1|Page
WGU D027 OA Medical Conditions ||Newest Exam!!||
WGU D027 Objective Assessment Final Verified Exam
Test bank
VERSION 1
A 70-year-old male with a history of myocardial infarction,
chronic obstructive pulmonary disease (COPD), and
epilepsy arrives at a neurologist's office for a battery of
tests to assess his memory function. His family reports
some decline in cognitive functioning, with memory
impairment as the primary complaint. The family states
they have heard ginkgo biloba is helpful for improving
memory. The neurologist asks the family if the patient has
ever been prescribed a prescription medication such as
donepezil (Aricept) for memory function, which the family
denies. The family informs the neurologist that the patient
is on the following medications: clopidogrel (Plavix) 75 mg
every day, ipratropium bromide and albuterol sulfate
(Combivent) 1 puff four times daily, and levetiracetam
(Keppra) 500 mg twice daily. What is a potential adverse
effect of ginkgo biloba based on this patient's profile? -
ANSWER-Increased risk of bleeding
A 26-year-old male presented to the emergency
department accompanied by his mother with complaints of
an exacerbation of psychotic symptoms secondary to his
diagnosis of schizophrenia. He explained that he was
diagnosed at age 20 and has struggled to sustain his
,2|Page
typical baseline functioning for any extended period of
time despite multiple antipsychotic medication trials. He
has been taking risperidone (Risperdal) for approximately
six months. A focused assessment revealed the following:
Patient has been struggling with auditory and visual
hallucinations that are command in nature. He reports
experiencing suicidal ideation. Patient denies homicidal
ideation. He has temporarily been residing with his mother
for the past week due to intrusive suicidal thoughts and
hallucinations that increase when at his apartment. The
mother reported that this morning the patient became
increasingly agitated and was screaming and throw -
ANSWER-Prazosin hydrochloride (Minipress)
--Physicians prescribe prazosin, sold under the brand
name of Minipress, to treat nightmares for post-traumatic
stress disorder (PTSD).
A 51-year-old female was voluntarily admitted to the
inpatient adult unit at the psychiatric hospital with
complaints of excessive worry, panic, anhedonia, difficulty
concentrating, and endorsed hopelessness and
helplessness. Following a focused assessment,
depression has been ruled out.
Which as-needed (PRN) medication should be started to
support the management of this patient's symptoms? -
,3|Page
ANSWER-Hydroxyzine (Vistaril)-used to treat anxiety,
itching/hives and as preoperative sedation.
A 51-year-old female was voluntarily admitted to the
inpatient adult unit at the psychiatric hospital with
complaints of excessive worry, panic, anhedonia, difficulty
concentrating, and endorsed hopelessness and
helplessness.
To promote restful sleep, which caffeine-free herbal tea
should the nurse encourage the patient to consider
consuming before bed? - ANSWER-Lavender lemon balm
A patient has a disorder affecting ventricular
depolarization. What ECG finding with the nurse associate
with this? - ANSWER-Prolonged QRS interval
Pharmacotherapy used for a patient with peripheral artery
disease and diabetes includes: - ANSWER-Asa, HMG-
CoA reductase inhibitors (statins), Metformin
What is the intended therapeutic action of inhaled
corticosteroids in patients with chronic respiratory
conditions - ANSWER-Reduction of airway inflammation
, 4|Page
Which of the following conditions is contraindicated in
using thrombotic therapy? - ANSWER-History of
hemorrhagic stroke
Which hospitalized patient is highest risk for developing
delirium? - ANSWER-An elderly male with COVID-19
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? -
ANSWER-Verapamil because its a CCB.
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
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
WGU D027 OA Medical Conditions ||Newest Exam!!||
WGU D027 Objective Assessment Final Verified Exam
Test bank
VERSION 1
A 70-year-old male with a history of myocardial infarction,
chronic obstructive pulmonary disease (COPD), and
epilepsy arrives at a neurologist's office for a battery of
tests to assess his memory function. His family reports
some decline in cognitive functioning, with memory
impairment as the primary complaint. The family states
they have heard ginkgo biloba is helpful for improving
memory. The neurologist asks the family if the patient has
ever been prescribed a prescription medication such as
donepezil (Aricept) for memory function, which the family
denies. The family informs the neurologist that the patient
is on the following medications: clopidogrel (Plavix) 75 mg
every day, ipratropium bromide and albuterol sulfate
(Combivent) 1 puff four times daily, and levetiracetam
(Keppra) 500 mg twice daily. What is a potential adverse
effect of ginkgo biloba based on this patient's profile? -
ANSWER-Increased risk of bleeding
A 26-year-old male presented to the emergency
department accompanied by his mother with complaints of
an exacerbation of psychotic symptoms secondary to his
diagnosis of schizophrenia. He explained that he was
diagnosed at age 20 and has struggled to sustain his
,2|Page
typical baseline functioning for any extended period of
time despite multiple antipsychotic medication trials. He
has been taking risperidone (Risperdal) for approximately
six months. A focused assessment revealed the following:
Patient has been struggling with auditory and visual
hallucinations that are command in nature. He reports
experiencing suicidal ideation. Patient denies homicidal
ideation. He has temporarily been residing with his mother
for the past week due to intrusive suicidal thoughts and
hallucinations that increase when at his apartment. The
mother reported that this morning the patient became
increasingly agitated and was screaming and throw -
ANSWER-Prazosin hydrochloride (Minipress)
--Physicians prescribe prazosin, sold under the brand
name of Minipress, to treat nightmares for post-traumatic
stress disorder (PTSD).
A 51-year-old female was voluntarily admitted to the
inpatient adult unit at the psychiatric hospital with
complaints of excessive worry, panic, anhedonia, difficulty
concentrating, and endorsed hopelessness and
helplessness. Following a focused assessment,
depression has been ruled out.
Which as-needed (PRN) medication should be started to
support the management of this patient's symptoms? -
,3|Page
ANSWER-Hydroxyzine (Vistaril)-used to treat anxiety,
itching/hives and as preoperative sedation.
A 51-year-old female was voluntarily admitted to the
inpatient adult unit at the psychiatric hospital with
complaints of excessive worry, panic, anhedonia, difficulty
concentrating, and endorsed hopelessness and
helplessness.
To promote restful sleep, which caffeine-free herbal tea
should the nurse encourage the patient to consider
consuming before bed? - ANSWER-Lavender lemon balm
A patient has a disorder affecting ventricular
depolarization. What ECG finding with the nurse associate
with this? - ANSWER-Prolonged QRS interval
Pharmacotherapy used for a patient with peripheral artery
disease and diabetes includes: - ANSWER-Asa, HMG-
CoA reductase inhibitors (statins), Metformin
What is the intended therapeutic action of inhaled
corticosteroids in patients with chronic respiratory
conditions - ANSWER-Reduction of airway inflammation
, 4|Page
Which of the following conditions is contraindicated in
using thrombotic therapy? - ANSWER-History of
hemorrhagic stroke
Which hospitalized patient is highest risk for developing
delirium? - ANSWER-An elderly male with COVID-19
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? -
ANSWER-Verapamil because its a CCB.
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
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
