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WGU D027 EXAM OBJECTIVE ASSESMENT LATEST 3 VERSIONS
500 QUESTIONS AND VERIFIED CORRECT SOLUTIONS WITH
EXPLANATIONS
WGU D027 EXAM ACTUAL EXAM 1
QUESTION: 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
QUESTION: 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 ineffective. After a benign exam and a negative urinalysis, the
provider is convinced that the pain is musculoskeletal. The patient inquires if there are any
medications she can take for the pain. Which medication does the provider tell the patient she
can safely take? - ANSWER-Acetaminophen (Tylenol)
QUESTION: A nurse is administering medication to a 67-year-old patient in liver failure,
secondary to end-stage cirrhosis. Liver dysfunction can influence drug pharmacokinetics and
pharmacodynamics. Which pharmacokinetic phase is affected in this patient? - ANSWER-
Metabolism
QUESTION: A 17-year-old male patient presents to a clinic for a physical, and he has a diagnosis
of moderate glucose-6-phosphate dehydrogenase (G6PD) deficiency. During the exam, he
states he is going to study abroad in Egypt during his sophomore year, and he has concerns
about his nutrition while being away from home. Which counseling about the patient's
deficiency should the advanced professional nurse (APN) give to this patient while he studies
abroad? - ANSWER-Acetaminophen (Tylenol) is safe to consume.
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QUESTION: A patient presents with new onset of atrial fibrillation that has proved resistant to
cardioversion and ablation. The patient is prescribed Warfarin (Coumadin). Which strategy
should be employed when dosing the medication prescribed for this patient? - ANSWER-Titrate
dosage to an INR of 2.1 seconds
QUESTION: Which medication would be contraindicated for a 46-year-old male patient
diagnosed with beta thalassemia? - ANSWER-Ferrous sulfate (Feosol)
--People with thalassaemia may be advised to avoid iron supplements because they are at risk
of iron overload.
QUESTION: 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
(Mycostatin). 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? -
ANSWER-Swab the infected area
QUESTION: 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? - ANSWER-Three
immunizations with one injection now (if not given at birth), one injection at two months, and
one injection at six months
QUESTION: On a follow-up appointment, a mother of a newborn reports the infant draws up
the legs, clenches fists, and cries as if in pain. The mother reports the symptoms usually occur
during the evening but the baby tolerates formula well. The nurse tells the mother that the
baby has infantile colic. The mother inquires about the child's prognosis. How should the nurse
describe the prognosis of infantile colic to the patient's mother? - ANSWER-Children usually
outgrow the condition at about three months of age.
-- infantile colic: Predictable periods of significant distress in an otherwise well-fed, healthy
baby.
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QUESTION: A 40-year-old Trinidadian male comes into a clinic complaining of burning chest
pain, indigestion, nausea, and belching after eating certain foods. He is a single father living and
working in New York City. He recently obtained his green card after living in the United States
for more than 10 years. He has a GED and works as an IT help desk technician earning $42,000 a
year. He has health insurance through the New York health marketplace because it is cheaper
than his employer's plan. Because of the high cost of living in New York, the patient is unable to
afford an apartment on his own; therefore, he and his child share a home with his mother and
older sister. As the nurse begins to explore his social history regarding his alcohol use, the
patient states, "I have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and stayi - ANSWER-The
patient's lifestyle structure
QUESTION: A 40-year-old Trinidadian male comes into a clinic complaining of burning chest
pain, indigestion, nausea, and belching after eating certain foods. He is a single father living and
working in New York City. He recently obtained his green card after living in the United States
for more than 10 years. He has a GED and works as an IT help desk technician earning $42,000 a
year. He has health insurance through the New York health marketplace because it is cheaper
than his employer's plan. Because of the high cost of living in New York, the patient is unable to
afford an apartment on his own; therefore, he and his son share a home with his mother and
older sister. As the nurse begins to explore his social history regarding his alcohol use, the
patient states, "I have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and staying - ANSWER-
Seeking higher or advanced education in his field
QUESTION: A 72-year-old male patient comes into the clinic complaining of shortness of breath,
wheezing, chills, and hot flashes at night for over three weeks. He is currently only prescribed a
blood pressure medication but is unsure of the name and has not had any refills in the last
several months. He reports being unsure if he has been exposed to any respiratory illnesses. He
continues to report he is homeless and lives in different shelters or outside. He is unemployed
but does receive assistance money from an unknown donor which averages $300 per month.
He states he does not have any family or social support. The patient states he only has an
eighth-grade education and is unable to read very well. He is unable to write his name,
although he has always learned easily by watching and interacting with live instructions. He
denies illegal drug use and uses public transportation.The assessment findings include a blood
pressure - ANSWER-Lack of income and poverty level
QUESTION: 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.
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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? - ANSWER-Health literacy
QUESTION: 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? - ANSWER-The 40-year-
old male with crushing chest pain who denies any injury or prior history of heart disease
QUESTION: 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? - ANSWER-The patient who is four days post right lobectomy with a heart rate of 120,
cold sweats, and lightheadedness
QUESTION: 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? -
ANSWER-A 19-year-old male with a temperature of 101°F and a stiff neck.
QUESTION: 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
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