D027 Practice Test #2 EXAM QUESTIONS
AND CORRECT ANSWERS WITH
RATIOANLES (VERIFIED ANSWERS
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?
a. Calcium
b. Sodium
c. Potassium
AND CORRECT ANSWERS WITH
RATIOANLES (VERIFIED ANSWERS
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?
a. Calcium
b. Sodium
c. Potassium
