WGU D027 OA NEWEST TEST BANK TEST EXAM 2025/2026
WITH 100 STUDY QUESTIONS WITH CORRECT DETAILED
ANSWERS WITH RATIONALES TOP GRADE | ASSURED A+
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? - Answer>>>
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.
Which inhaler prescription would support long-acting treatment for twice-daily use in controlled
asthma management? - Answer>>> Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that are used to help control the
symptoms of asthma and improve breathing.
A 45-year-old female fears that she is having a stroke and takes herself to an emergency room.
After several diagnostic and laboratory tests, the patient is diagnosed with Cushing disease.
Which lab abnormality would be present in this patient? - Answer>>> Increased cortisol
Which of the following is the most consistent finding in a patient with unstable angina?
A. 5 minute episode of chest tightness after stairs but relieved with rest
B. Severe, searing pain that penetrates the chest and last 30 seconds
C. Chest pressure lasting 20 minutes that doesn't resolve with resting
D. "heartburn" feeling relieved by position change - Answer>>> C. Chest pressure lasting 20
minutes that doesn't resolve with resting
--Key features of unstable angina are severe, unpredictable and prolonged chest pressure or pain
lasting longer than 5 minutes. Usual methods to mitigate symptoms do not reliably work.
,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? - Answer>>> Hydroxyzine (Vistaril)
--Vistaril is a prescription medicine used to treat the symptoms of anxiety, itching or hives on the
skin and as preoperative sedation.
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?
A. Verapamil
B. Dihydroergotamine
C. Naproxen
D. Sumatriptan - Answer>>> A. Verapamil
-- Calcium channel blockers have demonstrated efficacy in investigative use for prophylaxis of
migraine and cluster headaches. In particular, verapamil, with its low side-effect profile, appears
to be a promising alternative to the currently available agents for prophylactic treatment of
chronic recurring headaches.
SOB when lying down, and moving around --Based on the patient's presentation, which disease
process is the patient likely exhibiting? - Answer>>> Asthma
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? - Answer>>> The 40-year-old male with
crushing chest pain who denies any injury or prior history of heart disease
, A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The
child's mother reports the cough sounds like a barking noise. The child is sleeping in the mother's
arms and appears to have stridor. The child's mother also reports an axillary temperature of
101°F last night. Which management technique is appropriate for this child's symptoms? -
Answer>>> Oral steroids and breathing treatments
The most common mental health disorder that goes unidentified in primary care is:
A. Depression
B. Obsessive-compulsive disorder
C. Anxiety
D. Schizophrenia - Answer>>> Q. Depression
--Depression is the most common mental health condition diagnosed yet many go undiagnosed
due to inadequate screening practices or patient denial.
Which nonpharmacologic strategy is most effective in managing a patient with schizophrenia?
A. Cognitive behavioral therapy
B. Hypnotherapy
C. Herbal therapy
D. Nonpharmacologic therapies do not work with this diagnosis - Answer>>> A. Cognitive
behavioral therapy
--Schizophrenia is thought to be caused by imbalances of neurotransmitters glutamate and
dopamine therefore pharmacotherapy is required. Cognitive behavioral therapy will help redirect
hallucinations, delusions and disordered thinking common to this diagnosis which may decrease
adjunct medication uses like benzodiazepines.
WITH 100 STUDY QUESTIONS WITH CORRECT DETAILED
ANSWERS WITH RATIONALES TOP GRADE | ASSURED A+
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? - Answer>>>
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.
Which inhaler prescription would support long-acting treatment for twice-daily use in controlled
asthma management? - Answer>>> Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that are used to help control the
symptoms of asthma and improve breathing.
A 45-year-old female fears that she is having a stroke and takes herself to an emergency room.
After several diagnostic and laboratory tests, the patient is diagnosed with Cushing disease.
Which lab abnormality would be present in this patient? - Answer>>> Increased cortisol
Which of the following is the most consistent finding in a patient with unstable angina?
A. 5 minute episode of chest tightness after stairs but relieved with rest
B. Severe, searing pain that penetrates the chest and last 30 seconds
C. Chest pressure lasting 20 minutes that doesn't resolve with resting
D. "heartburn" feeling relieved by position change - Answer>>> C. Chest pressure lasting 20
minutes that doesn't resolve with resting
--Key features of unstable angina are severe, unpredictable and prolonged chest pressure or pain
lasting longer than 5 minutes. Usual methods to mitigate symptoms do not reliably work.
,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? - Answer>>> Hydroxyzine (Vistaril)
--Vistaril is a prescription medicine used to treat the symptoms of anxiety, itching or hives on the
skin and as preoperative sedation.
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?
A. Verapamil
B. Dihydroergotamine
C. Naproxen
D. Sumatriptan - Answer>>> A. Verapamil
-- Calcium channel blockers have demonstrated efficacy in investigative use for prophylaxis of
migraine and cluster headaches. In particular, verapamil, with its low side-effect profile, appears
to be a promising alternative to the currently available agents for prophylactic treatment of
chronic recurring headaches.
SOB when lying down, and moving around --Based on the patient's presentation, which disease
process is the patient likely exhibiting? - Answer>>> Asthma
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? - Answer>>> The 40-year-old male with
crushing chest pain who denies any injury or prior history of heart disease
, A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The
child's mother reports the cough sounds like a barking noise. The child is sleeping in the mother's
arms and appears to have stridor. The child's mother also reports an axillary temperature of
101°F last night. Which management technique is appropriate for this child's symptoms? -
Answer>>> Oral steroids and breathing treatments
The most common mental health disorder that goes unidentified in primary care is:
A. Depression
B. Obsessive-compulsive disorder
C. Anxiety
D. Schizophrenia - Answer>>> Q. Depression
--Depression is the most common mental health condition diagnosed yet many go undiagnosed
due to inadequate screening practices or patient denial.
Which nonpharmacologic strategy is most effective in managing a patient with schizophrenia?
A. Cognitive behavioral therapy
B. Hypnotherapy
C. Herbal therapy
D. Nonpharmacologic therapies do not work with this diagnosis - Answer>>> A. Cognitive
behavioral therapy
--Schizophrenia is thought to be caused by imbalances of neurotransmitters glutamate and
dopamine therefore pharmacotherapy is required. Cognitive behavioral therapy will help redirect
hallucinations, delusions and disordered thinking common to this diagnosis which may decrease
adjunct medication uses like benzodiazepines.
