WGU D116 ACTUAL TEST PAPER
COMPLETE QUESTIONS AND SOLUTIONS
TESTED ANSWERS
◉ A 68-year-old patient will be transitioning from the hospital to a
nursing home with a separate Medicare rehabilitation unit for two
weeks of intense rehabilitation therapy and then returning home.
The discharge paperwork has been completed, and the advanced
practice registered nurse (APRN) is reviewing the discharge plan
and medication list with the patient. The next step is to contact the
nursing home to review the discharge orders.
Which professional in the nursing home should the APRN contact to
help with this plan?
Answer: NO The nurse who serves as the house supervisor
The nurse who works on the long-term care unit
YES The nurse who works on the Medicare unit
The nurse who provides facility education
Incorrect. The nursing supervisor is not the person to complete the
care planning process.
Correct! The nurse to nurse report to the correct unit will ensure the
patient has the best possible outcome. This prevents wrong
information from being passed on if calling the wrong unit.
,◉ An advanced practice registered nurse (APRN) is preparing to
discharge a 76-year-old male patient from a hospital to his home.
The APRN is concerned that the patient's hospitalization was due to
medication nonadherence.
The APRN discusses these findings with an interdisciplinary team
and then sets up a meeting with the patient and unit educator to
provide education verbally and in writing regarding the medication
nonadherence.
Which topic should the APRN include in the discharge education?
Answer: Forgetting to take a dose and not refilling the medication on
time
Running out of the medication and trying to save money
YES Missing a dose and forgetting to take the medication
NO Taking less than the correct dose and not refilling the medication
Incorrect. The main topic for the discharge education will be
adherence to the medication regime as prescribed. Correct! This is
the key topic due to the reason for hospitalization and should be the
main focus.
◉ An 18-year-old patient who is newly diagnosed with diabetes
comes to a primary clinic for a follow-up transitional care visit and
expresses concern about the ability to comply with taking multiple
doses of medications each day. An interprofessional team
determines that the patient is at risk for noncompliance.
Which action should be taken to overcome this issue?
,Answer: Ask the pharmacist to use large print labels
YES Simplify the regimen so that the number of drugs and doses per
day are as small as possible
Conduct an internal review of each medication and explain the
importance of taking them as prescribed
Use only generic medications for this patient
Correct! The patient could benefit from a simplified and more easily
understood regimen.
◉ A 94-year-old patient is admitted to a hospital through an
emergency department from a nursing home one week after being
discharged to the nursing home due to documented altered mental
status. Medications ordered at the time of discharge included
warfarin, potassium, a multivitamin, hydrochlorothiazide, and PRN
pain medication. The current medication list differs from the list
documented one week ago.
Which member of the interprofessional care team should be
consulted to obtain accurate medication information?
Answer: Nursing home assistant director of nursing
Hospital emergency department physician
YES Nursing home discharge planner
Hospital pharmacist
Correct! The nursing home discharge planner would have the most
up-to-date medication list from the nursing home as this activity is
within the function of this role.
, ◉ Which vitamin B deficiency is associated with cheilosis, glossitis,
vascularization of the cornea, and itchy dermatitis of the scrotum
and vulva?
Answer: YES Riboflavin (vitamin B2)
Niacin (nicotinic acid)
NO Pyridoxine (vitamin B6)
Thiamine (vitamin B1)
Incorrect. Riboflavin deficiency produces the symptoms described
and can be treated with riboflavin supplements. The signs listed do
not indicate deficiencies of niacin, pyridoxine, or thiamine. Correct!
Riboflavin deficiency produces the symptoms described and can be
treated with riboflavin supplements. The signs listed do not indicate
deficiencies of niacin, pyridoxine, or thiamine.
◉ A patient who is known to be a heavy drinker is brought to the
emergency department with ataxia and confusion. The patient
cannot remember the events of the previous day. The examination
reveals nystagmus, and the patient reports having double vision.
Which vitamin should the provider order for this patient?
Answer: Ascorbic acid (vitamin C) IV
NO Intramuscular pyridoxine (vitamin B6)
Nicotinic acid (niacin) PO
YES Intravenous thiamine (vitamin B1)
COMPLETE QUESTIONS AND SOLUTIONS
TESTED ANSWERS
◉ A 68-year-old patient will be transitioning from the hospital to a
nursing home with a separate Medicare rehabilitation unit for two
weeks of intense rehabilitation therapy and then returning home.
The discharge paperwork has been completed, and the advanced
practice registered nurse (APRN) is reviewing the discharge plan
and medication list with the patient. The next step is to contact the
nursing home to review the discharge orders.
Which professional in the nursing home should the APRN contact to
help with this plan?
Answer: NO The nurse who serves as the house supervisor
The nurse who works on the long-term care unit
YES The nurse who works on the Medicare unit
The nurse who provides facility education
Incorrect. The nursing supervisor is not the person to complete the
care planning process.
Correct! The nurse to nurse report to the correct unit will ensure the
patient has the best possible outcome. This prevents wrong
information from being passed on if calling the wrong unit.
,◉ An advanced practice registered nurse (APRN) is preparing to
discharge a 76-year-old male patient from a hospital to his home.
The APRN is concerned that the patient's hospitalization was due to
medication nonadherence.
The APRN discusses these findings with an interdisciplinary team
and then sets up a meeting with the patient and unit educator to
provide education verbally and in writing regarding the medication
nonadherence.
Which topic should the APRN include in the discharge education?
Answer: Forgetting to take a dose and not refilling the medication on
time
Running out of the medication and trying to save money
YES Missing a dose and forgetting to take the medication
NO Taking less than the correct dose and not refilling the medication
Incorrect. The main topic for the discharge education will be
adherence to the medication regime as prescribed. Correct! This is
the key topic due to the reason for hospitalization and should be the
main focus.
◉ An 18-year-old patient who is newly diagnosed with diabetes
comes to a primary clinic for a follow-up transitional care visit and
expresses concern about the ability to comply with taking multiple
doses of medications each day. An interprofessional team
determines that the patient is at risk for noncompliance.
Which action should be taken to overcome this issue?
,Answer: Ask the pharmacist to use large print labels
YES Simplify the regimen so that the number of drugs and doses per
day are as small as possible
Conduct an internal review of each medication and explain the
importance of taking them as prescribed
Use only generic medications for this patient
Correct! The patient could benefit from a simplified and more easily
understood regimen.
◉ A 94-year-old patient is admitted to a hospital through an
emergency department from a nursing home one week after being
discharged to the nursing home due to documented altered mental
status. Medications ordered at the time of discharge included
warfarin, potassium, a multivitamin, hydrochlorothiazide, and PRN
pain medication. The current medication list differs from the list
documented one week ago.
Which member of the interprofessional care team should be
consulted to obtain accurate medication information?
Answer: Nursing home assistant director of nursing
Hospital emergency department physician
YES Nursing home discharge planner
Hospital pharmacist
Correct! The nursing home discharge planner would have the most
up-to-date medication list from the nursing home as this activity is
within the function of this role.
, ◉ Which vitamin B deficiency is associated with cheilosis, glossitis,
vascularization of the cornea, and itchy dermatitis of the scrotum
and vulva?
Answer: YES Riboflavin (vitamin B2)
Niacin (nicotinic acid)
NO Pyridoxine (vitamin B6)
Thiamine (vitamin B1)
Incorrect. Riboflavin deficiency produces the symptoms described
and can be treated with riboflavin supplements. The signs listed do
not indicate deficiencies of niacin, pyridoxine, or thiamine. Correct!
Riboflavin deficiency produces the symptoms described and can be
treated with riboflavin supplements. The signs listed do not indicate
deficiencies of niacin, pyridoxine, or thiamine.
◉ A patient who is known to be a heavy drinker is brought to the
emergency department with ataxia and confusion. The patient
cannot remember the events of the previous day. The examination
reveals nystagmus, and the patient reports having double vision.
Which vitamin should the provider order for this patient?
Answer: Ascorbic acid (vitamin C) IV
NO Intramuscular pyridoxine (vitamin B6)
Nicotinic acid (niacin) PO
YES Intravenous thiamine (vitamin B1)
