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D027 WGU Actual Exam | 102 Questions and Answers| Latest Update | Verified Answers
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D027 WGU Actual Exam | 102 Questions and Answers| Latest Update | Verified Answers
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D027 WGU Actual Exam | 102 Questions andAnswers| Latest Update | Verified Answers
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His history
includes hypertension and hyperlipidemia for which he currently takes Norvasc 5 mg daily and
Lipitor 20 mg nightly. Patient has a family history of diabetes, hypertension, heart disease, and
hyperlipidemia. After obtaining lab work, the provider notices the patient's hgbA1c is elevated
at 7.5. The patient is already on a DASH diet and watching the amount of sweets and
carbohydrates he eats daily. The patient is not overweight and participates in moderate
physical activity at least 4-5 days a week. He was started on Metformin three months ago, and
his hemoglobin A1c is now 6.9. The nurse expects to see a class of medication prescribed which
is proven to reduce the risk of cardiovascular events. Considering the treatment guidelines from
the American College of Cardiology, which medication should be recommended for this patien -
✔✔Invokana 100 mg daily
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to
metformin. It is used together with exercise and diet. It is not recommended in type 1 diabetes.
It is taken by mouth.
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? - ✔✔Low-dose enteric coated aspirin 81 mg daily
A 28-year-old married female presents to primary care accompanied by her husband with
complaints of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty
concentrating. The patient explains that she has been experiencing these symptoms with
increasing frequency over the last two months and reports feeling upset that she has gained 10
pounds over the past month despite no significant changes in dietary intake or activity level.
The patient holds a bachelor's degree and is employed full time as an accountant. The patient
reports feeling frustrated with her poor concentration and identifies recent work errors to be
due to this symptom. The patient explains that she and her spouse plan to start trying to
conceive soon, and she is worried that she may have trouble becoming pregnant. The patient
,reports using over-the-counter laxative products over the last week to combat constipation.
The patient repo - ✔✔5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to the emergency department (ED) with
pain in his left leg, and is diagnosed with a deep vein thrombosis (DVT).What is this patient's
symptoms related to? - ✔✔Elevated Von Willebrand factor
A 42-year-old asthmatic who has been using beta-adrenergic agonists for several years began to
experience premature atrial contractions (PACs). To treat the PACs, metoprolol (Toprol XL)
therapy was started.What is a likely consequence of this patient taking metoprolol (Toprol XL)?
- ✔✔Metoprolol (Toprol XL) worsened asthma symptoms, but improved the PACs.
-- Beta blockers are widely used in the management of cardiac conditions and thyrotoxicosis,
and to reduce perioperative complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta blockers because of their
potential for causing bronchospasm.
Which inhaler prescription would support long-acting treatment for twice-daily use in
controlled asthma management? - ✔✔Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that are used to help control
the symptoms of asthma and improve breathing.
A 65-year-old male presents for a visit regarding his type 2 diabetes. He has been dealing with
diabetes for the last 15 years. He has a history of diabetic neuropathy in his feet. Six months
ago his symptoms were mild to almost nonexistent. He currently describes the neuropathy as
painful, and it wakes him up at night. Which medication would be the first line treatment for
this patient? - ✔✔Pregabalin (Lyrica)
A 55-year-old male presents for a new diagnosis of Parkinson's Disease. He has experienced gait
disorders and a pill rolling tremor. The patient was a former boxer with a history of multiple
concussions. He was started on carbidopa-levodopa (Sinemet), which has decreased his
symptoms. How would an antipsychotic medication such as haloperidol (Haldol) cause an
interaction with this patient? - ✔✔By antagonizing dopamine
, A 25-year-old female is 35 weeks pregnant and presents for lower back pain. She has a history
of moderate lower back pain that she normally controls with stretching, yoga, and ice. The
patient reports not being able to engage in stretching and yoga because of the state of her
pregnancy. Ice use has been ineffective. After a benign exam and a negative urinalysis, the
provider is convinced that the pain is musculoskeletal. The patient inquires if there are any
medications she can take for the pain. Which medication does the provider tell the patient she
can safely take? - ✔✔Acetaminophen (Tylenol)
A nurse is administering medication to a 67-year-old patient in liver failure, secondary to end-
stage cirrhosis. Liver dysfunction can influence drug pharmacokinetics and pharmacodynamics.
Which pharmacokinetic phase is affected in this patient? - ✔✔Metabolism
A 17-year-old male patient presents to a clinic for a physical, and he has a diagnosis of
moderate glucose-6-phosphate dehydrogenase (G6PD) deficiency. During the exam, he states
he is going to study abroad in Egypt during his sophomore year, and he has concerns about his
nutrition while being away from home. Which counseling about the patient's deficiency should
the advanced professional nurse (APN) give to this patient while he studies abroad? -
✔✔Acetaminophen (Tylenol) is safe to consume.
A patient presents with new onset of atrial fibrillation that has proved resistant to cardioversion
and ablation. The patient is prescribed Warfarin (Coumadin). Which strategy should be
employed when dosing the medication prescribed for this patient? - ✔✔Titrate dosage to an
INR of 2.1 seconds
Which medication would be contraindicated for a 46-year-old male patient diagnosed with beta
thalassemia? - ✔✔Ferrous sulfate (Feosol)
--People with thalassaemia may be advised to avoid iron supplements because they are at risk
of iron overload.
An advanced professional nurse (APN) is administering medications on the pediatric floor and
treating an infant with thrush who is currently taking Nystatin oral suspension (Mycostatin).
The APN knows the infant is unable to follow the directions of swishing the medication and
swallowing. How should the APN administer this infant's suspension? - ✔✔Swab the infected
area
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