WGU D027 EXAM OA LATEST 2024-2025 ALL 3 VERSIONS WITH
COMPLETE 500 QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES ALREADY GRADED A+
WGU D027 EXAM 1
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 - ANSWER-D. Prolonged QRS interval
--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 - ANSWER-C. Gabapentin
1
,Page 2 of 164
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 - 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 - ANSWER-A. History of hemorrhagic stroke
--Thrombolytic therapy can increase risk of recurrent hemorrhagic stroke in patients who have
this history.
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 - ANSWER-A. An elderly male with COVID-19
2
,Page 3 of 164
--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 - 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 - ANSWER-B. Beta blockers
--Beta blockers, specifically the beta-2 blockers result in bronchoconstriction therefore they
should be avoided in patients with chronic respiratory conditions.
3
, Page 4 of 164
Which vitamin may be used as concomitant therapy in managing a patient with schizophrenia?
A. Vitamin B1
B. Vitamin C
C. Vitamin D
D. Vitamin E - ANSWER-A. Vitamin B1
Recent evidence shows that the B vitamins decrease both positive and negative features of
schizophrenia.
A 29 yo pregnant patient presents with a pulmonary embolus (PE). Which medication should
the nurse anticipate giving?
A. low molecular weight heparin
B. Fondaparinux
C. Unfractionated heparin
D. Vitamin K - ANSWER-C. Unfractionated heparin
LMWH has less of an effect on thrombin compared to heparin
A nurse notes that a child has discoloration of several teeth. The nurse will ask about which
medication group?
A. Glucocorticoids
B. Tetracyclines
C. Sulfonamides
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVIAGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.99. You're not tied to anything after your purchase.
