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WGU D027 PRACTICE EXAM QUESTIONS AND ANSWERS RATED A.
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WGU D027 PRACTICE EXAM QUESTIONS AND ANSWERS RATED A.
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WGU D027 PRACTICE EXAM QUESTIONS ANDANSWERS RATED A.
A 32-year-old female presents to the emergency room (ER) with headache,
fatigue, and shortness of breath on exertion. A complete blood count reveals
a hemoglobin of 4.4g/dl. During the gynecological review of systems, she
reports a change of a fully saturated pad every two hours for the first three
out of six days of a 28-day menstrual cycle. She states she thought this was
normal and has never sought gynecological care. She does not follow with a
primary care physician.
Which factor in the "health and healthcare" domain of the social
determinants of health contributed to this patient's hemoglobin of 4.4g/dl?
a. Access to healthcare
b. Poverty
c. Health literacy
d. High school graduation
Correct Answer -c. Health literacy
An emergency room (ER) nurse is in a room caring for a patient when the ER
suddenly becomes very busy and fills all available rooms. When the nurse
completes the care of the current patient, he finds an emergency medical
technician (EMT) ready to report on each of the new patients.
Which patient from the report should be seen first?
,a. The 25-year-old female complaining of lower right abdominal pain for the
last two to three hours
b. The 40-year-old male with crushing chest pain who denies any injury or
prior history of heart disease
c. The 16-year-old football player with a possible leg fracture
d. The 52-year-old female complaining of a headache for the last one to two
hours and with no other deficits noted
Correct Answer -b. The 40-year-old male with crushing chest pain who
denies any injury or prior history of heart disease
An advanced professional nurse (APN) on the float team was assigned to
provide care of four postoperative patients on the medical-surgical unit.
Which patient should the APN see first?
a. The patient who is four days post right lobectomy with a heart rate of 120,
cold sweats, and lightheadedness
b. The patent with a left chest tube drainage of 20mls and who complains of
pain to the insertion site
c. The patient eight hours post laparoscopic cholecystectomy with nausea
d. A patient one-day post appendectomy with no bowel movement.
Correct Answer -a. The patient who is four days post right lobectomy with a
heart rate of 120, cold sweats, and lightheadedness
Four patients are sitting in an emergency room (ER) waiting to be seen. Each
patient checked into the ER using an electronic kiosk that required the
reason for the visit. The nurse reviews the data entered by each patient.
,Which patient should the nurse assist first?
a. A 28-year-old female with a migraine headache for four days.
b. A 53-year-old male with right mandibular swelling and tooth pain.
c. A 19-year-old male with a temperature of 101°F and a stiff neck.
d. A 74-year-old female with a history of hypertension and blood pressure of
150/90 needs a refill of her medication.
Correct Answer -c. A 19-year-old male with a temperature of 101°F and a
stiff neck.
A cardiac advanced professional nurse (APN) receives and assesses a report
of her patients at the beginning of her shift. Her report includes the following
patients:
- a patient who received furosemide (Lasix) two hours ago and is
complaining of excessive urination
- a post-op cardiac catheterization patient who received hydrocodone
bitartrate and acetaminophen (Norco) and is now complaining of
drowsiness
- a patient who received metoprolol (Toprol XL) with a heart rate of 42 and
who is complaining of extreme weakness and dizziness
- a patient who is day two post-myocardial infarction and is requesting
medication for constipation
Which patient should the APN see first?
a. The patient who received furosemide (Lasix)
, b. The post-op cardiac catheterization patient
c. The patient who received metoprolol (Toprol XL)
d. The patient who is day two post-myocardial infarction
Correct Answer -c. The patient who received metoprolol (Toprol XL)
A 72-year-old male patient with chronic atrial fibrillation is currently taking
digoxin (Lanoxin). The nurse knows this medication helps with irregular
heartbeat but that it can have side effects.
What should the nurse do before administering this patient's next dose of
digoxin?
a. Obtain the patient's blood pressure
b. Obtain the patient's apical pulse
c. Assess the patient for edema
d. Review the patient's recent lab work
Correct Answer -b. Obtain the patient's apical pulse
An intravenous (IV) therapy nurse receives several pages within a few
minutes from various places within the hospital on a Saturday morning. The
IV therapy nurse returns all the pages to obtain additional triage
information.
Which patient should the IV therapy nurse see first?
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