WGU D027 Practice Test Review 2026 | Latest Update |
Graded A+
1. Discuss why acetaminophen is deemed safe for individuals with G6PD
deficiency compared to other substances.
Acetaminophen is safe because it enhances G6PD enzyme activity.
Acetaminophen is safe because it is a natural remedy.
Acetaminophen is safe for individuals with G6PD deficiency because
it does not trigger hemolysis, unlike certain medications and foods.
Acetaminophen is safe due to its anti-inflammatory properties.
2. Which condition from this patient's medical history is contributing to the loss
of contractility?
Atrial fibrillation
Acute myocardial infarction
Transient ischemic attack
Angina
3. Why is low-dose aspirin recommended for patients with a history of
hypertension and diabetes who are concerned about heart disease?
Low-dose aspirin is not effective for heart disease prevention.
Low-dose aspirin helps reduce the risk of cardiovascular events in
at-risk patients.
Low-dose aspirin increases blood pressure.
Low-dose aspirin is primarily used for pain relief.
,4. What is a common lifestyle change recommended for individuals who
consume alcohol regularly to improve sleep quality?
Take sleeping pills
Reduce alcohol consumption
Exercise vigorously before bed
Increase caffeine intake
5. What is the mechanism by which haloperidol interacts with dopamine in
patients with Parkinson's Disease?
By antagonizing beta cells
By antagonizing dopamine
By agonizing serotonin
By agonizing alpha cells
6. In a clinical scenario where a 67-year-old patient with end-stage cirrhosis is
prescribed a medication that is primarily metabolized by the liver, what
should the healthcare provider consider?
The medication will be absorbed more quickly than in healthy
patients.
The patient will require a higher dose to achieve therapeutic effects.
The medication will be excreted faster than usual.
The dosage may need to be adjusted due to impaired metabolism.
7. A patient presents with fatigue, weight loss, anorexia, night sweats, and
general anxiety. The patient has also spent most of the last year homeless.
This nurse suspects which disease process?
, Tuberculosis
Asthma
Chronic Bronchitis
Pulmonary edema
8. If a patient with G6PD deficiency develops a fever while traveling, which of
the following medications should they avoid based on their condition?
Acetaminophen (Tylenol)
Aspirin
Nitrofurantoin (Macrobid)
Ibuprofen
9. Describe the relationship between Cushing syndrome and the risk of
developing deep vein thrombosis (DVT).
Cushing syndrome increases the risk of DVT due to elevated Von
Willebrand factor and other pro-coagulant factors.
Cushing syndrome only affects cortisol levels, not coagulation factors.
Cushing syndrome has no effect on DVT risk.
Cushing syndrome decreases the risk of DVT by lowering blood
pressure.
10. What is the primary lab finding associated with Cushing disease?
Increased adrenocorticotropic hormone (ACTH)
Decreased adrenocorticotropic hormone (ACTH)
Decreased cortisol
Increased cortisol
, 11. What type of hematoma occurs specifically between the dura mater and the
skull?
Subdural hematoma
Intracerebral hematoma
Cerebral hematoma
Epidural hematoma
12. Which laboratory result supports a diagnosis of Cushing's syndrome?
Hyperkalemia and hyponatremia
Urinary cortisol 35 mcg/24 hours
Increased plasma cortisol in response to dexamethasone
administration
Decreased plasma adrenocorticotropic hormone (ACTH) levels
13. Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia?
SLE disrupts immune homeostasis and promotes development of
self-reactive antibodies.
SLE increases megakaryocyte maturation.
SLE causes a defect in the number and function of regulatory B cells.
SLE causes a cross-reaction of antibodies with normal platelet
antigens.
14. If a 75-year-old female patient with atrial fibrillation experiences worsening
symptoms despite metoprolol treatment, what would be the next
appropriate step in her management?
Graded A+
1. Discuss why acetaminophen is deemed safe for individuals with G6PD
deficiency compared to other substances.
Acetaminophen is safe because it enhances G6PD enzyme activity.
Acetaminophen is safe because it is a natural remedy.
Acetaminophen is safe for individuals with G6PD deficiency because
it does not trigger hemolysis, unlike certain medications and foods.
Acetaminophen is safe due to its anti-inflammatory properties.
2. Which condition from this patient's medical history is contributing to the loss
of contractility?
Atrial fibrillation
Acute myocardial infarction
Transient ischemic attack
Angina
3. Why is low-dose aspirin recommended for patients with a history of
hypertension and diabetes who are concerned about heart disease?
Low-dose aspirin is not effective for heart disease prevention.
Low-dose aspirin helps reduce the risk of cardiovascular events in
at-risk patients.
Low-dose aspirin increases blood pressure.
Low-dose aspirin is primarily used for pain relief.
,4. What is a common lifestyle change recommended for individuals who
consume alcohol regularly to improve sleep quality?
Take sleeping pills
Reduce alcohol consumption
Exercise vigorously before bed
Increase caffeine intake
5. What is the mechanism by which haloperidol interacts with dopamine in
patients with Parkinson's Disease?
By antagonizing beta cells
By antagonizing dopamine
By agonizing serotonin
By agonizing alpha cells
6. In a clinical scenario where a 67-year-old patient with end-stage cirrhosis is
prescribed a medication that is primarily metabolized by the liver, what
should the healthcare provider consider?
The medication will be absorbed more quickly than in healthy
patients.
The patient will require a higher dose to achieve therapeutic effects.
The medication will be excreted faster than usual.
The dosage may need to be adjusted due to impaired metabolism.
7. A patient presents with fatigue, weight loss, anorexia, night sweats, and
general anxiety. The patient has also spent most of the last year homeless.
This nurse suspects which disease process?
, Tuberculosis
Asthma
Chronic Bronchitis
Pulmonary edema
8. If a patient with G6PD deficiency develops a fever while traveling, which of
the following medications should they avoid based on their condition?
Acetaminophen (Tylenol)
Aspirin
Nitrofurantoin (Macrobid)
Ibuprofen
9. Describe the relationship between Cushing syndrome and the risk of
developing deep vein thrombosis (DVT).
Cushing syndrome increases the risk of DVT due to elevated Von
Willebrand factor and other pro-coagulant factors.
Cushing syndrome only affects cortisol levels, not coagulation factors.
Cushing syndrome has no effect on DVT risk.
Cushing syndrome decreases the risk of DVT by lowering blood
pressure.
10. What is the primary lab finding associated with Cushing disease?
Increased adrenocorticotropic hormone (ACTH)
Decreased adrenocorticotropic hormone (ACTH)
Decreased cortisol
Increased cortisol
, 11. What type of hematoma occurs specifically between the dura mater and the
skull?
Subdural hematoma
Intracerebral hematoma
Cerebral hematoma
Epidural hematoma
12. Which laboratory result supports a diagnosis of Cushing's syndrome?
Hyperkalemia and hyponatremia
Urinary cortisol 35 mcg/24 hours
Increased plasma cortisol in response to dexamethasone
administration
Decreased plasma adrenocorticotropic hormone (ACTH) levels
13. Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia?
SLE disrupts immune homeostasis and promotes development of
self-reactive antibodies.
SLE increases megakaryocyte maturation.
SLE causes a defect in the number and function of regulatory B cells.
SLE causes a cross-reaction of antibodies with normal platelet
antigens.
14. If a 75-year-old female patient with atrial fibrillation experiences worsening
symptoms despite metoprolol treatment, what would be the next
appropriate step in her management?
