WGU D118 COMPREHENSIVE STUDY GUIDE UNIT 5
NEWEST EDITION 2024 [GET IT RIGHT] QUESTIONS AND
DETAILED ANSWERS
Which stage of heart failure is this patient experiencing? (I-IV)
A patient who has been diagnosed with heart failure for over a year and reports being
comfortable while at rest and experiences palpitations and dyspnea when walking to the
bathroom - (correct answer) II
Which stage of heart failure is this patient experiencing? (I-IV)
A male patient states that he is comfortable when watching television, but feels short of
breath after a few steps when walking to the kitchen or to the restroom. - (correct
answer) III
Which stage of heart failure is this patient experiencing? (I-IV)
A patient who does not have any activity limitations, and does not suffer from undue
fatigue, dyspnea, or heart palpitations when walking around the block. - (correct
answer) I
Which stage of heart failure is this patient experiencing? (I-IV)
A female patient states that she feels short of breath at rest, and has palpitations while
eating, petting her dog, and with any activity. - (correct answer) IV
A patient who has asthma calls the primary care provider to report having a peak flow
measure of 75%, shortness of breath, wheezing, and cough, and tells the provider that
the symptoms have not improved significantly after a dose of albuterol. The patient uses
an inhaled corticosteroid medication twice daily.
What will the provider recommend? - (correct answer) Administering two more
doses of albuterol
A young adult patient develops a cough persisting longer than two months. The primary
care provider orders pulmonary function tests (PFTs) and a chest radiograph, which are
both normal. The patient denies abdominal complaints. There are no signs of rhinitis or
sinusitis and the patient does not take any medications.
What will the provider evaluate next to help determine the cause of this cough? -
(correct answer) Methacholine challenge test
Which medication will the primary care provider order for a patient with chronic
obstructive pulmonary disease who reports daily symptoms of dyspnea and cough? -
(correct answer) Ipratropium bromide
A patient with small cell lung cancer (SCLC) has undergone chemotherapy with a good
initial response to therapy.
, What will the primary care provider tell this patient about the prognosis for treating this
disease? - (correct answer) "Relapse is likely with a two-year overall survival of
50%."
Which method of treatment is used for traumatic pneumothorax? - (correct answer)
Tube thoracostomy
Which diagnostic test will confirm the presence of a pulmonary embolism (PE) in a
patient who has undergone surgical immobilization for a femur fracture and reports
dyspnea and chest pain with inspiration and has a heart rate of 120 beats per minute? -
(correct answer) Computed tomography (CT) angiography
When following a patient with sarcoidosis over time, a(n)_______ is useful to help
monitor the progression of the disease. - (correct answer) Pulmonary Function Test
Which initial treatment will be helpful for a patient who is diagnosed with mild restless
leg syndrome (RLS) that occasionally interferes with sleep? - (correct answer) Hot
baths and exercise
A patient reports abdominal and back pain with anorexia and nausea. During an
examination, the primary care provider notes a pulsatile abdominal mass.
What is the provider's initial action? - (correct answer) Order an ultrasound of the
mass to determine its size
During a routine health maintenance examination, the primary care provider auscultates
a carotid bruit. The patient denies syncope, weakness, or headache.
What will the provider do, based on this finding? - (correct answer) Order a carotid
duplex ultrasound
A patient reports recurrent chest pain that occurs regardless of activity and is not
relieved by rest. The primary care provider administers a nitroglycerin tablet which does
not relieve the discomfort.
What is the provider's next action? - (correct answer) Give the patient a beta blocker
medication
A patient who is being treated with a thiazide diuretic for chronic hypertension reports
blurred vision, nausea, and shortness of breath. The primary care provider notes a
blood pressure of 185/115.
What is the recommended initial action for this patient? - (correct answer) Admit to
the hospital for evaluation and treatment
Which medications will be ordered as empiric treatment while blood cultures are
pending for a patient who has native valve endocarditis? - (correct answer) Penicillin
and an aminoglycoside antibiotic
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