D027 EXAM 2026 Actual Complete Real Verified Exam
Questions and Correct Answers (Verified Answers)
Already Graded A+ || Newest Exam!!!
1. A patient with systemic lupus erythematosus (SLE) is
diagnosed with idiopathic thrombocytopenic purpura
(ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to
thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal
platelet antigens.
c. SLE causes a defect in the number and function of
regulatory B cells.
d. SLE increases megakaryocyte maturation. - Answer-
SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
1. A female patient presents to an office to establish care.
Her previous primary care provider told her to follow up
regarding an elevated ferritin level. She has no previous
medical history and is currently asymptomatic. She is
concerned about the elevated ferritin and would like to
,2|Page
know if she should be worried.What should the provider do
next for this patient?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel - Answer-Order a liver function
test
1. A 75-year-old female presents to the emergency
department with an irregular heart rate of 130.What can be
ascertained about this patient's findings given the limited
information?
a. She has a normal sinus rhythm and needs her heart
rate controlled with metoprolol (Lopressor).
b. She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
c. She is diagnosed with ventricular tachycardia and
needs her heart rhythm controlled with metoprolol
(Lopressor).
d. She is diagnosed with torsades de pointes and needs
her heart rate controlled with magnesium. - Answer-She is
diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
,3|Page
1. A 75-year-old male presents with a history of transient
ischemic attack, acute myocardial infarction, angina, and
atrial fibrillation. The patient's echocardiogram shows low
cardiac output and loss of contractility.Which condition
from this patient's medical history is contributing to the
loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - Answer-Acute myocardial
infarction
1. A 26-year-old female presents to urgent care with
complaints of extreme fatigue, muscle aches, abdominal
pain, numbness and tingling in her extremities, and
bloating. She explains that she has been experiencing
gastrointestinal upset after meals and has not had a bowel
movement for the past four days. She reports using over-
the-counter, anti-diarrheal products last week to combat
diarrhea. She denies having any chronic diseases. The
assessment findings include a blood pressure of 108/71
mm Hg, pulse of 82 beats per minute, and respirations of
20 breaths per minute. The abdomen is distended and
firm. Bowel sounds are present in all four quadrants. The
patient has a steady gait, though verbally complains of
, 4|Page
feeling weak and off balance upon ambulation. Following
antibody testing, Celiac disease is suspected.Which
follow-up tissue test, the gold standard for this suspected
diagnosis, should be ordered?
aa. Endoscopy - Answer-Colonoscopy with rectal biopsy
1. A 44-year-old woman has recently been diagnosed with
advanced metastatic non-small-cell lung cancer. Genetic
testing is ordered to determine if the patient's tumor has
any genomic alterations and to guide treatment decisions.
A few weeks later, the patient's test results come back
positive for a genetic mutation. The APN starts osimertinib
(Tagrisso).Based on this information, what types of genetic
mutation does this patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - Answer-ALK mutation and
EGFR mutation
1. A 20-year-old male meets with an advanced
professional nurse (APN) to discuss symptoms that have
been slowly progressing over the past several years. He is
mainly concerned because he has been falling frequently.