D027 Practice Test

D027 PRACTICE TEST #2 QUESTIONS
AND ANSWERS




As75an75advanced75practice75nurse,75you75want75to75learn75more75about75the75CDC's75i
nitiatives75relative75to75asthma75care75and75management75in75order75to75advocate75for75
asthma75sufferers75at75the75state75legislative75level.75Your75goal75is75to75reduce75medic
ations75costs75to75patients.75Which75CDC75recommendation75supports75your75goal?

a.75The75CDC75recommends75that75payers75and75employers75promote75healthy75worksp
aces75to75decrease75environmental75trigger75exposures.
b.75The75CDC75recommends75that75providers75prescribe75the75most75cost-
efficient75long-acting75inhalers75to75lower75patient75co-pays.
c.75The75CDC75recommends75that75providers75deviate75from75the75stepwise75approach7
5to75lessen75the75financial75impact75to75the75patient.
d.75The75CDC75recommends75that75co-
pays75be75removed75for75inhaled75corticosteroids75and75other75prescribed75medications7
5-75answer--d.75The75CDC75recommends75that75co-
pays75be75removed75for75inhaled75corticosteroids75and75other75prescribed75medications

What75syndrome,75characterized75by75an75absent75homologous75X75chromosome75with7
5only75a75single75X75chromosome,75exhibits75features75that75include75a75short75stature,75
total75chromosome75count75of7545,75webbed75neck,75and75a75shield75like75chest?

a.75Cri75du75chat75syndrome
b.75Down75syndrome
c.75Klinefelter75syndrome
d.75Turner75syndrome75-75answer--d.75Turner75syndrome

A75female75patient75has75been75recently75diagnosed75with75invasive75ductal75carcinoma
.75As75an75advanced75practice75nurse,75you75understand75that75she75will75be75undergoin
g75a75multi-
faceted75treatment75approach75that75will75include75one75or75more75medications.75Which7
5medication75is75considered75the75"gold75standard"75endocrine75treatment75for75breast75
cancer?

, a.75Fulvestrant75(Faslodex),75an75antiestrogen75indicated75for75metastatic75estrogen75re
ceptor-positive75breast75cancer75in75post-menopausal75women
b.75Tamoxifen75(Nolvadex),75a75prodrug75that75must75be75converted75to75active75metabo
lites75in75order75to75block75estrogen75receptors75in75breast75tissue
c.75Trastuzumab75(Herceptin),75a75monoclonal75antibody75approved75for75HER2-
positive75metastatic75breast75cancer
d.75Lapatinib75(Tykerb),75an75oral75inhibitor75of75HER275tyrosine75kinase75and75EGFR75t
yrosine75kinase,75resulting75in75apoptosis75and75suppression75of75tumor75cell75growth75-
75answer--
b.75Tamoxifen75(Nolvadex),75a75prodrug75that75must75be75converted75to75active75metabo
lites75in75order75to75block75estrogen75receptors75in75breast75tissue

A75patient75with75T2DM75comes75to75the75clinic75after75reading75about75metformin75in75a
75magazine.75Which75of75the75following75conditions75that75the75patient75also75has75woul
d75be75a75contraindication75to75taking75metformin?

a.75Renal75disease
b.75Congestive75heart75failure
c.75Rheumatoid75arthritis
d.75Hepatitic75C75virus75-75answer--a.75Renal75disease

A75newborn75born75with75hypoplastic75left75heart75syndrome75is75receiving75intravenous7
5infusion75of75prostaglandin.75This75medication75is75essential75in75keeping75which75two75
vessels75patent?

a.75Foramen75ovale
b.75Pulmonary75vein
c.75Ductus75arteriosus
d.75Hepatic75portal75vein75-75answer--a.75Foramen75ovale
c.75Ductus75arteriosus

A75patient75in75the75clinic75reports75fever,75arthralgia,75a75rash,75and75nosebleeds.75Wha
t75other75information75should75the75healthcare75professional75elicit75from75this75patient?

a.75Family75history75of75Marfan's75disease
b.75History75of75a75recent75bacterial75infection
c.75History75of75any75recent75chest75trauma
d.75Any75illnesses75in75family75members75-75answer--
b.75History75of75a75recent75bacterial75infection

Urinalysis75is75ordered75for75a75diabetic75patient.75The75results75are754+75ketones,75trac
e75leukocytes,75negative75nitrates,75and75red75blood75cells.75Which75of75the75following75
actions75would75the75health75practitioner75take75next?

a.75Order75an75ultrasound75of75the75kidneys75to75rule75out75sub-acute75renal75failure
b.75Check75the75patient75glucose75level