WGU D027 EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
When should you instruct the patient to take their FIRST dose of
antihypertensive? - ANS ✓At night to avoid orthostatic hypotension. Educate
slow position changes and lay down if needed.
What are side effects of ACE inhibitors? - ANS ✓dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with
Asthma? - ANS ✓Nonselective beta blocker (-lol) because both beta-2 receptors
are effected
What is the first choice of calcium channel blocker? - ANS ✓Verapamil
What side effect should you watch for in a patient taking a statin drug? -
ANS ✓Muscle pain which can lead to rhabdomyolysis, kidney failure, and death.
Which diuretic is NOT used in patients with kidney failure and sickle cell
disease? - ANS ✓Thiazide diuretics
What type of drug is spironolactone? - ANS ✓potassium sparing diuretic
WGU D027
, 2
WGU
Which type of insulin is the most painful during injection? - ANS ✓Lantus
(long-acting)
Why test glycosylated haemoglobin (HgbA1c)? - ANS ✓Most reliable
assessment of blood sugar over the past 3 months. The goal is < 6.5%. A poor
result is > 9%
What is the normal range for TSH level? - ANS ✓The normal range of TSH
levels is 0.4 to 4.0 milli-international units per litre. If you're already being
treated for a thyroid disorder, the normal range is 0.5 to 3.0 milli-international
units per litre. A value ABOVE the normal range usually indicates
hypothyroidism.
What lab test would we recommend for thyroid? - ANS ✓Thyroid peroxidase
antibodies (TPO)
What if a newborn has hypothyroidism? - ANS ✓Requires replacement within
a few days and last for 3 years to prevent mental development changes and
dwarfism.
What is Hashimoto's disease? - ANS ✓An autoimmune cause of hypothyroid.
Symptoms include weight gain and fatigue.
Symptoms of hyperthyroidism (thyrotoxicosis) - ANS ✓Tachyarrhythmias,
anxiety, insomnia, rapid flow/speech, hot
GRAVES DISEASE
how to treat grave's disease? - ANS ✓Remove or destroy thyroid tissue or
suppress with drug (methimazole or propylthiouracil)
WGU D027
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