WGU D027 OBJECTIVE ASSESSMENTS FINAL
PREPARATION SOLUTION SET
◉ A 25-year-old female is 35 weeks pregnant and presents for lower
back pain. She has a history of moderate lower back pain that she
normally controls with stretching, yoga, and ice. The patient reports
not being able to engage in stretching and yoga because of the state
of her pregnancy. Ice use has been ineffective. After a benign exam
and a negative urinalysis, the provider is convinced that the pain is
musculoskeletal. The patient inquires if there are any medications
she can take for the pain. Which medication does the provider tell
the patient she can safely take? Answer: Acetaminophen (Tylenol)
◉ A nurse is administering medication to a 67-year-old patient in
liver failure, secondary to end-stage cirrhosis. Liver dysfunction can
influence drug pharmacokinetics and pharmacodynamics. Which
pharmacokinetic phase is affected in this patient? Answer:
Metabolism
◉ A 17-year-old male patient presents to a clinic for a physical, and
he has a diagnosis of moderate glucose-6-phosphate dehydrogenase
(G6PD) deficiency. During the exam, he states he is going to study
abroad in Egypt during his sophomore year, and he has concerns
about his nutrition while being away from home. Which counseling
about the patient's deficiency should the advanced professional
,nurse (APN) give to this patient while he studies abroad? Answer:
Acetaminophen (Tylenol) is safe to consume.
◉ A patient presents with new onset of atrial fibrillation that has
proved resistant to cardioversion and ablation. The patient is
prescribed Warfarin (Coumadin). Which strategy should be
employed when dosing the medication prescribed for this patient?
Answer: Titrate dosage to an INR of 2.1 seconds
◉ Which medication would be contraindicated for a 46-year-old
male patient diagnosed with beta thalassemia? Answer: Ferrous
sulfate (Feosol)
--People with thalassaemia may be advised to avoid iron
supplements because they are at risk of iron overload.
◉ An advanced professional nurse (APN) is administering
medications on the pediatric floor and treating an infant with thrush
who is currently taking Nystatin oral suspension (Mycostatin). The
APN knows the infant is unable to follow the directions of swishing
the medication and swallowing. How should the APN administer this
infant's suspension? Answer: Swab the infected area
◉ A two-week-old newborn presents to the pediatric clinic with her
mother for a check-up. The nurse discusses the recommended
vaccination guidelines from the Centers for Disease Control and
Prevention (CDC), including the hepatitis B vaccine.What is the
, recommended schedule for this patient receiving the hepatitis B
vaccination? Answer: Three immunizations with one injection now
(if not given at birth), one injection at two months, and one injection
at six months
◉ On a follow-up appointment, a mother of a newborn reports the
infant draws up the legs, clenches fists, and cries as if in pain. The
mother reports the symptoms usually occur during the evening but
the baby tolerates formula well. The nurse tells the mother that the
baby has infantile colic. The mother inquires about the child's
prognosis. How should the nurse describe the prognosis of infantile
colic to the patient's mother? Answer: Children usually outgrow the
condition at about three months of age.
-- infantile colic: Predictable periods of significant distress in an
otherwise well-fed, healthy baby.
◉ A 40-year-old Trinidadian male comes into a clinic complaining of
burning chest pain, indigestion, nausea, and belching after eating
certain foods. He is a single father living and working in New York
City. He recently obtained his green card after living in the United
States for more than 10 years. He has a GED and works as an IT help
desk technician earning $42,000 a year. He has health insurance
through the New York health marketplace because it is cheaper than
his employer's plan. Because of the high cost of living in New York,
the patient is unable to afford an apartment on his own; therefore,
he and his child share a home with his mother and older sister. As
the nurse begins to explore his social history regarding his alcohol
use, the patient states, "I have two to three beers every night to help
PREPARATION SOLUTION SET
◉ A 25-year-old female is 35 weeks pregnant and presents for lower
back pain. She has a history of moderate lower back pain that she
normally controls with stretching, yoga, and ice. The patient reports
not being able to engage in stretching and yoga because of the state
of her pregnancy. Ice use has been ineffective. After a benign exam
and a negative urinalysis, the provider is convinced that the pain is
musculoskeletal. The patient inquires if there are any medications
she can take for the pain. Which medication does the provider tell
the patient she can safely take? Answer: Acetaminophen (Tylenol)
◉ A nurse is administering medication to a 67-year-old patient in
liver failure, secondary to end-stage cirrhosis. Liver dysfunction can
influence drug pharmacokinetics and pharmacodynamics. Which
pharmacokinetic phase is affected in this patient? Answer:
Metabolism
◉ A 17-year-old male patient presents to a clinic for a physical, and
he has a diagnosis of moderate glucose-6-phosphate dehydrogenase
(G6PD) deficiency. During the exam, he states he is going to study
abroad in Egypt during his sophomore year, and he has concerns
about his nutrition while being away from home. Which counseling
about the patient's deficiency should the advanced professional
,nurse (APN) give to this patient while he studies abroad? Answer:
Acetaminophen (Tylenol) is safe to consume.
◉ A patient presents with new onset of atrial fibrillation that has
proved resistant to cardioversion and ablation. The patient is
prescribed Warfarin (Coumadin). Which strategy should be
employed when dosing the medication prescribed for this patient?
Answer: Titrate dosage to an INR of 2.1 seconds
◉ Which medication would be contraindicated for a 46-year-old
male patient diagnosed with beta thalassemia? Answer: Ferrous
sulfate (Feosol)
--People with thalassaemia may be advised to avoid iron
supplements because they are at risk of iron overload.
◉ An advanced professional nurse (APN) is administering
medications on the pediatric floor and treating an infant with thrush
who is currently taking Nystatin oral suspension (Mycostatin). The
APN knows the infant is unable to follow the directions of swishing
the medication and swallowing. How should the APN administer this
infant's suspension? Answer: Swab the infected area
◉ A two-week-old newborn presents to the pediatric clinic with her
mother for a check-up. The nurse discusses the recommended
vaccination guidelines from the Centers for Disease Control and
Prevention (CDC), including the hepatitis B vaccine.What is the
, recommended schedule for this patient receiving the hepatitis B
vaccination? Answer: Three immunizations with one injection now
(if not given at birth), one injection at two months, and one injection
at six months
◉ On a follow-up appointment, a mother of a newborn reports the
infant draws up the legs, clenches fists, and cries as if in pain. The
mother reports the symptoms usually occur during the evening but
the baby tolerates formula well. The nurse tells the mother that the
baby has infantile colic. The mother inquires about the child's
prognosis. How should the nurse describe the prognosis of infantile
colic to the patient's mother? Answer: Children usually outgrow the
condition at about three months of age.
-- infantile colic: Predictable periods of significant distress in an
otherwise well-fed, healthy baby.
◉ A 40-year-old Trinidadian male comes into a clinic complaining of
burning chest pain, indigestion, nausea, and belching after eating
certain foods. He is a single father living and working in New York
City. He recently obtained his green card after living in the United
States for more than 10 years. He has a GED and works as an IT help
desk technician earning $42,000 a year. He has health insurance
through the New York health marketplace because it is cheaper than
his employer's plan. Because of the high cost of living in New York,
the patient is unable to afford an apartment on his own; therefore,
he and his child share a home with his mother and older sister. As
the nurse begins to explore his social history regarding his alcohol
use, the patient states, "I have two to three beers every night to help
