D027 Practice Exam
D027 # 2 questions
Practice Exam 2 Q&A 2025-2026 Guide
Study online at https://quizlet.com/_gcs94n
1. 1.During the body's inflammatory Increased capillary permeability. The increased
process, what causes edema? Vasodila- flow and capillary permeability result in a leak-
tion of blood vessels age of plasma from the vessels causing swelling
(edema) in the surrounding tissue and is solely
Emigration of neutrophils responsible for inflammation induced edema
Endothelial cell expansion
Increased capillary permeability
2. 2.A 56-year-old diabetic patient has not Calcium
taken his insulin in 4 days due to him Sodium
"feeling well without it". He is admitted Potassium
to the ED with an elevated blood sug- Chloride
ar. What electrolyte should be assessed ANS: Potassium. Insulin facilitates the intracel-
FIRST? lular transport of potassium, phosphate, and
magnesium. Without insulin, potassium does
not get transported to the intracellular environ-
ment and the serum potassium will rise.
3. 3.A 46-year-old women is considering Kawasaki's disease
having another child. The healthcare
providers are explaining to the woman Down syndrome
that children born to women late in life
Down syndrome risk increases with Maternal
have an increase rate in having children
age.
with which condition.
Klinefelter syndrome
Turner syndrome
4. 4.A patient with several risk factors is Reduced insulin production by the pancreas
concerned about developing type 2 di-
Increased resistance to insulin in the cells
, D027 Practice Exam
D027 # 2 questions
Practice Exam 2 Q&A 2025-2026 Guide
Study online at https://quizlet.com/_gcs94n
abetes. The healthcare professional ad-
vises the patient to lose weight, explain- People with type 2 diabetes mellitus suffer from
ing that obesity is an important risk fac- insulin resistance. Obesity causes this resistance
tor for type 2 diabetes mellitus because so their cells have diflculty using insulin. Obesi-
it causes what? ty does not lead to reduced insulin production,
obstructed insulin outflow, or stimulation of glu-
cose production.
Obstructed outflow of insulin from the pan-
creas
Stimulation of glucose production by the liver
5. 5.When evaluating a patient for hyper- Lipid abnormality
tensive target organ damage, the APRN
looks for evidence of: Insulin resistance
Left ventricular hypertrophy
Clotting disorders
6. 6.On ultrasound a patient had 4-cham- Diuretic
ber dilation with an ejection fraction of
15% and a pleural effusion on chest ACE Inhibitor
x-ray. Elevated liver function tests, hy-
Digoxin
pokalemia, and hypomagnesema are
seen on lab results. Blood pressure is
115/60 and heart rate is 110 bpm with Beta Blocker
regular rate and rhythm, respiratory rate
30 bpm and O2 saturation is 88% on
room air. Initial therapy should include
all of the following except:
, D027 Practice Exam
D027 # 2 questions
Practice Exam 2 Q&A 2025-2026 Guide
Study online at https://quizlet.com/_gcs94n
7. 7.A patient in the emergency depart- Administer thrombolytic therapy.
ment is suspected of having a myocar-
dial infarction (MI). The initial cardiac tro- Discharge the patient.
ponin 1 level was negative. What action
Schedule repeat troponin within a few hours.
by the healthcare professional is best?
Several cardiac biomarkers exist including the
most specific, cardiac troponin 1 (cTnI), cTnI
begins to rise within 2 to 4 hours after car-
diac 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 catheteriza-
tion would be premature. The patient should
not be discharged since the professional sus-
pected an MI.
Prepare the patient for cardiac catheterization.
8. 8.Which patient would the healthcare Being treated for small cell carcinoma of the
professional assess for elevated levels of stomach
antidiuretic
hormone (ADH) secretion?
Taking high dose acetaminophen (Tylenol) for
arthritis
Had a hip replacement operation 14 days ago
Has long-standing kidney disease from dia-
betes
9. 9.A post-operative patient with gall-
bladder surgery has an epidural in-
D027 # 2 questions
Practice Exam 2 Q&A 2025-2026 Guide
Study online at https://quizlet.com/_gcs94n
1. 1.During the body's inflammatory Increased capillary permeability. The increased
process, what causes edema? Vasodila- flow and capillary permeability result in a leak-
tion of blood vessels age of plasma from the vessels causing swelling
(edema) in the surrounding tissue and is solely
Emigration of neutrophils responsible for inflammation induced edema
Endothelial cell expansion
Increased capillary permeability
2. 2.A 56-year-old diabetic patient has not Calcium
taken his insulin in 4 days due to him Sodium
"feeling well without it". He is admitted Potassium
to the ED with an elevated blood sug- Chloride
ar. What electrolyte should be assessed ANS: Potassium. Insulin facilitates the intracel-
FIRST? lular transport of potassium, phosphate, and
magnesium. Without insulin, potassium does
not get transported to the intracellular environ-
ment and the serum potassium will rise.
3. 3.A 46-year-old women is considering Kawasaki's disease
having another child. The healthcare
providers are explaining to the woman Down syndrome
that children born to women late in life
Down syndrome risk increases with Maternal
have an increase rate in having children
age.
with which condition.
Klinefelter syndrome
Turner syndrome
4. 4.A patient with several risk factors is Reduced insulin production by the pancreas
concerned about developing type 2 di-
Increased resistance to insulin in the cells
, D027 Practice Exam
D027 # 2 questions
Practice Exam 2 Q&A 2025-2026 Guide
Study online at https://quizlet.com/_gcs94n
abetes. The healthcare professional ad-
vises the patient to lose weight, explain- People with type 2 diabetes mellitus suffer from
ing that obesity is an important risk fac- insulin resistance. Obesity causes this resistance
tor for type 2 diabetes mellitus because so their cells have diflculty using insulin. Obesi-
it causes what? ty does not lead to reduced insulin production,
obstructed insulin outflow, or stimulation of glu-
cose production.
Obstructed outflow of insulin from the pan-
creas
Stimulation of glucose production by the liver
5. 5.When evaluating a patient for hyper- Lipid abnormality
tensive target organ damage, the APRN
looks for evidence of: Insulin resistance
Left ventricular hypertrophy
Clotting disorders
6. 6.On ultrasound a patient had 4-cham- Diuretic
ber dilation with an ejection fraction of
15% and a pleural effusion on chest ACE Inhibitor
x-ray. Elevated liver function tests, hy-
Digoxin
pokalemia, and hypomagnesema are
seen on lab results. Blood pressure is
115/60 and heart rate is 110 bpm with Beta Blocker
regular rate and rhythm, respiratory rate
30 bpm and O2 saturation is 88% on
room air. Initial therapy should include
all of the following except:
, D027 Practice Exam
D027 # 2 questions
Practice Exam 2 Q&A 2025-2026 Guide
Study online at https://quizlet.com/_gcs94n
7. 7.A patient in the emergency depart- Administer thrombolytic therapy.
ment is suspected of having a myocar-
dial infarction (MI). The initial cardiac tro- Discharge the patient.
ponin 1 level was negative. What action
Schedule repeat troponin within a few hours.
by the healthcare professional is best?
Several cardiac biomarkers exist including the
most specific, cardiac troponin 1 (cTnI), cTnI
begins to rise within 2 to 4 hours after car-
diac 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 catheteriza-
tion would be premature. The patient should
not be discharged since the professional sus-
pected an MI.
Prepare the patient for cardiac catheterization.
8. 8.Which patient would the healthcare Being treated for small cell carcinoma of the
professional assess for elevated levels of stomach
antidiuretic
hormone (ADH) secretion?
Taking high dose acetaminophen (Tylenol) for
arthritis
Had a hip replacement operation 14 days ago
Has long-standing kidney disease from dia-
betes
9. 9.A post-operative patient with gall-
bladder surgery has an epidural in-
