D027 WGU Actual Exam | 102
Questions and Answers| Latest Update
| Verified Answers
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 have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and stayi - ✔✔The
patient's lifestyle structure
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 son 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 have two to three beers every night to help me sleep. I have been doing
this for the past year." The patient also states he has trouble falling asleep and staying -
✔✔Seeking higher or advanced education in his field
A 72-year-old male patient comes into the clinic complaining of shortness of breath,
wheezing, chills, and hot flashes at night for over three weeks. He is currently only prescribed
a blood pressure medication but is unsure of the name and has not had any refills in the last
several months. He reports being unsure if he has been exposed to any respiratory illnesses.
He continues to report he is homeless and lives in different shelters or outside. He is
unemployed but does receive assistance money from an unknown donor which averages $300
per month. He states he does not have any family or social support. The patient states he only
has an eighth-grade education and is unable to read very well. He is unable to write his name,
although he has always learned easily by watching and interacting with live instructions. He
denies illegal drug use and uses public transportation.The assessment findings include a blood
pressure - ✔✔Lack of income and poverty level
A 32-year-old female presents to the emergency room (ER) with headache, fatigue, and
shortness of breath on exertion. A complete blood count reveals a hemoglobin of 4.4g/dl.
During the gynecological review of systems, she reports a change of a fully saturated pad every
two hours for the first three out of six days of a 28-day menstrual cycle. She states she thought
this was normal and has never sought gynecological care. She does not follow with a primary
care physician.Which factor in the "health and healthcare" domain of the social determinants
of health contributed to this patient's hemoglobin of 4.4g/dl? - ✔✔Health literacy
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? - ✔✔The 40-year-old male
with crushing chest pain who denies any injury or prior history of heart disease
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? -
✔✔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? - ✔✔A 19-
year-old male with a temperature of 101°F and a stiff neck.
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
Questions and Answers| Latest Update
| Verified Answers
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 have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and stayi - ✔✔The
patient's lifestyle structure
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 son 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 have two to three beers every night to help me sleep. I have been doing
this for the past year." The patient also states he has trouble falling asleep and staying -
✔✔Seeking higher or advanced education in his field
A 72-year-old male patient comes into the clinic complaining of shortness of breath,
wheezing, chills, and hot flashes at night for over three weeks. He is currently only prescribed
a blood pressure medication but is unsure of the name and has not had any refills in the last
several months. He reports being unsure if he has been exposed to any respiratory illnesses.
He continues to report he is homeless and lives in different shelters or outside. He is
unemployed but does receive assistance money from an unknown donor which averages $300
per month. He states he does not have any family or social support. The patient states he only
has an eighth-grade education and is unable to read very well. He is unable to write his name,
although he has always learned easily by watching and interacting with live instructions. He
denies illegal drug use and uses public transportation.The assessment findings include a blood
pressure - ✔✔Lack of income and poverty level
A 32-year-old female presents to the emergency room (ER) with headache, fatigue, and
shortness of breath on exertion. A complete blood count reveals a hemoglobin of 4.4g/dl.
During the gynecological review of systems, she reports a change of a fully saturated pad every
two hours for the first three out of six days of a 28-day menstrual cycle. She states she thought
this was normal and has never sought gynecological care. She does not follow with a primary
care physician.Which factor in the "health and healthcare" domain of the social determinants
of health contributed to this patient's hemoglobin of 4.4g/dl? - ✔✔Health literacy
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? - ✔✔The 40-year-old male
with crushing chest pain who denies any injury or prior history of heart disease
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? -
✔✔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? - ✔✔A 19-
year-old male with a temperature of 101°F and a stiff neck.
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
