1|Page
WGU D027 OA Medical Conditions / WGU D027
Objective Assessment Final Exam Test bank With
Questions And 100% Correct Detailed
Answers|Already Graded A+
VERSION 1
A 76-year-old female with a history of hypertension (HTN)
and chronic obstructive pulmonary disease (COPD)
presents with abdominal pain and approximately three to
four watery stools a day. She has a basic metabolic panel
(BMP) revealing the following: sodium 140, potassium 3.3,
chloride 90, glucose 155, blood urea nitrogen (BUN) 46,
creatinine 1.6, and estimated glomerular filtration rate
(eGFR) 40. The patient's medications include lisinopril
(Zestril), fluticasone/salmeterol (Advair), and tiotropium
(Spiriva). She has no other significant medical history. Vital
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signs are as follows: temperature of 98°F, heart rate of 78,
blood pressure of 120/80, respiratory rate of 18, and
oxygen saturation (SpO2) of 98%.Which treatment should
the nurse administer first based on this patient's lab
results? - ANSWER-Administer intravenous fluids
An emergency room (ER) nurse is in a room caring for a
patient when the ER suddenly becomes very busy and fills
all available rooms. When the nurse completes the care of
the current patient, he finds an emergency medical
technician (EMT) ready to report on each of the new
patients. Which patient from the report should be seen
first? - ANSWER-The 40-year-old male with crushing
chest pain who denies any injury or prior history of heart
disease
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An advanced professional nurse (APN) on the float team
was assigned to provide care of four postoperative
patients on the medical-surgical unit. Which patient should
the APN see first? - ANSWER-The patient who is four
days post right lobectomy with a heart rate of 120, cold
sweats, and lightheadedness
Four patients are sitting in an emergency room (ER)
waiting to be seen. Each patient checked into the ER
using an electronic kiosk that required the reason for the
visit. The nurse reviews the data entered by each patient.
Which patient should the nurse assist first? - ANSWER-A
19-year-old male with a temperature of 101°F and a stiff
neck.
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A cardiac advanced professional nurse (APN) receives
and assesses a report of her patients at the beginning of
her shift. Her report includes the following patients:
a patient who received furosemide (Lasix) two hours ago
and is complaining of excessive urination
a post-op cardiac catheterization patient who received
hydrocodone bitartrate and acetaminophen (Norco) and is
now complaining of drowsiness
a patient who received metoprolol (Toprol XL) with a heart
rate of 42 and who is complaining of extreme weakness
and dizziness
a patient who is day two post-myocardial infarction and is
requesting medication for constipation
WGU D027 OA Medical Conditions / WGU D027
Objective Assessment Final Exam Test bank With
Questions And 100% Correct Detailed
Answers|Already Graded A+
VERSION 1
A 76-year-old female with a history of hypertension (HTN)
and chronic obstructive pulmonary disease (COPD)
presents with abdominal pain and approximately three to
four watery stools a day. She has a basic metabolic panel
(BMP) revealing the following: sodium 140, potassium 3.3,
chloride 90, glucose 155, blood urea nitrogen (BUN) 46,
creatinine 1.6, and estimated glomerular filtration rate
(eGFR) 40. The patient's medications include lisinopril
(Zestril), fluticasone/salmeterol (Advair), and tiotropium
(Spiriva). She has no other significant medical history. Vital
,2|Page
signs are as follows: temperature of 98°F, heart rate of 78,
blood pressure of 120/80, respiratory rate of 18, and
oxygen saturation (SpO2) of 98%.Which treatment should
the nurse administer first based on this patient's lab
results? - ANSWER-Administer intravenous fluids
An emergency room (ER) nurse is in a room caring for a
patient when the ER suddenly becomes very busy and fills
all available rooms. When the nurse completes the care of
the current patient, he finds an emergency medical
technician (EMT) ready to report on each of the new
patients. Which patient from the report should be seen
first? - ANSWER-The 40-year-old male with crushing
chest pain who denies any injury or prior history of heart
disease
,3|Page
An advanced professional nurse (APN) on the float team
was assigned to provide care of four postoperative
patients on the medical-surgical unit. Which patient should
the APN see first? - ANSWER-The patient who is four
days post right lobectomy with a heart rate of 120, cold
sweats, and lightheadedness
Four patients are sitting in an emergency room (ER)
waiting to be seen. Each patient checked into the ER
using an electronic kiosk that required the reason for the
visit. The nurse reviews the data entered by each patient.
Which patient should the nurse assist first? - ANSWER-A
19-year-old male with a temperature of 101°F and a stiff
neck.
, 4|Page
A cardiac advanced professional nurse (APN) receives
and assesses a report of her patients at the beginning of
her shift. Her report includes the following patients:
a patient who received furosemide (Lasix) two hours ago
and is complaining of excessive urination
a post-op cardiac catheterization patient who received
hydrocodone bitartrate and acetaminophen (Norco) and is
now complaining of drowsiness
a patient who received metoprolol (Toprol XL) with a heart
rate of 42 and who is complaining of extreme weakness
and dizziness
a patient who is day two post-myocardial infarction and is
requesting medication for constipation
