WGU D027 OBJECTIVE ASSESSMENT
FINAL EXAM 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS!!
<LATEST VERSION>
1. What causes Addison's disease? - ANSWER ✔ Decreased glucocorticoid
(due to autoimmune destruction of adrenal cortex)
2. What causes Cushing's syndrome? - ANSWER ✔ excess cortisol
3. What causes Grave's disease? - ANSWER ✔ overproduction of thyroid
hormone. HYPERthyroidism.
4. When should you instruct the patient to take their FIRST dose of
antihypertensive? - ANSWER ✔ At night to avoid orthostatic hypotension.
Educate slow position changes and lay down if needed.
5. What are side effects of ACE inhibitors? - ANSWER ✔ dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
6. Which type of antihypertensive should NOT be given to patients with
Asthma? - ANSWER ✔ Nonselective beta blocker (-lol) because both beta-2
receptors are effected
7. What is the first choice of calcium channel blocker? - ANSWER ✔
Verapamil
,8. What side effect should you watch for in a patient taking a statin drug? -
ANSWER ✔ Muscle pain which can lead to rhabdomyolysis, kidney failure,
and death.
9. Which diuretic is NOT used in patients with kidney failure and sickle cell
disease? - ANSWER ✔ Thiazide diuretics
10.What type of drug is spironolactone? - ANSWER ✔ potassium sparing
diuretic
11.Which type of insulin is the most painful during injection? - ANSWER ✔
Lantus (long-acting)
12.Why test glycosylated hemoglobin (HgbA1c)? - ANSWER ✔ Most reliable
assessment of blood sugar over the past 3 months. The goal is < 6.5%. A
poor result is > 9%
13.What is the normal range for TSH level? - ANSWER ✔ The normal range of
TSH levels is 0.4 to 4.0 milli-international units per liter. If you're already
being treated for a thyroid disorder, the normal range is 0.5 to 3.0 milli-
international units per liter. A value ABOVE the normal range usually
indicates hypothyroidism.
14.What lab test would we recommend for thyroid? - ANSWER ✔ Thyroid
peroxidase antibodies (TPO)
15.symptoms of hypothyroidism - ANSWER ✔ Bradycardia; cold intolerance;
lethargy; memory loss; dry skin; brittle dry hair; decreased appetite; weight
gain; constipation; increased serum lipids; decreased libido; erectile
dysfunction
16.What if a newborn has hypothyroidism? - ANSWER ✔ Requires
replacement within a few days and last for 3 years to prevent mental
development changes and dwarfism.
17.What is Hashimoto's disease? - ANSWER ✔ An autoimmune cause of
hypothyroid. Symptoms include weight gain and fatigue.
,18.A 74- year-old male with Cushing syndrome presents to the emergency
department (ED) with pain in his left leg, and is diagnosed with a deep vein
thrombosis (DVT).What is this patient's symptoms related to? - ANSWER
✔ Elevated Von Willebrand factor
19.A 42-year-old asthmatic who has been using beta-adrenergic agonists for
several years began to experience premature atrial contractions (PACs). To
treat the PACs, metoprolol (Toprol XL) therapy was started.What is a likely
consequence of this patient taking metoprolol (Toprol XL)? - ANSWER ✔
Metoprolol (Toprol XL) worsened asthma symptoms, but improved the
PACs.
Beta blockers are widely used in the management of cardiac
conditions and thyrotoxicosis, and to reduce perioperative
complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta
blockers because of their potential for causing bronchospasm.
20.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.
21.A 65-year-old male presents for a visit regarding his type 2 diabetes. He has
been dealing with diabetes for the last 15 years. He has a history of diabetic
neuropathy in his feet. Six months ago his symptoms were mild to almost
nonexistent. He currently describes the neuropathy as painful, and it wakes
him up at night. Which medication would be the first line treatment for this
patient? - ANSWER ✔ Pregabalin (Lyrica)
22.A 55-year-old male presents for a new diagnosis of Parkinson's Disease. He
has experienced gait disorders and a pill rolling tremor. The patient was a
former boxer with a history of multiple concussions. He was started on
carbidopa-levodopa (Sinemet), which has decreased his symptoms. How
would an antipsychotic medication such as haloperidol (Haldol) cause an
interaction with this patient? - ANSWER ✔ By antagonizing dopamine
, 23.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)
24.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
25.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.
26.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
27.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.
28.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
FINAL EXAM 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS!!
<LATEST VERSION>
1. What causes Addison's disease? - ANSWER ✔ Decreased glucocorticoid
(due to autoimmune destruction of adrenal cortex)
2. What causes Cushing's syndrome? - ANSWER ✔ excess cortisol
3. What causes Grave's disease? - ANSWER ✔ overproduction of thyroid
hormone. HYPERthyroidism.
4. When should you instruct the patient to take their FIRST dose of
antihypertensive? - ANSWER ✔ At night to avoid orthostatic hypotension.
Educate slow position changes and lay down if needed.
5. What are side effects of ACE inhibitors? - ANSWER ✔ dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
6. Which type of antihypertensive should NOT be given to patients with
Asthma? - ANSWER ✔ Nonselective beta blocker (-lol) because both beta-2
receptors are effected
7. What is the first choice of calcium channel blocker? - ANSWER ✔
Verapamil
,8. What side effect should you watch for in a patient taking a statin drug? -
ANSWER ✔ Muscle pain which can lead to rhabdomyolysis, kidney failure,
and death.
9. Which diuretic is NOT used in patients with kidney failure and sickle cell
disease? - ANSWER ✔ Thiazide diuretics
10.What type of drug is spironolactone? - ANSWER ✔ potassium sparing
diuretic
11.Which type of insulin is the most painful during injection? - ANSWER ✔
Lantus (long-acting)
12.Why test glycosylated hemoglobin (HgbA1c)? - ANSWER ✔ Most reliable
assessment of blood sugar over the past 3 months. The goal is < 6.5%. A
poor result is > 9%
13.What is the normal range for TSH level? - ANSWER ✔ The normal range of
TSH levels is 0.4 to 4.0 milli-international units per liter. If you're already
being treated for a thyroid disorder, the normal range is 0.5 to 3.0 milli-
international units per liter. A value ABOVE the normal range usually
indicates hypothyroidism.
14.What lab test would we recommend for thyroid? - ANSWER ✔ Thyroid
peroxidase antibodies (TPO)
15.symptoms of hypothyroidism - ANSWER ✔ Bradycardia; cold intolerance;
lethargy; memory loss; dry skin; brittle dry hair; decreased appetite; weight
gain; constipation; increased serum lipids; decreased libido; erectile
dysfunction
16.What if a newborn has hypothyroidism? - ANSWER ✔ Requires
replacement within a few days and last for 3 years to prevent mental
development changes and dwarfism.
17.What is Hashimoto's disease? - ANSWER ✔ An autoimmune cause of
hypothyroid. Symptoms include weight gain and fatigue.
,18.A 74- year-old male with Cushing syndrome presents to the emergency
department (ED) with pain in his left leg, and is diagnosed with a deep vein
thrombosis (DVT).What is this patient's symptoms related to? - ANSWER
✔ Elevated Von Willebrand factor
19.A 42-year-old asthmatic who has been using beta-adrenergic agonists for
several years began to experience premature atrial contractions (PACs). To
treat the PACs, metoprolol (Toprol XL) therapy was started.What is a likely
consequence of this patient taking metoprolol (Toprol XL)? - ANSWER ✔
Metoprolol (Toprol XL) worsened asthma symptoms, but improved the
PACs.
Beta blockers are widely used in the management of cardiac
conditions and thyrotoxicosis, and to reduce perioperative
complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta
blockers because of their potential for causing bronchospasm.
20.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.
21.A 65-year-old male presents for a visit regarding his type 2 diabetes. He has
been dealing with diabetes for the last 15 years. He has a history of diabetic
neuropathy in his feet. Six months ago his symptoms were mild to almost
nonexistent. He currently describes the neuropathy as painful, and it wakes
him up at night. Which medication would be the first line treatment for this
patient? - ANSWER ✔ Pregabalin (Lyrica)
22.A 55-year-old male presents for a new diagnosis of Parkinson's Disease. He
has experienced gait disorders and a pill rolling tremor. The patient was a
former boxer with a history of multiple concussions. He was started on
carbidopa-levodopa (Sinemet), which has decreased his symptoms. How
would an antipsychotic medication such as haloperidol (Haldol) cause an
interaction with this patient? - ANSWER ✔ By antagonizing dopamine
, 23.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)
24.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
25.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.
26.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
27.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.
28.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
