WGU D027 Practice Exam # 2 questions and answers
Newest RATED A+ 2025/2026
1. During the body's inflammatory process, what causes edema? Vasodilation of blood vessels
Emigration of neutrophils
Endothelial cell expansion
Increased capillary permeability - CORRECT ANSWERS Increased capillary permeability. 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? - CORRECT ANSWERS Calcium
Sodium
Potassium
Chloride
ANS: Potassium. 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 women late in life have an increase rate in having
children with which condition. - CORRECT ANSWERS Kawasaki's disease
Down syndrome
,Down syndrome risk increases with Maternal age.
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 lose weight, explaining that obesity is an
important risk factor for type 2 diabetes mellitus because it causes what? - CORRECT ANSWERS
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
5. When evaluating a patient for hypertensive target organ damage, the APRN looks for
evidence of: - CORRECT ANSWERS Lipid abnormality
Insulin resistance
Left ventricular hypertrophy
,Clotting disorders
6. On ultrasound a patient had 4-chamber dilation with an ejection fraction of 15% and a pleural
effusion on chest x-ray. Elevated liver function tests, hypokalemia, and hypomagnesema are
seen on lab results. Blood pressure is 115/60 and heart rate is 110 bpm with 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: - CORRECT ANSWERS Diuretic
ACE Inhibitor
Digoxin
Beta Blocker
7. A patient in the emergency department is suspected of having a myocardial infarction (MI).
The initial cardiac troponin 1 level was negative. What action by the healthcare professional is
best? - CORRECT ANSWERS Administer thrombolytic therapy.
Discharge the patient.
Schedule repeat troponin within a few hours.
Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI
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 shas shad san sMI sso streatment swith sthrombolytic stherapy sand/or scatheterization swould sbe
spremature. sThe spatient sshould snot s be sdischarged ssince sthe sprofessional ssuspected san sMI.
Prepare sthe spatient sfor scardiac scatheterization.
8. Which spatient swould sthe shealthcare sprofessional sassess sfor selevated slevels sof santidiuretic
hormone s(ADH) ssecretion? s- sCORRECT sANSWERS s Being streated sfor ssmall scell scarcinoma sof sthe
sstomach
Taking shigh sdose sacetaminophen s(Tylenol) sfor sarthritis
Had sa ship sreplacement soperation s14 sdays sago
Has slong-standing skidney sdisease sfrom sdiabetes
9. A spost-operative spatient swith sgallbladder ssurgery shas san sepidural sinfusion sof sAstramorph. sThe
spatients srespiratory srate sstarts sto sdecline sto s9 sbreaths/minute. sWhich smedication sshould sthe
shealthcare sprovider santicipate sadministering sto sthis spatient?
Protamine ssulfate
Mucomyst
Naloxone
Newest RATED A+ 2025/2026
1. During the body's inflammatory process, what causes edema? Vasodilation of blood vessels
Emigration of neutrophils
Endothelial cell expansion
Increased capillary permeability - CORRECT ANSWERS Increased capillary permeability. 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? - CORRECT ANSWERS Calcium
Sodium
Potassium
Chloride
ANS: Potassium. 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 women late in life have an increase rate in having
children with which condition. - CORRECT ANSWERS Kawasaki's disease
Down syndrome
,Down syndrome risk increases with Maternal age.
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 lose weight, explaining that obesity is an
important risk factor for type 2 diabetes mellitus because it causes what? - CORRECT ANSWERS
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
5. When evaluating a patient for hypertensive target organ damage, the APRN looks for
evidence of: - CORRECT ANSWERS Lipid abnormality
Insulin resistance
Left ventricular hypertrophy
,Clotting disorders
6. On ultrasound a patient had 4-chamber dilation with an ejection fraction of 15% and a pleural
effusion on chest x-ray. Elevated liver function tests, hypokalemia, and hypomagnesema are
seen on lab results. Blood pressure is 115/60 and heart rate is 110 bpm with 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: - CORRECT ANSWERS Diuretic
ACE Inhibitor
Digoxin
Beta Blocker
7. A patient in the emergency department is suspected of having a myocardial infarction (MI).
The initial cardiac troponin 1 level was negative. What action by the healthcare professional is
best? - CORRECT ANSWERS Administer thrombolytic therapy.
Discharge the patient.
Schedule repeat troponin within a few hours.
Several cardiac biomarkers exist including the most specific, cardiac troponin 1 (cTnI), cTnI
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 shas shad san sMI sso streatment swith sthrombolytic stherapy sand/or scatheterization swould sbe
spremature. sThe spatient sshould snot s be sdischarged ssince sthe sprofessional ssuspected san sMI.
Prepare sthe spatient sfor scardiac scatheterization.
8. Which spatient swould sthe shealthcare sprofessional sassess sfor selevated slevels sof santidiuretic
hormone s(ADH) ssecretion? s- sCORRECT sANSWERS s Being streated sfor ssmall scell scarcinoma sof sthe
sstomach
Taking shigh sdose sacetaminophen s(Tylenol) sfor sarthritis
Had sa ship sreplacement soperation s14 sdays sago
Has slong-standing skidney sdisease sfrom sdiabetes
9. A spost-operative spatient swith sgallbladder ssurgery shas san sepidural sinfusion sof sAstramorph. sThe
spatients srespiratory srate sstarts sto sdecline sto s9 sbreaths/minute. sWhich smedication sshould sthe
shealthcare sprovider santicipate sadministering sto sthis spatient?
Protamine ssulfate
Mucomyst
Naloxone
