WGU D027 Advanced Pathopharmacological Foundations Quiz Bank (Latest 2023/ 2024 Update) | Questions and Verified Answers| 100% Correct| Grade A

WGU D027 Advanced Pathopharmacological

Foundations Quiz Bank (Latest 2023/ 2024

Update) | Questions and Verified Answers|

100% Correct| Grade A

Q: A 45-year-old Jewish man is visiting a clinic for an adjustment of his diabetes medications.

Though the patient is taking oral medications, his blood sugar levels continue to increase, and a

decision is made to start him on in- sulin. Although the patient is comfortable with the concept of

starting insulin, he is concerned with the formulation of the insulin saying, "I heard insulin was

made from pigs. If that is the case, I cannot take it due to my faith."

Which response should be given to this patient?

Answer:

While insulin did have porcine sources in the past, it is now synthetically made.

Q: A 45-year-old man reports his preference for natural methods of treating illness. He states he

takes natural supplements that he orders from China to boost his health and well-being. One of

the supplements he takes daily is red yeast rice.

Which medication should be avoided with this patient's supplement?

Answer:

Lovas- tatin (Mevacor), red yeast rice contains this

Q: A 40-year-old man presents to a clinic with an onset of a frequent cough. The patient states

the cough started when he started his new blood pressure medication two weeks ago. The patient

does not remember the name of the drug that was started. After a thorough assessment, it is

determined the cough is not being caused by an infection. It is determined the likely cause of the

frequent cough is the new blood pressure medication.

Which medication is the likely cause of this patient's symptoms?

Answer:

Lisinopril

Q: A 68-year-old female patient on a medical surgical floor received a dose of morphine

(Duramorph) 30 minutes ago for postoperative pain into an IV in her left hand. She has been on

the floor for two days and has received several doses of morphine over that time. The patient's

call light is now lit. When the nurse goes into the room, the patient has several complaints.

Which complaint should be addressed first in this patient?

Answer:

A rash around the injection site going up the left arm

Q: An advanced practice nurse (APN) is floated to a medical or surgical floor midshift to assist

an understaffed unit. After receiving a brief report, the APN assumes care of four individuals for

the remainder of the shift. No recent assessment has been completed on these patients.

Which patient should the APN assess first?

Answer:

A 65-year-old man with dementia who is one day post-operation of a transurethral resection of

his prostate and is sometimes passing blood-tinged urine through his foley, d/t cognitive issues

and being post-op

Q: A 55-year-old female patient presents to a clinic for exacerbation of her chronic low back

pain. She is taking morphine extended-release tablets (MS Contin), hydrocodone (Vicodin) PRN,

and duloxetine (Cymbalta). The patient denies any drug allergies. She rates her pain at a ten out

of ten and is requesting something stronger for pain.

When considering adding a medication for this patient's pain, which medica- tion could have a

significant interaction with her current medications?

Answer:

tra- madol, d/t serotonin syndrome

Q: A 45-year-old female patient presents to a clinic complaining of chronic generalized pain

and wishes to be evaluated for fibromyalgia and chronic pain syndrome. A thorough history and

physical is conducted, and the findings are negative. The patient is not taking any medications,

has no allergies to medicines, and has a negative past medical history.

What is an appropriate first intervention for this patient?

Answer:

Assess the patient's sleep hygiene and make recommendations.

Q: A 55-year-old male patient is on a medical floor for respite care. He is currently in hospice

for end-stage pancreatic cancer. During assessment, a nurse notices that he is diaphoretic,

moaning, and clutching his abdomen. He rates his pain at a nine out of ten. The nurse notes that

his abdomen is distended, and he has rebound tenderness in all four quadrants.

What is an appropriate nursing intervention for this patient?

Answer:

Giving a dose of intravenous morphine (Duramorph)

Q: What fluid for nutrient changes/ osmolality changes?

Answer:

0.9 NS

Q: What fluid for hypernatremia, hyperchloremia, dehydration?

Answer:

D5 or 0.45 NS

Q: what fluids for hyponatremia w/o fluid overload/edema?

Answer:

3% NS until Na

130

Q: Med uncomplicated peds otitis media?

Answer:

Amoxicillin

Q: who is at risk for tay-sachs?

Answer:

Ashkenazi Jews

Q: What is Tay-Sachs disease?

Answer:

a dysfunctional enzyme accumulation

causes an of lipids in the brain

Q: s/s of tay-sachs?

Answer:

cherry red spot, loss of muscle skills,

control/ motor vision/hearing loss

Q: What is beta thalassemia?

Answer:

Reduced or absent amounts of hemoglobin

Q: s/s of beta thalsemia?

Answer:

yellow eyes, low BP, palpitaitons, pale, cold, SOB, high

HR, growth delay

Q: bela thalsemia most common in what people?