WGU D027 PRACTICE TEST QUESTIONS WITH
VERIFIED ANSWERS
A patient has endured several dosage adjustments of his tricyclic antidepressant, so the
provider recommends genetic testing. Which statement correctly describes the rationale
for genetic testing? - Answers - The CYP2D6 gene influences metabolism of tricyclic
antidepressants and certain other drugs.
According to the Centers for Disease Control and Prevention, the 10 most costly chronic
conditions include cardiovascular diseases, obesity, asthma, diabetes, smoking and
alcohol related conditions, cancer, Alzheimer's disease, arthritis and stroke. Which are
the top 4 in ranking from most costly to least costly? - Answers - Cardiovascular
diseases, Smoking-related conditions, Alcohol-related conditions, diabetes
A mother brought her child to the doctor for genetic testing. The health care provider
was trying to explain the genetic results of the child. During his explanation he tells the
mother that the child has 2 X chromosomes and a Y chromosome in each cell. He
begins to explain some physical appearances the mother might notice on her son. He
explains that she might notice that he has sparse body hair, long limbs and small testes.
The health care practitioner is explaining which syndrome to the mother. - Answers -
Klinefelter syndrome
A patient reports a maternal family history of Lynch syndrome. Which laboratory finding
might indicate a need for further testing for the presence of Lynch syndrome in this
patient? - Answers - Positive heme-occult test
An individual's acquired immunity is dependent on the function of which cells? -
Answers - B lymphocytes
T lymphocytes
Macrophages
A 17-year-old female comes to the clinic for a physical exam. As part of the visit, the
APRN considers her risk factors for type 2 diabetes mellitus (T2DM). Risk factors for
T2DM would likely include all of the following except: - Answers - Family history of type
1 diabetes mellitus (T1DM)
Some older adults have impaired inflammation and wound healing because of which
problem? - Answers - Underlying chronic illness(es) exists.
A patient is diagnosed with chronic obstructive pulmonary disease (COPD) and has
elevated pulmonary vascular resistance. Which symptom would indicate the need to
, assess for the complication of cor pulmonale (right-sided heart failure)? - Answers -
jugular venous distention
A parent asks the healthcare professional to explain why a child diagnosed with
Tetralogy of Fallot squats often. What explanation by the professional is best? -
Answers - Relieves hypoxia
A patient who has lung cancer reports facial and neck swelling so severe that some
shirts no longer fit. What question by the healthcare professional would be most
appropriate to screen for superior vena cava syndrome, a possible complication of
cancer tumors? - Answers - "Are your feet and ankles swollen?"
A student asks the health care professional why obese people are at higher risk for
hypertension than non-obese individuals. What response by the professional is best? -
Answers - They produce more angiotensinogen.
A patient has damage to the lower pons and medulla. What finding does the healthcare
professional associate with this injury? - Answers - dFlaccid response in the upper and
lower extremities
A healthcare professional wants to determine the adequacy of a person's alveolar
ventilation. What assessment finding is most important for the professional to consider?
- Answers - Arterial blood gas shows a PaCO2 of 44 mmHg.
The differential diagnosis of RA will usually include all of the following except: - Answers
- Fracture
Which laboratory test is considered adequate for an accurate and reliable diagnosis of
gonococcal urethritis in a symptomatic man? - Answers - Gram-stain technique
A patient has a disorder affecting ventricular depolarization. What ECG finding would
the healthcare professional associate with this condition? - Answers - Prolonged QRS
interval
A 25-year-old male complains of urinary urgency, chills, low back pain, and malaise for
two days. Objective findings include fever of 101 degrees F., and a tender, boggy
prostate gland. The APRN suspects acute prostatitis and orders which of the following
test to identify the offending organism: - Answers - A urine culture
A 29-year-old pregnant female arrives with acute onset trouble breathing. A spiral CT
scan is performed, and the patient is diagnosed with bilateral pulmonary artery emboli
(pulmonary embolism). Which medication would the nurse anticipate administering to
this patient? - Answers - Unfractionated heparin
VERIFIED ANSWERS
A patient has endured several dosage adjustments of his tricyclic antidepressant, so the
provider recommends genetic testing. Which statement correctly describes the rationale
for genetic testing? - Answers - The CYP2D6 gene influences metabolism of tricyclic
antidepressants and certain other drugs.
According to the Centers for Disease Control and Prevention, the 10 most costly chronic
conditions include cardiovascular diseases, obesity, asthma, diabetes, smoking and
alcohol related conditions, cancer, Alzheimer's disease, arthritis and stroke. Which are
the top 4 in ranking from most costly to least costly? - Answers - Cardiovascular
diseases, Smoking-related conditions, Alcohol-related conditions, diabetes
A mother brought her child to the doctor for genetic testing. The health care provider
was trying to explain the genetic results of the child. During his explanation he tells the
mother that the child has 2 X chromosomes and a Y chromosome in each cell. He
begins to explain some physical appearances the mother might notice on her son. He
explains that she might notice that he has sparse body hair, long limbs and small testes.
The health care practitioner is explaining which syndrome to the mother. - Answers -
Klinefelter syndrome
A patient reports a maternal family history of Lynch syndrome. Which laboratory finding
might indicate a need for further testing for the presence of Lynch syndrome in this
patient? - Answers - Positive heme-occult test
An individual's acquired immunity is dependent on the function of which cells? -
Answers - B lymphocytes
T lymphocytes
Macrophages
A 17-year-old female comes to the clinic for a physical exam. As part of the visit, the
APRN considers her risk factors for type 2 diabetes mellitus (T2DM). Risk factors for
T2DM would likely include all of the following except: - Answers - Family history of type
1 diabetes mellitus (T1DM)
Some older adults have impaired inflammation and wound healing because of which
problem? - Answers - Underlying chronic illness(es) exists.
A patient is diagnosed with chronic obstructive pulmonary disease (COPD) and has
elevated pulmonary vascular resistance. Which symptom would indicate the need to
, assess for the complication of cor pulmonale (right-sided heart failure)? - Answers -
jugular venous distention
A parent asks the healthcare professional to explain why a child diagnosed with
Tetralogy of Fallot squats often. What explanation by the professional is best? -
Answers - Relieves hypoxia
A patient who has lung cancer reports facial and neck swelling so severe that some
shirts no longer fit. What question by the healthcare professional would be most
appropriate to screen for superior vena cava syndrome, a possible complication of
cancer tumors? - Answers - "Are your feet and ankles swollen?"
A student asks the health care professional why obese people are at higher risk for
hypertension than non-obese individuals. What response by the professional is best? -
Answers - They produce more angiotensinogen.
A patient has damage to the lower pons and medulla. What finding does the healthcare
professional associate with this injury? - Answers - dFlaccid response in the upper and
lower extremities
A healthcare professional wants to determine the adequacy of a person's alveolar
ventilation. What assessment finding is most important for the professional to consider?
- Answers - Arterial blood gas shows a PaCO2 of 44 mmHg.
The differential diagnosis of RA will usually include all of the following except: - Answers
- Fracture
Which laboratory test is considered adequate for an accurate and reliable diagnosis of
gonococcal urethritis in a symptomatic man? - Answers - Gram-stain technique
A patient has a disorder affecting ventricular depolarization. What ECG finding would
the healthcare professional associate with this condition? - Answers - Prolonged QRS
interval
A 25-year-old male complains of urinary urgency, chills, low back pain, and malaise for
two days. Objective findings include fever of 101 degrees F., and a tender, boggy
prostate gland. The APRN suspects acute prostatitis and orders which of the following
test to identify the offending organism: - Answers - A urine culture
A 29-year-old pregnant female arrives with acute onset trouble breathing. A spiral CT
scan is performed, and the patient is diagnosed with bilateral pulmonary artery emboli
(pulmonary embolism). Which medication would the nurse anticipate administering to
this patient? - Answers - Unfractionated heparin
