WGU D027 OBJECTIVE ASSESSMENT EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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WGU D027 OBJECTIVE ASSESSMENT EXAM AND

STUDY GUIDE NEWEST 2024 ACTUAL EXAM 300

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

WGU D027 OBJECTIVE ASSESSMENT EXAM

A 42-year-old asthmatic who has been using beta-adrenergic agonists for

several years began to experience premature atrial contractions (PACs).

To treat the PACs, metoprolol (Toprol XL) therapy was started.What is

a likely consequence of this patient taking metoprolol (Toprol XL)? -

ANSWER- Metoprolol (Toprol XL) worsened asthma symptoms, but

improved the PACs.

-- Beta blockers are widely used in the management of cardiac

conditions and thyrotoxicosis, and to reduce perioperative

complications. Asthma and chronic obstructive pulmonary disease

(COPD) have been classic contraindications to the use of beta blockers

because of their potential for causing bronchospasm.

Which inhaler prescription would support long-acting treatment for

twice-daily use in controlled asthma management? - ANSWERFluticasone propionate/salmeterol (Advair Diskus)

--Fluticasone and salmeterol is a combination of two medicines that are

used to help control the symptoms of asthma and improve breathing.

A 65-year-old male presents for a visit regarding his type 2 diabetes. He

has been dealing with diabetes for the last 15 years. He has a history of

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diabetic neuropathy in his feet. Six months ago his symptoms were mild

to almost nonexistent. He currently describes the neuropathy as painful,

and it wakes him up at night. Which medication would be the first line

treatment for this patient? - ANSWER- Pregabalin (Lyrica)

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

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)

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

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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.

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

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.

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

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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

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.

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