WGU D027 Practice Test #2. Question and answers. 100% Accurate, rated A+

WGU D027 Practice Test #2. Question and answers. 100% Accurate, rated A+ As an advanced practice nurse, you want to learn more about the CDC's initiatives relative to asthma care and management in order to advocate ...

WGU D027 Practice Test #2. Question and answers. 100% Accurate, rated A+ As an advanced practice nurse, you want to learn more about the CDC's initiatives relative to asthma care and management in order to advocate for asthma sufferers at the state legislative level. Your goal is to reduce medications costs to patients. Which CDC recommendation supports your goal? a. The CDC recommends that payers and employers promote healthy workspaces to decrease environmental trigger exposures. b. The CDC recommends that providers prescribe the most cost-efficient long-acting inhalers to lower patient co-pays. c. The CDC recommends that providers deviate from the stepwise approach to lessen the financial impact to the patient. d. The CDC recommends that co-pays be removed for inhaled corticosteroids and other prescribed medications - ✔✔-d. The CDC recommends that co-pays be removed for inhaled corticosteroids and other prescribed medications What syndrome, characterized by an absent homologous X chromosome with only a single X chromosome, exhibits features that include a short stature, total chromosome count of 45, webbed neck, and a shield like chest? a. Cri du chat syndrome b. Down syndrome c. Klinefelter syndrome d. Turner syndrome - ✔✔-d. Turner syndrome A female patient has been recently diagnosed with invasive ductal carcinoma. As an advanced practice nurse, you understand that she will be undergoing a multi-faceted treatment approach that will include one or more medications. Which medication is considered the "gold standard" endocrine treatment for breast cancer? a. Fulvestrant (Faslodex), an antiestrogen indicated for metastatic estrogen receptor-positive breast cancer in post-menopausal women b. Tamoxifen (Nolvadex), a prodrug that must be converted to active metabolites in order to block estrogen receptors in breast tissue c. Trastuzumab (Herceptin), a monoclonal antibody approved for HER2-positive metastatic breast cancer d. Lapatinib (Tykerb), an oral inhibitor of HER2 tyrosine kinase and EGFR tyrosine kinase, resulting in apoptosis and suppression of tumor cell growth - ✔✔-b. Tamoxifen (Nolvadex), a prodrug that must be converted to active metabolites in order to block estrogen receptors in breast tissue A patient with T2DM comes to the clinic after reading about metformin in a magazine. Which of the following conditions that the patient also has would be a contraindication to taking metformin? a. Renal disease b. Congestive heart failure c. Rheumatoid arthritis d. Hepatitic C virus - ✔✔-a. Renal disease A newborn born with hypoplastic left heart syndrome is receiving intravenous infusion of prostaglandin. This medication is essential in keeping which two vessels patent? a. Foramen ovale b. Pulmonary vein c. Ductus arteriosus d. Hepatic portal vein - ✔✔-a. Foramen ovale c. Ductus arteriosus A patient in the clinic reports fever, arthralgia, a rash, and nosebleeds. What other information should the healthcare professional elicit from this patient? a. Family history of Marfan's disease b. History of a recent bacterial infection c. History of any recent chest trauma d. Any illnesses in family members - ✔✔-b. History of a recent bacterial infection Urinalysis is ordered for a diabetic patient. The results are 4+ ketones, trace leukocytes, negative nitrates, and red blood cells. Which of the following actions would the health practitioner take next? a. Order an ultrasound of the kidneys to rule out sub-acute renal failure b. Check the patient glucose level c. Order a 24-hour urine test for microalbumin d. Assess for a history of illicit drug or alcohol use - ✔✔-b. Check the patient glucose level 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? a. Calcium b. Sodium c. Potassium d. Chloride - ✔✔-c. Potassium A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment finding by the healthcare professional would be most consistent with this reading? a. Pink, frothy sputum b. Normal lung sounds c. Rhonchi d. Eupnea - ✔✔-a. Pink, frothy sputum A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal deformity. What treatment plan does the healthcare professional discuss with the parents? a. Extremely careful handling b. Increasing vitamin D intake c. Revascularization d. Containment and motion therapy - ✔✔-b. Increasing vitamin D intake A health professional is caring for a child that was sexually abused. She is trying to decide which medication option she should provide to the child. What should she know before providing the treatment option? a. The age and weight of the child b. The race of the child c. The height of the child d. The developmental stage - ✔✔-a. The age and weight of the child The physician prescribes the patient a loop diuretic. As the nurse you know that this type of diuretic causes diuresis by affecting which structure in the nephron? a. Distal convoluted tubule b. Descending limb of the loop of Henle c. Proximal convoluted tubule d. Ascending limb of the loop of Henle - ✔✔-d. Ascending limb of the loop of Henle A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime. The patient's blood sugar level is 317 mg/dL. Which formulation of insulin should the nurse prepare to administer? a. No insulin should be administered b. NPH c. 70/30 mix d. Lispro (Humalog) - ✔✔-d. Lispro (Humalog