WGU D027 OBJECTIVE ASSESSMENT FINAL
EXAM NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
WGU D027 OA FINAL EXAM
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 - ANSWER- Invokana 100 mg daily
Rationale; --Invokana is a medication used to treat type 2
diabetes. It is a third-line medication to metformin. It is used
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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? -
ANSWER- 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
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laxative products over the last week to combat constipation. The
patient repo - ANSWER- 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? - ANSWER- 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)? - ANSWER- Metoprolol
(Toprol XL) worsened asthma symptoms, but improved the
PACs.
Rationale; -- 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? -
ANSWER- Fluticasone propionate/salmeterol (Advair Diskus)
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Rationale; --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? - ANSWER- 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? - ANSWER- 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
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