WGU D027 OA MEDICAL CONDITIONS/ WGU D027
OBJECTIVE ASSESSEMENT FINAL TEST BANK
EXAM 2025-2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|
NEWEST!!|LATEST UPDATE |GUARANTEED PASS
A 26-year-old male presented to the emergency department accompanied by his mother with
complaints of an exacerbation of psychotic symptoms secondary to his diagnosis of
schizophrenia. He explained that he was diagnosed at age 20 and has struggled to sustain his
typical baseline functioning for any extended period of time despite multiple antipsychotic
medication trials. He has been taking risperidone (Risperdal) for approximately six months. A
focused assessment revealed the following: Patient has been struggling with auditory and visual
hallucinations that are command in nature. He reports experiencing suicidal ideation. Patient
denies homicidal ideation. He has temporarily been residing with his mother for the past week
due to intrusive suicidal thoughts and hallucinations that increase when at his apartment. The
mother reported that this morning the patient became increasingly agitated and was screaming
and throwing furniture in her home, demanding that she drive him back to his apartment. The
patient identified current stressors to be his decline in functioning: lack of social support, lack of
financial balance, and inability to maintain a job, as he was fired from his job last week. He
reports poor sleep with difficulty falling and staying asleep, accompanied by frequent stressful
nightmares. His activities of daily living (ADLs) have been poor, and he currently presents as
disheveled and unkempt, with a self-reported last shower of five days ago. His appetite has
been poor, and his mother reports that he often asks if she has been poisoning him through his
meals. Patient reports a 10-pound weight loss over the past two weeks. Patient endorses
feelings of hopelessness, helplessness, and anhedonia. Patient is unable to identify positives of
self or in his life. He reports two previous suicide attempts, one at age 20 and the second at age
21. He reports smoking one pack of cigarettes per day and consuming 3-4 beers, 2-3 times per
week, with his last drink last night.Which medication may be helpful for treating the patient's
poor sleep accompanied by frequent nightmares?
1|Page
,Prazosin hydrochloride (Minipress)
--Physicians prescribe prazosin, sold under the brand name of Minipress, to treat nightmares
for post-traumatic stress disorder (PTSD).
A 51-year-old female was voluntarily admitted to the inpatient adult unit at the psychiatric
hospital with complaints of excessive worry, panic, anhedonia, difficulty concentrating, and
endorsed hopelessness and helplessness. Following a focused assessment, depression has been
ruled out. Which as-needed (PRN) medication should be started to support the management of
this patient's symptoms?
Hydroxyzine (Vistaril)
--Vistaril is a prescription medicine used to treat the symptoms of anxiety, itching or hives on
the skin and as preoperative sedation.
A 51-year-old female was voluntarily admitted to the inpatient adult unit at the psychiatric
hospital with complaints of excessive worry, panic, anhedonia, difficulty concentrating, and
endorsed hopelessness and helplessness. A focused assessment revealed the following: The
patient explained that her severe impairment in functioning has progressed due to a vacant
relationship with her spouse of 15 years and her stressful job as a Human Resources Benefits
Manager. She was recently promoted to this position and reports, "I should never have been
promoted. I have never been good at my job, and all I do is mess up all of the time." The patient
reports missing work often and has not presented to work in four days. She denies having a
support system and reports struggling with isolation and loneliness. She reports poor sleep with
difficulty falling and staying asleep, accompanied by frequent stressful dreams about work.
Patient has been unable to get out of bed for longer than five-minute intervals for the past two
days. Her activities of daily living (ADLs) have been poor due to lack of motivation and anxious
symptoms when out of bed. She last showered and brushed her teeth three days ago. She
explained that she has only had two small meals each day for the past two days consisting of
sandwiches, potato chips, and water due to racing thoughts when trying to cook or grocery
shop. Her home is reportedly unkempt. Due to a severe impairment of functioning and inability
to care for herself, she was admitted to the hospital.The patient lives alone in a home that she
rents. Her spouse lives out-of-state and travels to see her every three weeks for the weekend.
She has lived alone for the past two years ever since her husband moved away for a job
promotion. She reports having a sister who lives an hour from her, though she denies having a
close relationship with her and reports that they talk on the phone monthly. The patient does
not have children. Her mother struggled with anxiety and depression for most of her life with no
inpatient hospitalizations before she passed away at age 84 six years ago. Her father and sister
struggle with alcoholism. Her father is 87, and her sister is 49 years old. Neither have ever
received treatment for alcoholism. The patient denies substance use. The patient reports, "My
2|Page
,family will be so upset that I am here." She frequently experiences racing thoughts and difficulty
completing tasks due to this. She is not taking any medication and denies history of chronic
diseases.To promote restful sleep, which caffeine-free herbal tea should the nurse encourage
the patient to consider consuming before bed?
Lavender lemon balm
A patient has a disorder affecting ventricular depolarization. What ECG finding with the nurse
associate with this?
A. Absence of P waves
B. Short PR interval
C. QT interval variability
D. Prolonged QRS interval
D. Prolonged QRS interval
--The QRS complex represents the sum of all ventricular muscle cell depolarization therefore a
prolonged QRS interval would be suggestive ventricular depolarization abnormalities. For
example, heart failure or bundle branch block or myocardial infarction.
Pharmacotherapy used for a patient with peripheral artery disease and diabetes includes all of
the following except:
A. Aspirin
B. HMG-CoA reductase inhibitors (statins)
C. Gabapentin
D. Metformin
C. Gabapentin
What is the intended therapeutic action of inhaled corticosteroids in patients with chronic
respiratory conditions
A. Reversal of fixed airway obstruction
B. Improvement of central respiratory drive
C. Reduction of airway inflammation
D. mucolytic activity
Reduction of airway inflammation
--Topical corticosteroids work to decrease inflammation locally where applied.
3|Page
, Which of the following conditions is contraindicated in using thrombotic therapy?
A. History of hemorrhagic stroke
B. Peptic ulcer disease
C. Concurrent use of Coumadin
D. Blood pressure of 160/100 mmHg
A. History of hemorrhagic stroke
--Thrombolytic therapy can increase risk of recurrent hemorrhagic stroke in patients who have
this history.
Which hospitalized patient is highest risk for developing delirium?
A. An elderly male with COVID-19
B. A woman recently diagnosed with schizophrenia
C. A depressed Hispanic woman
D. A 70-year-old diabetic patient
A. An elderly male with COVID-19
--Delirium is associated with autonomic nervous system overactivity and typically develops in
2 to 3 days, most commonly in critical care units, post surgically, or during withdrawal from
CNS depressants (e.g., alcohol, narcotic agents).
A patient with chronic migraines arrives for a neurological evaluation. The neurologist
recommends preventative therapy. Which one (1) of the following medications is used to
prevent the frequency of chronic migraines?
A. Verapamil
B. Dihydroergotamine
C. Naproxen
D. Sumatriptan
A. Verapamil
-- Calcium channel blockers have demonstrated efficacy in investigative use for prophylaxis of
migraine and cluster headaches. In particular, verapamil, with its low side-effect profile,
appears to be a promising alternative to the currently available agents for prophylactic
treatment of chronic recurring headaches.
Which of the following antihypertensive mediations should the nurse practitioner avoid when
treating a patient with emphysema?
4|Page
OBJECTIVE ASSESSEMENT FINAL TEST BANK
EXAM 2025-2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|
NEWEST!!|LATEST UPDATE |GUARANTEED PASS
A 26-year-old male presented to the emergency department accompanied by his mother with
complaints of an exacerbation of psychotic symptoms secondary to his diagnosis of
schizophrenia. He explained that he was diagnosed at age 20 and has struggled to sustain his
typical baseline functioning for any extended period of time despite multiple antipsychotic
medication trials. He has been taking risperidone (Risperdal) for approximately six months. A
focused assessment revealed the following: Patient has been struggling with auditory and visual
hallucinations that are command in nature. He reports experiencing suicidal ideation. Patient
denies homicidal ideation. He has temporarily been residing with his mother for the past week
due to intrusive suicidal thoughts and hallucinations that increase when at his apartment. The
mother reported that this morning the patient became increasingly agitated and was screaming
and throwing furniture in her home, demanding that she drive him back to his apartment. The
patient identified current stressors to be his decline in functioning: lack of social support, lack of
financial balance, and inability to maintain a job, as he was fired from his job last week. He
reports poor sleep with difficulty falling and staying asleep, accompanied by frequent stressful
nightmares. His activities of daily living (ADLs) have been poor, and he currently presents as
disheveled and unkempt, with a self-reported last shower of five days ago. His appetite has
been poor, and his mother reports that he often asks if she has been poisoning him through his
meals. Patient reports a 10-pound weight loss over the past two weeks. Patient endorses
feelings of hopelessness, helplessness, and anhedonia. Patient is unable to identify positives of
self or in his life. He reports two previous suicide attempts, one at age 20 and the second at age
21. He reports smoking one pack of cigarettes per day and consuming 3-4 beers, 2-3 times per
week, with his last drink last night.Which medication may be helpful for treating the patient's
poor sleep accompanied by frequent nightmares?
1|Page
,Prazosin hydrochloride (Minipress)
--Physicians prescribe prazosin, sold under the brand name of Minipress, to treat nightmares
for post-traumatic stress disorder (PTSD).
A 51-year-old female was voluntarily admitted to the inpatient adult unit at the psychiatric
hospital with complaints of excessive worry, panic, anhedonia, difficulty concentrating, and
endorsed hopelessness and helplessness. Following a focused assessment, depression has been
ruled out. Which as-needed (PRN) medication should be started to support the management of
this patient's symptoms?
Hydroxyzine (Vistaril)
--Vistaril is a prescription medicine used to treat the symptoms of anxiety, itching or hives on
the skin and as preoperative sedation.
A 51-year-old female was voluntarily admitted to the inpatient adult unit at the psychiatric
hospital with complaints of excessive worry, panic, anhedonia, difficulty concentrating, and
endorsed hopelessness and helplessness. A focused assessment revealed the following: The
patient explained that her severe impairment in functioning has progressed due to a vacant
relationship with her spouse of 15 years and her stressful job as a Human Resources Benefits
Manager. She was recently promoted to this position and reports, "I should never have been
promoted. I have never been good at my job, and all I do is mess up all of the time." The patient
reports missing work often and has not presented to work in four days. She denies having a
support system and reports struggling with isolation and loneliness. She reports poor sleep with
difficulty falling and staying asleep, accompanied by frequent stressful dreams about work.
Patient has been unable to get out of bed for longer than five-minute intervals for the past two
days. Her activities of daily living (ADLs) have been poor due to lack of motivation and anxious
symptoms when out of bed. She last showered and brushed her teeth three days ago. She
explained that she has only had two small meals each day for the past two days consisting of
sandwiches, potato chips, and water due to racing thoughts when trying to cook or grocery
shop. Her home is reportedly unkempt. Due to a severe impairment of functioning and inability
to care for herself, she was admitted to the hospital.The patient lives alone in a home that she
rents. Her spouse lives out-of-state and travels to see her every three weeks for the weekend.
She has lived alone for the past two years ever since her husband moved away for a job
promotion. She reports having a sister who lives an hour from her, though she denies having a
close relationship with her and reports that they talk on the phone monthly. The patient does
not have children. Her mother struggled with anxiety and depression for most of her life with no
inpatient hospitalizations before she passed away at age 84 six years ago. Her father and sister
struggle with alcoholism. Her father is 87, and her sister is 49 years old. Neither have ever
received treatment for alcoholism. The patient denies substance use. The patient reports, "My
2|Page
,family will be so upset that I am here." She frequently experiences racing thoughts and difficulty
completing tasks due to this. She is not taking any medication and denies history of chronic
diseases.To promote restful sleep, which caffeine-free herbal tea should the nurse encourage
the patient to consider consuming before bed?
Lavender lemon balm
A patient has a disorder affecting ventricular depolarization. What ECG finding with the nurse
associate with this?
A. Absence of P waves
B. Short PR interval
C. QT interval variability
D. Prolonged QRS interval
D. Prolonged QRS interval
--The QRS complex represents the sum of all ventricular muscle cell depolarization therefore a
prolonged QRS interval would be suggestive ventricular depolarization abnormalities. For
example, heart failure or bundle branch block or myocardial infarction.
Pharmacotherapy used for a patient with peripheral artery disease and diabetes includes all of
the following except:
A. Aspirin
B. HMG-CoA reductase inhibitors (statins)
C. Gabapentin
D. Metformin
C. Gabapentin
What is the intended therapeutic action of inhaled corticosteroids in patients with chronic
respiratory conditions
A. Reversal of fixed airway obstruction
B. Improvement of central respiratory drive
C. Reduction of airway inflammation
D. mucolytic activity
Reduction of airway inflammation
--Topical corticosteroids work to decrease inflammation locally where applied.
3|Page
, Which of the following conditions is contraindicated in using thrombotic therapy?
A. History of hemorrhagic stroke
B. Peptic ulcer disease
C. Concurrent use of Coumadin
D. Blood pressure of 160/100 mmHg
A. History of hemorrhagic stroke
--Thrombolytic therapy can increase risk of recurrent hemorrhagic stroke in patients who have
this history.
Which hospitalized patient is highest risk for developing delirium?
A. An elderly male with COVID-19
B. A woman recently diagnosed with schizophrenia
C. A depressed Hispanic woman
D. A 70-year-old diabetic patient
A. An elderly male with COVID-19
--Delirium is associated with autonomic nervous system overactivity and typically develops in
2 to 3 days, most commonly in critical care units, post surgically, or during withdrawal from
CNS depressants (e.g., alcohol, narcotic agents).
A patient with chronic migraines arrives for a neurological evaluation. The neurologist
recommends preventative therapy. Which one (1) of the following medications is used to
prevent the frequency of chronic migraines?
A. Verapamil
B. Dihydroergotamine
C. Naproxen
D. Sumatriptan
A. Verapamil
-- Calcium channel blockers have demonstrated efficacy in investigative use for prophylaxis of
migraine and cluster headaches. In particular, verapamil, with its low side-effect profile,
appears to be a promising alternative to the currently available agents for prophylactic
treatment of chronic recurring headaches.
Which of the following antihypertensive mediations should the nurse practitioner avoid when
treating a patient with emphysema?
4|Page
