WGU D027 Exam 2 Questions
1.During the body's inflammatory process, what causes edema?
26
Vasodilation of blood vessels
Emigration of neutrophils
Endothelial cell expansion
Increased capillary permeability -ANSWER- Increased capillary
20
Rationale - 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.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
am
Chloride -ANSWER- Potassium.
Ex
Rationale - insulin facilitates the intracellular transport of potassium, phosphate, and magnesium. Without insulin, potassium does not get
transported to the intracellular environment and the serum potassium will rise.
3.A 46-year-old women is considering having another child. The healthcare providers are explaining to the woman that children born to
s
women late in life have an increase rate in having children with which condition.
Kawasaki's disease
rt
Down syndrome
Down syndrome risk increases with Maternal age.
pe
Klinefelter syndrome
Turner syndrome
4.A patient with several risk factors is concerned about developing type 2 diabetes. The healthcare professional advises the patient to
Ex
lose weight, explaining that obesity is an important risk factor for type 2 diabetes mellitus
because it causes what?
Reduced insulin production by the pancreas
Increased resistance to insulin in the cells
People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes
this resistance so their cells have difficulty using insulin. Obesity does not lead to
reduced insulin production, obstructed insulin outflow, or stimulation of glucose
production.
Obstructed outflow of insulin from the pancreas
Stimulation of glucose production by the liver
, 6.On ultrasound a patient had 4-chamber dilation with an Diuretic
ejection fraction of 15% and a pleural effusion on chest x-ray.
Elevated liver function tests, hypokalemia, and ACE Inhibitor
hypomagnesema are seen on lab results. Blood pressure
is 115/60 and heart rate is 110 bpm wvith regular rate and
rhythm, respiratory rate 30 bpm and O2 saturation is 88%
Digoxin Beta
on room air. Initial therapy should include all of the
Blocker
following except:
7.A patient in the emergency department is suspected of having Administer thrombolytic therapy.
a myocardial infarction (MI). The initial cardiac troponin 1 level
26
was negative. What action by the Discharge the patient.
healthcare professional is best?
Schedule repeat troponin within a few hours.
20
Several cardiac biomarkers exist including the most specific, cardiac troponin 1
(cTnl), cTnl begins to rise within 2 to 4 hours after cardiac injury, so if the initial result is
normal, the test should be repeated within 6 to 9 hours and again at 12 to 24 hours. It is
not known yet if the patient has had an MI so treatment with
thrombolytic therapy and/or catheterization would be premature. The patient
should not be discharged since the professional suspected an MI.
am Prepare the patient for cardiac catheterization.
8.Which patient would the healthcare professional assess for Being treated for small cell carcinoma of the stomach
elevated levels of antidiuretic
Ex
hormone (ADH) secretion?
Taking high dose acetaminophen (Tylenol) for arthritis
Had a hip replacement operation 14 days ago
s
Has long-standing kidney disease from diabetes
rt
9.A post-operative patient with gallbladder surgery has
an epidural infusion of Astramorph. The patients
pe
respiratory rate starts to decline to 9 breaths/minute.
Which medication should the healthcare provider
anticipate administering to this patient?
Ex
Protamine sulfate
Mucomyst
Naloxone
Naloxone is a narcotic antagonist that can reverse the
effect of both adverse and therapeutic use of opioid
narcotic analgesics.
Solu-Medrol
1.During the body's inflammatory process, what causes edema?
26
Vasodilation of blood vessels
Emigration of neutrophils
Endothelial cell expansion
Increased capillary permeability -ANSWER- Increased capillary
20
Rationale - 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.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
am
Chloride -ANSWER- Potassium.
Ex
Rationale - insulin facilitates the intracellular transport of potassium, phosphate, and magnesium. Without insulin, potassium does not get
transported to the intracellular environment and the serum potassium will rise.
3.A 46-year-old women is considering having another child. The healthcare providers are explaining to the woman that children born to
s
women late in life have an increase rate in having children with which condition.
Kawasaki's disease
rt
Down syndrome
Down syndrome risk increases with Maternal age.
pe
Klinefelter syndrome
Turner syndrome
4.A patient with several risk factors is concerned about developing type 2 diabetes. The healthcare professional advises the patient to
Ex
lose weight, explaining that obesity is an important risk factor for type 2 diabetes mellitus
because it causes what?
Reduced insulin production by the pancreas
Increased resistance to insulin in the cells
People with type 2 diabetes mellitus suffer from insulin resistance. Obesity causes
this resistance so their cells have difficulty using insulin. Obesity does not lead to
reduced insulin production, obstructed insulin outflow, or stimulation of glucose
production.
Obstructed outflow of insulin from the pancreas
Stimulation of glucose production by the liver
, 6.On ultrasound a patient had 4-chamber dilation with an Diuretic
ejection fraction of 15% and a pleural effusion on chest x-ray.
Elevated liver function tests, hypokalemia, and ACE Inhibitor
hypomagnesema are seen on lab results. Blood pressure
is 115/60 and heart rate is 110 bpm wvith regular rate and
rhythm, respiratory rate 30 bpm and O2 saturation is 88%
Digoxin Beta
on room air. Initial therapy should include all of the
Blocker
following except:
7.A patient in the emergency department is suspected of having Administer thrombolytic therapy.
a myocardial infarction (MI). The initial cardiac troponin 1 level
26
was negative. What action by the Discharge the patient.
healthcare professional is best?
Schedule repeat troponin within a few hours.
20
Several cardiac biomarkers exist including the most specific, cardiac troponin 1
(cTnl), cTnl begins to rise within 2 to 4 hours after cardiac injury, so if the initial result is
normal, the test should be repeated within 6 to 9 hours and again at 12 to 24 hours. It is
not known yet if the patient has had an MI so treatment with
thrombolytic therapy and/or catheterization would be premature. The patient
should not be discharged since the professional suspected an MI.
am Prepare the patient for cardiac catheterization.
8.Which patient would the healthcare professional assess for Being treated for small cell carcinoma of the stomach
elevated levels of antidiuretic
Ex
hormone (ADH) secretion?
Taking high dose acetaminophen (Tylenol) for arthritis
Had a hip replacement operation 14 days ago
s
Has long-standing kidney disease from diabetes
rt
9.A post-operative patient with gallbladder surgery has
an epidural infusion of Astramorph. The patients
pe
respiratory rate starts to decline to 9 breaths/minute.
Which medication should the healthcare provider
anticipate administering to this patient?
Ex
Protamine sulfate
Mucomyst
Naloxone
Naloxone is a narcotic antagonist that can reverse the
effect of both adverse and therapeutic use of opioid
narcotic analgesics.
Solu-Medrol
