WGU D027 OBJECTIVE ASSESSMENT 2026
PROFESSIONAL COMPETENCY EXAM
◉ Should you take phenytoin with oral contraceptives? Answer:
Phenytoin is designated as pregnancy category D and interferes with
the
efficacy of oral birth control pills leading to the potential for
unplanned pregnancy.
◉ A nurse is caring for a patient who has been taking an
antiepileptic drug for
several weeks. The nurse asks the patient if the therapy is effective.
The patient
reports little change in seizure frequency. What will the nurse do?
Request an order to increase the dose of the antiepileptic drug
Reinforce the need to take the medications as prescribed
Contact the provider to request an order for serum drug levels
Ask the patient to complete a seizure frequency chart for the past
few weeks Answer: Contact the provider to request an order for
serum drug levels
◉ When to stop aspirin before a surgery Answer: aspirin at
therapeutic levels may double bleeding time for up to one week and
,should be discontinued at least one week prior to any surgery.
◉ Glucocorticoids suppress bone creation, accelerate bone loss, and
decrease
absorption of dietary calcium. Answer: take calcium and vitamin D
◉ Why take methotrexate for rheumatoid arthritis Answer:
Methotrexate helps delay B and T lymphocytic joint destruction
caused by RA
in 80% of patients taking the drug. - delays joint degeneration
◉ Urate lowering drugs Answer: prevent gout flare ups
◉ colchicine Answer: treat gout flare ups
◉ Benefit of estrogen therapy Answer: The principal benefits of ET
are the suppression of menopausal symptoms and
prevention of bone loss.
◉ what type of hormone replacement should you take if you have
had a hysterectomy Answer: estrogen only
, ◉ When not to use IUD Answer: multiple sex partners as increases
risk of Pelvic inflammatory disease
◉ goal of terazosin for BPH? Answer: improved urinary hesitation
◉ what to avoid with flagyl for H. Pylori Answer: alcohol
◉ Bulk forming laxatives Answer: take with full glass of water
◉ glipizide and trimethoprim/sulfamethaxazole interaction Answer:
can cause hypoglycemia - check BGL more frequently
◉ primary UTI treatment Answer: 3 days bactrim
(trimethoprim/sulfamethaxazole
◉ herpes treatment Answer: acyclovir or valacyclovir
◉ What med to give to lower total cholesterol impacting LDL
Answer: atorvastatin 20 mg
◉ If pt has CHF, low EF, and increased BNP, what should we do with
his medications? Answer: stop ARB or ACE inhibitors and start ARNI
like entreats
PROFESSIONAL COMPETENCY EXAM
◉ Should you take phenytoin with oral contraceptives? Answer:
Phenytoin is designated as pregnancy category D and interferes with
the
efficacy of oral birth control pills leading to the potential for
unplanned pregnancy.
◉ A nurse is caring for a patient who has been taking an
antiepileptic drug for
several weeks. The nurse asks the patient if the therapy is effective.
The patient
reports little change in seizure frequency. What will the nurse do?
Request an order to increase the dose of the antiepileptic drug
Reinforce the need to take the medications as prescribed
Contact the provider to request an order for serum drug levels
Ask the patient to complete a seizure frequency chart for the past
few weeks Answer: Contact the provider to request an order for
serum drug levels
◉ When to stop aspirin before a surgery Answer: aspirin at
therapeutic levels may double bleeding time for up to one week and
,should be discontinued at least one week prior to any surgery.
◉ Glucocorticoids suppress bone creation, accelerate bone loss, and
decrease
absorption of dietary calcium. Answer: take calcium and vitamin D
◉ Why take methotrexate for rheumatoid arthritis Answer:
Methotrexate helps delay B and T lymphocytic joint destruction
caused by RA
in 80% of patients taking the drug. - delays joint degeneration
◉ Urate lowering drugs Answer: prevent gout flare ups
◉ colchicine Answer: treat gout flare ups
◉ Benefit of estrogen therapy Answer: The principal benefits of ET
are the suppression of menopausal symptoms and
prevention of bone loss.
◉ what type of hormone replacement should you take if you have
had a hysterectomy Answer: estrogen only
, ◉ When not to use IUD Answer: multiple sex partners as increases
risk of Pelvic inflammatory disease
◉ goal of terazosin for BPH? Answer: improved urinary hesitation
◉ what to avoid with flagyl for H. Pylori Answer: alcohol
◉ Bulk forming laxatives Answer: take with full glass of water
◉ glipizide and trimethoprim/sulfamethaxazole interaction Answer:
can cause hypoglycemia - check BGL more frequently
◉ primary UTI treatment Answer: 3 days bactrim
(trimethoprim/sulfamethaxazole
◉ herpes treatment Answer: acyclovir or valacyclovir
◉ What med to give to lower total cholesterol impacting LDL
Answer: atorvastatin 20 mg
◉ If pt has CHF, low EF, and increased BNP, what should we do with
his medications? Answer: stop ARB or ACE inhibitors and start ARNI
like entreats
