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WGU D027 Advanced Patho-Pharmacological Foundations | Test Bank 2025–2026

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The WGU D027 – Advanced Patho-Pharmacological Foundations Complete Test Bank (2025–2026) provides comprehensive practice questions with verified correct answers and detailed rationales aligned to course competencies. Designed for nursing and health science students, it covers advanced pathophysiology, pharmacokinetics, pharmacodynamics, drug classifications, mechanisms of action, adverse effects, contraindications, and clinical decision-making. This all-in-one study guide strengthens critical thinking, enhances exam readiness, and supports successful performance on the WGU D027 assessment.

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WGU D027
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WGU D027

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Uploaded on
January 18, 2026
Number of pages
111
Written in
2025/2026
Type
Exam (elaborations)
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1|Page


WGU D027 – Advanced Patho-
Pharmacological Foundations | Complete Test
Bank, Practice Questions, Study Guide
& Rationales | 2025/2026



What medication should you avoid for patients with asthma? - correct-answer--
Beta-blockers

- Use calcium channel blockers to treat heart condition




What some symptoms of patients with asthma? - correct-answer-- Dry cough that
occurs during the night or exercise

- Chest pressure

- Anxiety

- Early awakening

- Fast heart rate

- Throat irritation

- Difficulty breathing, wheezing, mouth breathing, shortness of breath




What are some short-term pharmacological treatments for asthmatic patients? -
correct-answer-- Albuterol (ProAir HFA, Proventil HFA, Ventolin HFA) - provides
symptomatic relief, no effect on the inflammation of the disease process

,2|Page


- Levalbuterol (Xopenex HFA)

- Metaproterenol

- Terbutaline




What are some triggers that asthmatic patients should avoid? - correct-answer-- Pollen
or particular grasses

- Animals and pet dander

- Pest

- Mold

- Smoke




What is the first step in asthma treatment? - correct-answer-- Inhaled SABA
(short-acting beta2-agonists)




What is the fifth step in asthma treatment? - correct-answer-- High-dose ICS (inhaled
corticosteroids) and LABA (long-acting beta2-agonists)




What is the fourth step in asthma treatment? - correct-answer-- Medium-dose ICS
(inhaled corticosteroids) and LABA (long-acting beta2-agonists)

,3|Page




What is the third step in asthma treatment? - correct-answer-- Low-dose ICS
(inhaled corticosteroids) and LABA (long-acting beta2-agonists) or medium-dose ICS
(inhaled corticosteroids)




What is the second step in asthma treatment? - correct-answer-- Low-dose ICS (inhaled
corticosteroids) or theophylline

- Singular (Montelukast, leukotriene)

- Cromolyn (Intal, Colom - mast cell stabilizer)




What is the sixth step in asthma treatment? - correct-answer-- High-dose ICS (inhaled
corticosteroids) and LABA (long-acting beta2-agonists) and oral-systemic corticosteroid




What are the main causes of pneumonia? - correct-answer-- Pathogen reaches airway
and overwhelms causing inflammatory cascade

- Fluid forms blocking diffusion (gas exchange) causing hypoxia and ultimately
respiratory failure

- Influenza that progresses down into the lungs

- Streptococcus pneumoniae, Influenza A, Mycoplasma pneumoniae, and
Chlamydophila pneumoniae

, 4|Page


What does the CURB acronym mean in regard to pneumonia? - correct-answer--
Confusion

- Urea >7

- Respiratory rate >30

- BP <90 systolic or <60 diastolic

- Age >65




On chest x-ray, what is the difference in viral vs bacterial pneumonia? - correct-
answer-- Viral: diffuse widespread whitening

- Bacterial: patchy and consolidated, lobular




What is the difference between having the flu vs a common cold? - correct-
answer-- Colds usually develop slowly, whereas the flu flue tends to come on
suddenly

- Colds may be a bother, but the flu feels much more worse




After 48 to 72 hours, the skin is checked. What is considered positive? - correct-
answer-- 10 mm

- However, you may see an induration on anyone who's had the TB immunization and
this is considered normal and not positive

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