D027 Performance Assessment- Advanced
Which of the following is not a cellular function? - (correct Answer) - Combustion
What are mitochondria responsible for? - (correct Answer) - Energy production
Which if the following can cause edema? - (correct Answer) - Increased lymphatic pressure
Which of the following best describes the result of cellular reproduction? - (correct Answer) - Two
diploid cells, called daughter cells, are produced.
What is an example of both hyperplasia and hypertrophy? - (correct Answer) - Uterine enlargement due
to pregnancy
What regulates the sodium balance? - (correct Answer) - aldosterone
What is the alteration if the extracellular fluid volume is less than normal? - (correct Answer) - Hypotonic
When in excess, what do buffers absorb? - (correct Answer) - Hydrogen
What is the process by which RNA directs the synthesis of polypeptides? - (correct Answer) - Translation
What is the recurrence rate (%) for autosomal dominant disease? - (correct Answer) - 50%
What is the proportion of the population affected by a disease at the specific point in time? - (correct
Answer) - Prevalence rate
Which of the following should be completed when a disease is multifactorial but has a larger genetic
component? - (correct Answer) - Get a thorough family history
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 - (correct Answer) - 1. ALK mutation
2. EGFR mutation
A 20-year-old male meets with an APN to discuss symptoms that have been slowly progressing over the
past several years. He is mainly concerned because he has been falling frequently. Lately, he has noticed
it takes longer/more difficult to change positions from sitting to standing than it used to in the past. He
has been waking up with muscle/joint stiffness. No family history of any chronic or genetic diseases.
Which condition is likely to be the cause of these symptoms? - (correct Answer) - Becker muscular
dystrophy
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? - (correct Answer) - SLE disrupts immune homeostasis and
promotes development of self-reactive antibodies.
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? - (correct Answer) - She is
diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol (Lopressor).
A 45-year-old female fears that she is having a stroke and takes herself to an emergency room. After
several diagnostic and laboratory tests, the patient is diagnosed with Cushing disease. Which lab
abnormality would be present in this patient? - (correct Answer) - Increased cortisol
A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The child's
mother reports the cough sounds like a barking noise. The child is sleeping in the mother's arms and
appears to have stridor. The child's mother also reports an axillary temperature of 101°F last night.
Which management technique is appropriate for this child's symptoms? - (correct Answer) - Oral steroids
and breathing treatments
A patient who is elderly presents with recent memory loss, urinary incontinence, and hallucinations. The
patient's family also states she is having daytime sleepiness and impaired judgment. Which lab and
diagnostic tests should be ordered as part of the patient's assessment? - (correct Answer) - CBC, CMP,
Urinalysis
A 40-year-old female comes to a clinic with abdominal pain and diarrhea. She reports that every time
she eats, her diarrhea gets worse. Her labs and stool studies are normal, and a colonoscopy is
performed. The colonoscopy reveals the patient has skip lesions throughout her colon. What is the
appropriate diagnosis for this patient? - (correct Answer) - Crohn's disease
What is Invokana primarily used for? - (correct Answer) - To prevent cardiac disease in patients with type
2 diabetes.
A 78-year-old female presents to the clinic for a checkup and refills on her medications. She is currently
taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Synthroid). The patient has a
history of hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric ulcers. The patient is
concerned about heart disease and wants to start taking a low-dose aspirin. Which aspirin regimen
recommendation should the advanced professional nurse (APN) give to the patient? - (correct Answer) -
Low-dose enteric coated aspirin 81 mg daily
Normal thyroid stimulating hormone (TSH) level? - (correct Answer) - 0.4 to 4.0 mIU/L
What TSH level would indicate hypothyroidism?
a. 5.31 mIU/L
b. 2.73 mIU/L
c. 1.68 mIU/L
d. 0.22 mIU/L - (correct Answer) - a. 5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to the emergency department (ED) with pain in his
Which of the following is not a cellular function? - (correct Answer) - Combustion
What are mitochondria responsible for? - (correct Answer) - Energy production
Which if the following can cause edema? - (correct Answer) - Increased lymphatic pressure
Which of the following best describes the result of cellular reproduction? - (correct Answer) - Two
diploid cells, called daughter cells, are produced.
What is an example of both hyperplasia and hypertrophy? - (correct Answer) - Uterine enlargement due
to pregnancy
What regulates the sodium balance? - (correct Answer) - aldosterone
What is the alteration if the extracellular fluid volume is less than normal? - (correct Answer) - Hypotonic
When in excess, what do buffers absorb? - (correct Answer) - Hydrogen
What is the process by which RNA directs the synthesis of polypeptides? - (correct Answer) - Translation
What is the recurrence rate (%) for autosomal dominant disease? - (correct Answer) - 50%
What is the proportion of the population affected by a disease at the specific point in time? - (correct
Answer) - Prevalence rate
Which of the following should be completed when a disease is multifactorial but has a larger genetic
component? - (correct Answer) - Get a thorough family history
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 - (correct Answer) - 1. ALK mutation
2. EGFR mutation
A 20-year-old male meets with an APN to discuss symptoms that have been slowly progressing over the
past several years. He is mainly concerned because he has been falling frequently. Lately, he has noticed
it takes longer/more difficult to change positions from sitting to standing than it used to in the past. He
has been waking up with muscle/joint stiffness. No family history of any chronic or genetic diseases.
Which condition is likely to be the cause of these symptoms? - (correct Answer) - Becker muscular
dystrophy
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? - (correct Answer) - SLE disrupts immune homeostasis and
promotes development of self-reactive antibodies.
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? - (correct Answer) - She is
diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol (Lopressor).
A 45-year-old female fears that she is having a stroke and takes herself to an emergency room. After
several diagnostic and laboratory tests, the patient is diagnosed with Cushing disease. Which lab
abnormality would be present in this patient? - (correct Answer) - Increased cortisol
A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The child's
mother reports the cough sounds like a barking noise. The child is sleeping in the mother's arms and
appears to have stridor. The child's mother also reports an axillary temperature of 101°F last night.
Which management technique is appropriate for this child's symptoms? - (correct Answer) - Oral steroids
and breathing treatments
A patient who is elderly presents with recent memory loss, urinary incontinence, and hallucinations. The
patient's family also states she is having daytime sleepiness and impaired judgment. Which lab and
diagnostic tests should be ordered as part of the patient's assessment? - (correct Answer) - CBC, CMP,
Urinalysis
A 40-year-old female comes to a clinic with abdominal pain and diarrhea. She reports that every time
she eats, her diarrhea gets worse. Her labs and stool studies are normal, and a colonoscopy is
performed. The colonoscopy reveals the patient has skip lesions throughout her colon. What is the
appropriate diagnosis for this patient? - (correct Answer) - Crohn's disease
What is Invokana primarily used for? - (correct Answer) - To prevent cardiac disease in patients with type
2 diabetes.
A 78-year-old female presents to the clinic for a checkup and refills on her medications. She is currently
taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Synthroid). The patient has a
history of hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric ulcers. The patient is
concerned about heart disease and wants to start taking a low-dose aspirin. Which aspirin regimen
recommendation should the advanced professional nurse (APN) give to the patient? - (correct Answer) -
Low-dose enteric coated aspirin 81 mg daily
Normal thyroid stimulating hormone (TSH) level? - (correct Answer) - 0.4 to 4.0 mIU/L
What TSH level would indicate hypothyroidism?
a. 5.31 mIU/L
b. 2.73 mIU/L
c. 1.68 mIU/L
d. 0.22 mIU/L - (correct Answer) - a. 5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to the emergency department (ED) with pain in his
