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WGU D027 (Objective Assessment) EXAM STUDY QUESTIONS AND ACCURATE SOLUTUIONS RATED A.
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WGU D027 (Objective Assessment) EXAM STUDY QUESTIONS AND ACCURATE SOLUTUIONS RATED A.
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WGU D027 (Objective Assessment) EXAMSTUDY QUESTIONS AND ACCURATE
SOLUTUIONS RATED A.
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?
Correct Answer -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?
Correct Answer -Obtain the patient's apical pulse
-- Apical pulse should be taken for a full minute before administration of this
medication. If the apical pulse is less than 60, the dose should be withheld
and the prescribing provider notified. Serum digoxin levels should be
monitored, with a normal therapeutic range from 0.8 to 2 ng/mL.
,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?
Correct Answer -A patient in the intensive care unit (ICU) who needs IV
access for an insulin drip
A 76-year-old female with a history of hypertension (HTN) and chronic
obstructive pulmonary disease (COPD) presents with abdominal pain and
approximately three to four watery stools a day. She has a basic metabolic
panel (BMP) revealing the following: sodium 140, potassium 3.3, chloride
90, glucose 155, blood urea nitrogen (BUN) 46, creatinine 1.6, and estimated
glomerular filtration rate (eGFR) 40. The patient's medications include
lisinopril (Zestril), fluticasone/salmeterol (Advair), and tiotropium (Spiriva).
She has no other significant medical history. Vital signs are as follows:
temperature of 98°F, heart rate of 78, blood pressure of 120/80, respiratory
rate of 18, and oxygen saturation (SpO2) of 98%.Which treatment should the
nurse administer first based on this patient's lab results?
Correct Answer -Administer intravenous fluids
A 16-year-old female presents to primary care accompanied by her mother
with complaints of chronic fatigue, muscle aches, headaches, and dizziness
for the last several months with increasing frequency and severity. The
patient is a high school student, and she reports that she passed out today
during chemistry. The patient is in a healthy, new relationship with a student
at her school. She reports using over-the-counter ibuprofen (Motrin) three
times over the last week to manage her symptoms. The assessment findings
include a blood pressure of 89/58, P 92 and R 22. The patient is 5 feet, 2
inches tall and weighs 103 pounds. On palpation, the thyroid is not enlarged.
, The patient has a normal sinus rhythm and regular rate. Lung sounds are
clear bilaterally. Her abdomen is soft and bowel sounds are present in all
four quadrants. She has a steady gait, though verbally complains of feeling
weak and off balance upon ambula
Correct Answer -Rowing
A 71-year-old male with metastatic prostate cancer and type 2 diabetes
mellitus with neuropathy presents to an appointment with his primary care
provider to address many physical and emotional complaints secondary to
his worsening pain. The patient explains that he has been struggling with
increased sadness over arranging his end-of-life care and feels that his
exacerbation of pain coincides with the timing of his increased sorrow.
Patient reports struggling with poor sleep due to grief and aches and
restlessness in his legs. He reports increased fatigue and poor energy.
Which pharmacological treatment would be helpful for the patient to
manage his symptoms and lead to improved sleep?
Correct Answer -Mirtazapine (Remeron)
--Mirtazapine has been found to reduce the time it takes for a person to fall
asleep, as well as reducing the duration of early, light stages of sleep and
increasing deep sleep 2. It also slightly reduces REM sleep (dream sleep)
and night-time waking and improves the continuity and overall quality of
sleep
A 71-year-old male with stage IV metastatic prostate cancer and type 2
diabetes mellitus with neuropathy presents to an appointment with his
primary care provider to address many physical and emotional complaints
secondary to his worsening pain. The assessment findings include a blood
pressure of 128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and
weighs 188 pounds. The patient has a normal sinus rhythm and regular rate.
Lung sounds are clear bilaterally, however, the patient complains of pain in
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