children with
b b b b b b b b b b b b b b b b b b b




which condition. - CORRECT ANSWER -Kawasaki's disease
b b b b b b b




Down syndrome b

,DownsyndromeriskincreaseswithMaternalage.
b b b b b b




Klinefelter syndrome b




Turnersyndrome b




4. Apatientwithseveralriskfactorsis concernedaboutdevelopingtype2diabetes.The
b b b b b b b b b b b b b




healthcare professional advises the patient to lose weight, explaining that obesity is an
b b b b b b b b b b b b b




importantriskfactorfortype2diabetesmellitusbecauseitcauseswhat? -CORRECTANSWER- Reduced
b b b b b b b b b b b b b b b b




insulin production by the pancreas
b b b b b




Increasedresistancetoinsulininthecells b b b b b b




People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes this resistanceso
b b b b b b b b b b b b b b




theircellshave difficultyusinginsulin.Obesitydoesnotleadtoreducedinsulin production,
b b b b b b b b b b b b b b




obstructed insulin outflow, or stimulation of glucose production.
b b b b b b b b




Obstructedoutflowofinsulinfromthepancreas b b b b b b




Stimulationofglucoseproductionbytheliver b b b b b b




5. Whenevaluatingapatientforhypertensivetargetorgandamage,theAPRNlooksforevidence of: -
b b b b b b b b b b b b b b b




CORRECT ANSWER -Lipid abnormality
b b b b




Insulinresistance b




Leftventricularhypertrophy
b b

, Clotting disorders b




6. On ultrasound a patient had 4-chamber dilation with an ejection fraction of 15% and a pleural
b b b b b b b b b b b b b b b




effusion on chest x-ray. Elevated liver function tests, hypokalemia, and hypomagnesema are
b b b b b b b b b b b b




seen on lab results. Blood pressure is 115/60 and heart rate is 110 bpm with regular rate and
b b b b b b b b b b b b b b b b b




rhythm, respiratory rate 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 b b b




include all of the following except: - CORRECT ANSWER -Diuretic
b b b b b b b b b b




ACE Inhibitor
b




Digoxin




BetaBlocker b




7. A patient in the emergency department is suspected of having a myocardial infarction (MI). The
b b b b b b b b b b b b b b




initialcardiactroponin1levelwasnegative.Whatactionbythehealthcareprofessionalis best? -
b b b b b b b b b b b b b b b b




CORRECT ANSWER -Administer thrombolytic therapy.
b b b b b




Dischargethepatient. b b




Schedulerepeattroponinwithinafewhours. b b b b b b




Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI beginsto
b b b b b b b b b b b b b b




risewithin2to4hoursaftercardiacinjury,soiftheinitialresultisnormal,thetest shouldbe repeated
b b b b b b b b b b b b b b b b b b b b b




within 6to9hoursand againat12 to 24 hours.Itisnotknown yetif the
b b b b b b b b b b b b b b b b b b b