D027 WGU Exam with Questions and Answers|
Latest Update | Verified Answers
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
Which patient should the APN see first? - ✔✔The patient who received metoprolol
(Toprol XL)
A 72-year-old male patient with chronic atrial fibrillation is currently taking digoxin (Lanoxin).
The nurse knows this medication helps with irregular heartbeat but that it can have side effects.
What should the nurse do before administering this patient's next dose of digoxin? -
✔✔Obtain the patient's apical pulse
-- Apical pulse should be taken for a full minute before administration of this medication. If
the apical pulse is less than 60, the dose should be withheld and the prescribing provider
notified. Serum digoxin levels should be monitored, with a normal therapeutic range from 0.8
to 2 ng/mL.
An intravenous (IV) therapy nurse receives several pages within a few minutes from various
places within the hospital on a Saturday morning. The IV therapy nurse returns all the pages to
,obtain additional triage information. Which patient should the IV therapy nurse see first? -
✔✔A patient in the intensive care unit (ICU) who needs IV access for an insulin drip
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? - ✔✔Administer
intravenous fluids
A 16-year-old female presents to primary care accompanied by her mother with complaints of
chronic fatigue, muscle aches, headaches, and dizziness for the last several months with
increasing frequency and severity. The patient is a high school student, and she reports that
she passed out today during chemistry. The patient is in a healthy, new relationship with a
student at her school. She reports using over-the-counter ibuprofen (Motrin) three times over
the last week to manage her symptoms. The assessment findings include a blood pressure of
89/58, P 92 and R 22. The patient is 5 feet, 2 inches tall and weighs 103 pounds. On palpation,
the thyroid is not enlarged. The patient has a normal sinus rhythm and regular rate. Lung
sounds are clear bilaterally. Her abdomen is soft and bowel sounds are present in all four
quadrants. She has a steady gait, though verbally complains of feeling weak and off balance
upon ambula - ✔✔Rowing
A 71-year-old male with metastatic prostate cancer and type 2 diabetes mellitus with
neuropathy presents to an appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening pain. The patient explains that
he has been struggling with increased sadness over arranging his end-of-life care and feels
that his exacerbation of pain coincides with the timing of his increased sorrow. Patient reports
struggling with poor sleep due to grief and aches and restlessness in his legs. He reports
increased fatigue and poor energy. Which pharmacological treatment would be helpful for the
patient to manage his symptoms and lead to improved sleep? - ✔✔Mirtazapine (Remeron)
--Mirtazapine has been found to reduce the time it takes for a person to fall asleep, as well as
reducing the duration of early, light stages of sleep and increasing deep sleep 2. It also slightly
, reduces REM sleep (dream sleep) and night-time waking and improves the continuity and
overall quality of sleep
A 71-year-old male with stage IV metastatic prostate cancer and type 2 diabetes mellitus with
neuropathy presents to an appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening pain. The assessment findings
include a blood pressure of 128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and weighs
188 pounds. The patient has a normal sinus rhythm and regular rate. Lung sounds are clear
bilaterally, however, the patient complains of pain in his chest at the sternum, which he rates
a 4 on a numeric scale of 0-10. He identifies pain in his lower spine post fall yesterday morning
and rates it a 7 and aching pain in bilateral lower extremities that has increased from an
intermittent 3 to a consistent 5 on a numerical scale of 0-10 over the past month. Additionally,
the patient explains that he has been struggling with increased sadness over arranging his -
✔✔Attend weekly group on radical acceptance
A 71-year-old male with stage IV metastatic prostate cancer and type 2 diabetes mellitus with
neuropathy presents to an appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening pain. The assessment findings
include a blood pressure of 128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and weighs
188 pounds. The patient has a normal sinus rhythm and regular rate. Lung sounds are clear
bilaterally, however, the patient complains of pain in his chest at the sternum, which he rates
a 4 on a numeric scale of 0-10. He identifies pain in his lower spine post fall yesterday morning
and rates it a 7 and aching pain in bilateral lower extremities that has increased from an
intermittent 3 to a consistent 5 on a numerical scale of 0-10 over the past month.Additionally,
the patient explains that he has been struggling with increased sadness over arranging his e -
✔✔Bone scan
--Bone health
It can treat high blood calcium levels. In addition it can treat bone damage caused by Paget's
disease, multiple myeloma, and cancers that spread to the bone. It can also treat
osteoporosis and reduce the risk of hip fractures in certain patients.
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
Latest Update | Verified Answers
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
Which patient should the APN see first? - ✔✔The patient who received metoprolol
(Toprol XL)
A 72-year-old male patient with chronic atrial fibrillation is currently taking digoxin (Lanoxin).
The nurse knows this medication helps with irregular heartbeat but that it can have side effects.
What should the nurse do before administering this patient's next dose of digoxin? -
✔✔Obtain the patient's apical pulse
-- Apical pulse should be taken for a full minute before administration of this medication. If
the apical pulse is less than 60, the dose should be withheld and the prescribing provider
notified. Serum digoxin levels should be monitored, with a normal therapeutic range from 0.8
to 2 ng/mL.
An intravenous (IV) therapy nurse receives several pages within a few minutes from various
places within the hospital on a Saturday morning. The IV therapy nurse returns all the pages to
,obtain additional triage information. Which patient should the IV therapy nurse see first? -
✔✔A patient in the intensive care unit (ICU) who needs IV access for an insulin drip
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? - ✔✔Administer
intravenous fluids
A 16-year-old female presents to primary care accompanied by her mother with complaints of
chronic fatigue, muscle aches, headaches, and dizziness for the last several months with
increasing frequency and severity. The patient is a high school student, and she reports that
she passed out today during chemistry. The patient is in a healthy, new relationship with a
student at her school. She reports using over-the-counter ibuprofen (Motrin) three times over
the last week to manage her symptoms. The assessment findings include a blood pressure of
89/58, P 92 and R 22. The patient is 5 feet, 2 inches tall and weighs 103 pounds. On palpation,
the thyroid is not enlarged. The patient has a normal sinus rhythm and regular rate. Lung
sounds are clear bilaterally. Her abdomen is soft and bowel sounds are present in all four
quadrants. She has a steady gait, though verbally complains of feeling weak and off balance
upon ambula - ✔✔Rowing
A 71-year-old male with metastatic prostate cancer and type 2 diabetes mellitus with
neuropathy presents to an appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening pain. The patient explains that
he has been struggling with increased sadness over arranging his end-of-life care and feels
that his exacerbation of pain coincides with the timing of his increased sorrow. Patient reports
struggling with poor sleep due to grief and aches and restlessness in his legs. He reports
increased fatigue and poor energy. Which pharmacological treatment would be helpful for the
patient to manage his symptoms and lead to improved sleep? - ✔✔Mirtazapine (Remeron)
--Mirtazapine has been found to reduce the time it takes for a person to fall asleep, as well as
reducing the duration of early, light stages of sleep and increasing deep sleep 2. It also slightly
, reduces REM sleep (dream sleep) and night-time waking and improves the continuity and
overall quality of sleep
A 71-year-old male with stage IV metastatic prostate cancer and type 2 diabetes mellitus with
neuropathy presents to an appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening pain. The assessment findings
include a blood pressure of 128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and weighs
188 pounds. The patient has a normal sinus rhythm and regular rate. Lung sounds are clear
bilaterally, however, the patient complains of pain in his chest at the sternum, which he rates
a 4 on a numeric scale of 0-10. He identifies pain in his lower spine post fall yesterday morning
and rates it a 7 and aching pain in bilateral lower extremities that has increased from an
intermittent 3 to a consistent 5 on a numerical scale of 0-10 over the past month. Additionally,
the patient explains that he has been struggling with increased sadness over arranging his -
✔✔Attend weekly group on radical acceptance
A 71-year-old male with stage IV metastatic prostate cancer and type 2 diabetes mellitus with
neuropathy presents to an appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening pain. The assessment findings
include a blood pressure of 128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and weighs
188 pounds. The patient has a normal sinus rhythm and regular rate. Lung sounds are clear
bilaterally, however, the patient complains of pain in his chest at the sternum, which he rates
a 4 on a numeric scale of 0-10. He identifies pain in his lower spine post fall yesterday morning
and rates it a 7 and aching pain in bilateral lower extremities that has increased from an
intermittent 3 to a consistent 5 on a numerical scale of 0-10 over the past month.Additionally,
the patient explains that he has been struggling with increased sadness over arranging his e -
✔✔Bone scan
--Bone health
It can treat high blood calcium levels. In addition it can treat bone damage caused by Paget's
disease, multiple myeloma, and cancers that spread to the bone. It can also treat
osteoporosis and reduce the risk of hip fractures in certain patients.
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
