WGU D027 Diabetic Exam Questions with Answers 100%
Correctly Tested and Verified Updates
1.During the body's inflammatory process, what causes
edema? (1/1 Point)
Vasodilation of blood vessels
Emigration of neutrophils
Endothelial cell expansion
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?
(1/1 Point)
Calcium
Sodium
Potassium
ANS: C - 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.
Chloride
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.
(1/1 Point)
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?
, (1/1 Point)
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:
(1/1 Point)
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:
(1/1 Point)
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?
(1/1 Point)
Administer thrombolytic therapy.
Discharge the patient.
Schedule repeat troponin within a few hours.
Correctly Tested and Verified Updates
1.During the body's inflammatory process, what causes
edema? (1/1 Point)
Vasodilation of blood vessels
Emigration of neutrophils
Endothelial cell expansion
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?
(1/1 Point)
Calcium
Sodium
Potassium
ANS: C - 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.
Chloride
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.
(1/1 Point)
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?
, (1/1 Point)
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:
(1/1 Point)
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:
(1/1 Point)
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?
(1/1 Point)
Administer thrombolytic therapy.
Discharge the patient.
Schedule repeat troponin within a few hours.
