WGU D027 EXAM ACTUAL EXAM LATEST 2 VERSIONS
AND A STUDY GUIDE ALL 450 QUESTIONS AND CORRECT
DETAILED SOLUTIONS
WGU D027 EXAM 1
QUESTION: 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 - ANSWER-d. The CDC recommends that co-pays be removed for
inhaled corticosteroids and other prescribed medications
QUESTION: 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 - ANSWER-d. Turner syndrome
1
,Page 2 of 157
QUESTION: 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 - ANSWER-b. Tamoxifen (Nolvadex),
a prodrug that must be converted to active metabolites in order to block estrogen receptors in
breast tissue
QUESTION: 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 - ANSWER-a. Renal disease
QUESTION: 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
2
,Page 3 of 157
b. Pulmonary vein
c. Ductus arteriosus
d. Hepatic portal vein - ANSWER-a. Foramen ovale
c. Ductus arteriosus
QUESTION: 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 - ANSWER-b. History of a recent bacterial infection
QUESTION: 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 - ANSWER-b. Check the patient glucose level
QUESTION: 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?
3
, Page 4 of 157
a. Calcium
b. Sodium
c. Potassium
d. Chloride - ANSWER-c. Potassium
QUESTION: 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 - ANSWER-a. Pink, frothy sputum
QUESTION: 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 - ANSWER-b. Increasing vitamin D intake
QUESTION: 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?
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller eddietaylor. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.99. You're not tied to anything after your purchase.
