WGU D027 EXAM LATEST 2024-2025 COMPLETE 2 VERSIONS
AND A PRACTICE EXAM ALL 450+ QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
WGU D027 EXAM A
A 56-year-old diabetic patient has not taken his insulin in 4 days due to him" feeling well
without it". He is admitted to the ED with an elevated blood sugar. What electrolyte should be
assessed first?
a. Calcium
b. Sodium
c. Potassium
d. Chloride - ANSWER-c. Potassium
A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment finding by
the healthcare professional would be most consistent with this reading?
a. Pink, frothy sputum
b. Normal lung sounds
c. Rhonchi
d. Eupnea - ANSWER-a. Pink, frothy sputum
A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and
skeletal deformity. What treatment plan does the healthcare professional discuss with the
parents?
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a. Extremely careful handling
b. Increasing vitamin D intake
c. Revascularization
d. Containment and motion therapy - ANSWER-b. Increasing vitamin D intake
A health professional is caring for a child that was sexually abused. She is trying to decide which
medication option she should provide to the child. What should she know before providing the
treatment option?
a. The age and weight of the child
b. The race of the child
c. The height of the child
d. The developmental stage - ANSWER-a. The age and weight of the child
The physician prescribes the patient a loop diuretic. As the nurse you know that this type of
diuretic causes diuresis by affecting which structure in the nephron?
a. Distal convoluted tubule
b. Descending limb of the loop of Henle
c. Proximal convoluted tubule
d. Ascending limb of the loop of Henle - ANSWER-d. Ascending limb of the loop of Henle
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A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale
and are ordered before a meal and at bedtime. The patient's blood sugar level is 317 mg/dL.
Which formulation of insulin should the nurse prepare to administer?
a. No insulin should be administered
b. NPH
c. 70/30 mix
d. Lispro (Humalog) - ANSWER-d. Lispro (Humalog)
A patient is in severe shock and is receiving vasopressin. A family member asks the health care
professional to explain the rationale for this type of treatment. What response by the
professional is most accurate?
a. "Antidiuretic hormone causes vasoconstriction to help increase blood pressure."
b. "Antidiuretic hormone causes serum osmolality to be increased."
c. "Antidiuretic hormone leads to better insulin utilization."
d. "Antidiuretic hormone conserves fluid when urine output is less than 20 mL/hr." - ANSWER-a.
"Antidiuretic hormone causes vasoconstriction to help increase blood pressure."
A patient will begin taking fexofenadine [Allegra] for hay fever. The nurse teaching this patient
will tell the patient that:
a. Fexofenadine should be taken with food to prevent gastrointestinal (GI) symptoms.
b. The medication may be taken once or twice daily.
c. Tolerance to sedation will occur in a few weeks.
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d. With renal impairment, this drug should be taken every other day. - ANSWER-b. The
medication may be taken once or twice daily.
As an advanced practice nurse, you want to learn more about the CDC's initiatives relative to
asthma care and management in order to advocate for asthma sufferers at the state legislative
level. Your goal is to reduce medications costs to patients. Which CDC recommendation
supports your goal?
a. The CDC recommends that payers and employers promote healthy workspaces to decrease
environmental trigger exposures.
b. The CDC recommends that providers prescribe the most cost-efficient long-acting inhalers to
lower patient co-pays.
c. The CDC recommends that providers deviate from the stepwise approach to lessen the
financial impact to the patient.
d. The CDC recommends that co-pays be removed for inhaled corticosteroids and other
prescribed medications - ANSWER-d. The CDC recommends that co-pays be removed for
inhaled corticosteroids and other prescribed medications
What syndrome, characterized by an absent homologous X chromosome with only a single X
chromosome, exhibits features that include a short stature, total chromosome count of 45,
webbed neck, and a shield like chest?
a. Cri du chat syndrome
b. Down syndrome
c. Klinefelter syndrome
d. Turner syndrome - ANSWER-d. Turner syndrome
A female patient has been recently diagnosed with invasive ductal carcinoma. As an advanced
practice nurse, you understand that she will be undergoing a multi-faceted treatment approach
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