D027 WGU OBJECTIVE ASSESSMENT FINAL EXAM/
LATEST 2024-2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
Which medication would be contraindicated for a 46-year-old male patient diagnosed
with beta thalassemia? - Correct Answer - Ferrous sulfate (Feo sol)
--People with thalassemia 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
(Myostatin). 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? -
Correct Answer - Swab the infected area
A two-week-old newborn presents to the pediatric clinic with her mother for a check-up.
The nurse discusses the recommended vaccination guidelines from the Centers for
Disease Control and Prevention (CDC), including the hepatitis B vaccine. What is the
recommended schedule for this patient receiving the hepatitis B vaccination? - Correct
Answer - Three immunizations with one injection now (if not given at birth), one injection
at two months, and one injection at six months
A patient has a disorder affecting ventricular depolarization. What ECG finding with the
nurse associate with this?
A. Absence of P waves
B. Short PR interval
C. QT interval variability
D. Prolonged QRS interval - Correct Answer - D. Prolonged QRS interval
pg. 1
,--The QRS complex represents the sum of all ventricular muscle cell depolarization
therefore a prolonged QRS interval would be suggestive ventricular depolarization
abnormalities. For example, heart failure or bundle branch block or myocardial
infarction.
Pharmacotherapy used for a patient with peripheral artery disease and diabetes
includes all of the following except:
A. Aspirin
B. HMG-CoA reductase inhibitors (statins)
C. Gabapentin
D. Metformin - Correct Answer - C. Gabapentin
What is the intended therapeutic action of inhaled corticosteroids in patients with
chronic respiratory conditions
A. Reversal of fixed airway obstruction
B. Improvement of central respiratory drive
C. Reduction of airway inflammation
D. mucolytic activity - Correct Answer - Reduction of airway inflammation
--Topical corticosteroids work to decrease inflammation locally where applied.
Which of the following conditions is contraindicated in using thrombotic therapy?
A. History of hemorrhagic stroke
B. Peptic ulcer disease
C. Concurrent use of Coumadin
D. Blood pressure of 160/100 mmHg - Correct Answer - A. History of hemorrhagic
stroke
--Thrombolytic therapy can increase risk of recurrent hemorrhagic stroke in patients who
have this history.
pg. 2
, Which hospitalized patient is highest risk for developing delirium?
A. An elderly male with COVID-19
B. A woman recently diagnosed with schizophrenia
C. A depressed Hispanic woman
D. A 70-year-old diabetic patient - Correct Answer - A. An elderly male with COVID-19
--Delirium is associated with autonomic nervous system overactivity and typically
develops in 2 to 3 days, most commonly in critical care units, post surgically, or during
withdrawal from CNS depressants (e.g., alcohol, narcotic agents).
A patient with chronic migraines arrives for a neurological evaluation. The neurologist
recommends preventative therapy. Which one (1) of the following medications is used to
prevent the frequency of chronic migraines?
A. Verapamil
B. Dihydroergotamine
C. Naproxen
D. Sumatriptan - Correct Answer - A. Verapamil
-- Calcium channel blockers have demonstrated efficacy in investigative use for
prophylaxis of migraine and cluster headaches. In particular, verapamil, with its low
side-effect profile, appears to be a promising alternative to the currently available
agents for prophylactic treatment of chronic recurring headaches.
Which of the following antihypertensive mediations should the nurse practitioner avoid
when treating a patient with emphysema?
A. Calcium channel blockers
B. Beta blockers
C. Angiotensin converting enzyme inhibitors
D. Diuretics - Correct Answer - B. Beta blockers
pg. 3
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