D119 WGU Practice Exam Questions and
Answers 100% Verified
· Discuss Fluid replacement in pediatric populations including PO and IV - -240 mL ORS
for each - CORRECT ANSWER-Lactated Ringer solution or normal saline a
intravenously in boluses of 20 mL/kg body weight until perfusion and mental status
improve./ >10 kg body weight: 120
· tetralogy of falot - CORRECT ANSWER-§ Tetralogy of Fallot (TOF; also referred to as
TET) is a combination of four anatomic cardiac defects resulting in right ventricular
outflow tract (RVOT) obstruction: (1) pulmonary valve stenosis, (2) right ventricular
hypertrophy, (3) VSD, and (4) an aorta that overrides the ventricular septum (Fig 38.11).
It is the most common cyanotic cardiac lesion
§
• Noonan syndrome - CORRECT ANSWER-PTPN11, SOS1, KRAS, RAF1 (AD)
facial features, renal malformation, bleeding disorders
Sequencing in the above order
18 year old boys experiencing problems with wheezing, coughing, and shortness of
breath for about 4 hours after basketball practice. He has normal respirations and
experiences problems only after exercise. He is experiencing no other respiratory
problems, and the physical findings are within normal limits. What is the treatment of
choice for this child?
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albuterol two Puffs metered dose inhaler 20 to 30 minutes before exercise
cromolyn sodium two Puffs each morning
Theophylline 100 mg PO bid
beclomethasone two Puffs three to four times daily - CORRECT ANSWER-Feedback
medication should be taken only when the child is planning to exercise and anticipates
respiratory difficulty. Cromolyn and beclomethasone or steroids and do not provide
immediate relief. The other one should be avoided unless symptoms progressively
worsen and cannot be controlled with inhalation therapy
18 year old girl comes to the clinic with complaints of nausea, vomiting, and right upper
quadrant pain during vigorous play. She is also more tired than usual. Serologic tests
for immunoglobulins IGM antibodies are ordered to rule out:
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cholecystitis
hepatitis A
infectious mononucleosis
hepatitis B - CORRECT ANSWER-Feedback
,right upper quadrant pain during exercise, malaise, nausea, and vomiting or early signs
of hepatitis A. Elevated IGM antibodies indicate a recent or current infection. Clinical
findings of cholecystitis include colicky pain in the right upper quadrant with radiation to
the flanks after a large meal. Mononucleosis, common in college age adults and young
children, has the classic triad of fever, exudative pharyngitis, and adenopathy,
particularly posterior cervical. Hepatitis B causes symptoms ranging from a symptomatic
seroconversion to acute illness with malaise, anorexia, and nausea to fatal hepatitis.
18 year old taking Isoniazid (INH) prophylactically for exposure to TB complains of
headache, palpitations, rash, and diarrhea. What would the management be based on?
avoidance of foods containing tyramine and histamine
addition of Pyridoxine to the diet
changing therapy from INH to Rifampin
evaluation for hepatic impairment - CORRECT ANSWER-Correct answer
addition of Pyridoxine to the diet
Feedback
Pyridoxine (vitamin B6) is added to prevent peripheral neuropathy. Foods containing
tyramine and histamine (tuna, aged cheese, yeast, vitamin supplements) cause
interaction with monoamine oxidase Inhibitors. Anorexia, jaundice, malaise, and fatigue
would be signs of hepatic involvement
1The Family nurse practitioner is performing a well child exam on a 12-year-old female
who has achieved early sexual maturation. The mother reports that she spends more
time with her older sister's friends instead of her own classmates. What will the nurse
practitioner tell this parent?
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Early-maturing girls need to identify with older adolescents to feel a sense of belonging.
Girls who join an older group of peers may become sexually active at an earlier age.
Spending time with older adolescents indicates a healthy adjustment to her maturing
body.
The association with older adolescents will help her daughter to gain social maturity. -
CORRECT ANSWER-B
40
An advanced practice registered nurse (APRN) reviews a patient's history and notes
that prednisolone is being taken for severe allergies even though the patient no longer
has allergy symptoms. The APRN decides to stop this medication and reviews the
history again to determine if the medication must be discontinued gradually instead of
abruptly.
Under which circumstance should the APRN discontinue this medication gradually?
If the patient has been receiving 10 mg daily for the past six days
If the patient has been receiving 20 mg daily for the past four days
If the patient has been on the medication for four weeks
If the patient has been on the medication for two weeks - CORRECT ANSWER-If the
patient has been on the medication for four weeks
,42
An advanced practice registered nurse (APRN) is examining a 96-year-old patient who
is complaining of an ear infection. The patient reports currently taking four pills every
day. The APRN decides to respond to that information by taking a course of action
recommended by the goals of geriatric care.
Which action should the APRN take for this patient?
Avoid any additional medications and wait to see if it resolves
Identify the strongest antibiotic to take to prevent a super infection
Write the reason for the medication on the patient's prescription
Add a medication to avoid a yeast infection - CORRECT ANSWER-Write the reason for
the medication on the patient's prescription
51
An advanced practice registered nurse (APRN) is discussing the treatment options
available to a patient who is homeless and has been diagnosed with HIV. The patient
admits that the $8,000 per month cost of the preferred treatment is not fiscally possible.
Which action should the APRN take to assist this patient?
Refer the patient to the case management services
Advise the patient to speak with the patient assistance program
Delay prescribing the medication
Encourage the patient to cut the dose in half - CORRECT ANSWER-A
59
A large healthcare system wants to improve communication between patients, patients'
families, and the healthcare system in order to reduce litigation costs by 20% by the end
of the fiscal year. To reach this goal, the system has designated a single representative
to communicate with patients and families immediately following each adverse event.
An advanced practice registered nurse (APRN) in the quality department has been
assigned to continuously monitor this project intervention.
What data should the APRN monitor to determine if this goal is being met?
Number of spokespeople for each event
Number of stakeholders affected
Number of litigations for each event
Number of events during the fiscal year - CORRECT ANSWER-A
60
An advanced practice registered nurse (APRN) is leading a project team to ensure that
during the discharge process patients are able to describe two ways home care
instructions will be followed after release. The team is developing outcomes that will
meet the criteria of the SMART tool.
Which outcome should the APRN approve for the project?
All patients receiving home care instructions will describe how they will follow the
instructions prior to discharge.
, 80% of patients receiving home care instructions will describe at least two ways they will
follow the instructions.
80% of patients receiving home care instructions will describe at least two ways they will
follow the instructions prior to discharge.
All patients will describe at least two ways they will follow the instructions prior to
discharge. - CORRECT ANSWER-C
9
An advanced practice registered nurse (APRN) examines a six-month-old infant, and a
piece of assessment data causes concern about the child's development.
Which finding caused this response by this APRN?
Failure to attempt feeding self with spoon
Inability to pull self to standing position
Inability to pick up toy with one hand
Failure to double birth weight - CORRECT ANSWER-D
A "sweat test" or newborn screening may be used to detect;
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cystic fibrosis
adrenal insufficiency
Graves disease
hypothyroidism - CORRECT ANSWER-Feedback
cystic fibrosis is the most common inherited fatal disease of children and young adults
in the United States. Cystic fibrosis is usually diagnosed by the time and affect the child
is 3 years old. Often, the only signs are persistent cough, a large appetite but poor
weight gain, and extremely salty taste to the skin, and large, foul-smelling bowel
movements. A simple sweat test is currently the standard diagnostic test. The test
measures the amount of salt in the sweat and abnormally high levels are the Hallmark
of this disorder
a 1 week old infant has a bilateral mucopurulent discharge. What explains the etiology
of the discharge?
1/1
the mother probably has an STD
the infant likely has a plugged tear duct
this is bacterial conjunctivitis
this is viral conjunctivitis - CORRECT ANSWER-Feedback
a bilateral mucopurulent eye discharge in a 1 week old infant is likely genitourinary in
origin. The mother may have chlamydia. If the infant is delivered vaginally and the
mother is infected with chlamydia, symptoms will appear one to two weeks Post delivery
in the infant. The discharge is mucopurulent and would not be confused with the
discharge associated with a plugged tear duct. Other STDs like gonorrhea could reduce
symptoms two to four days post vaginal delivery
