D027 WGU Questions and Answers correct

D027 WGU Questions and Answers correct What is the gold standard for the suspected diagnosis of Celiac Disease? Endoscopy with small intestine biopsy A 44-year-old woman has recently been diagnosed with advanced metastatic non-small-cell lung cancer. Genetic testing is ordered to determine if the patient's tumor has any genomic alterations and to guide treatment decisions. A few weeks later, the patient's test results come back positive for a genetic mutation. The APN starts osimertinib (Tagrisso). Based on this information, what type of genetic mutation does this patient have? EGFR mutation A 20-year-old male meets with an advanced professional nurse (APN) to discuss symptoms that have been slowly progressing over the past several years. He is mainly concerned because he has been falling frequently. Since childhood, his gait has consisted of walking on his toes. During middle school, he was able to participate in sports but was unable to participate in high school sports due to difficulty with running and jumping. Lately, he has noticed it takes longer and is more difficult to change positions from sitting to standing than it used to in the past. He has also been waking up with muscle and joint stiffness. The APRN notes that his family history is not significant for any chronic or genetic diseases. Which condition is likely to be the cause of these symptoms? Becker muscular dystrophy --Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular dystrophy, a genetic disorder that gradually makes the body's muscles weaker and smaller. It causes less severe problems than the most common type, Duchenne muscular dystrophy. 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. A female patient presents to an office to establish care. Her previous primary care provider told her to follow up regarding an elevated ferritin level. She has no previous medical history and is currently asymptomatic. She is concerned about the elevated ferritin and would like to know if she should be worried. What should the provider do next for this patient? Order a liver function test A 75-year-old female presents to the emergency department with an irregular heart rate of 130.What can be ascertained about this patient's findings given the limited information? She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol (Lopressor). Which condition from this patient's medical history is contributing to the loss of contractility? Acute myocardial infarction Which condition is this patient suffering from? Diabetic ketoacidosis A 45-year-old female fears that she is having a stroke and takes herself to an emergency room. After several diagnostic and laboratory tests, the patient is diagnosed with Cushing disease. Which lab abnormality would be present in this patient? Increased cortisol SOB when lying down, and moving around --Based on the patient's presentation, which disease process is the patient likely exhibiting? Asthma A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The child's mother reports the cough sounds like a barking noise. The child is sleeping in the mother's arms and appears to have stridor. The child's mother also reports an axillary temperature of 101°F last night. Which management technique is appropriate for this child's symptoms? Oral steroids and breathing treatments Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as part of the patient's assessment? Complete blood count, complete metabolic profile, and urinalysis An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is brought into an emergency room and is immediately taken for a CT scan. The provider tells the patient's parents he has bleeding between the dura mater and the skull. What is this patient's condition called? Epidural hematoma -- What is the appropriate diagnosis for this patient? Crohn's disease Which diagnostic test is appropriate to order for this patient? Ultrasound A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His history includes hypertension and hyperlipidemia for which he currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a family history of diabetes, hypertension, heart disease, and hyperlipidemia. After obtaining lab work, the provider notices the patient's hgbA1c is elevated at 7.5. The patient is already on a DASH diet and watching the amount of sweets and carbohydrates he eats daily. The patient is not overweight and participates in moderate physical activity at least 4-5 days a week. He was started on Metformin three months ago, and his hemoglobin A1c is now 6.9. The nurse expects to see a class of medication prescribed which is proven to reduce the risk of cardiovascular events. Considering the treatment guidelines from the American College of Cardiology, which medication should be recommended for this patien Invokana 100 mg daily --Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to metformin. It is used together with exercise and diet. It is not recommended in type 1 diabetes. It is taken by mouth. A 78-year-old female presents to the clinic for a checkup and refills on her medications. She is currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Synthroid). The patient has a history of hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric ulcers. The patient is concerned about heart disease and wants to start taking a low-dose aspirin. Which aspirin regimen recommendation should the advanced professional nurse (APN) give to the patient? Low-dose enteric coated aspirin 81 mg daily A 28-year-old married female presents to primary care accompanied by her husband with complaints of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty concentrating. The patient explains that she has been experiencing these symptoms with increasing frequency over the last two months and reports feeling upset that she has gained 10 pounds over the past month despite no significant changes in dietary intake or activity level. The patient holds a bachelor's degree and is employed full time as an accountant. The patient reports feeling frustrated with her poor concentration and identifies recent work errors to be due to this symptom. The patient explains that she and her spouse plan to start trying to conceive soon, and she is worried that she may have trouble becoming pregnant. The patient reports using over-the-counter laxative products over the last week to combat constipation. The patient repo 5.31 mIU/L 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? Elevated Von Willebrand factor 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)? 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. Which inhaler prescription would support long-acting treatment for twice-daily use in controlled asthma management? 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. 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? Pregabalin (Lyrica) 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? By antagonizing dopamine 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? 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? 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? 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? 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? 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? 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? 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? 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 me sleep. I have been doing this for the past year." The patient also states he has trouble falling asleep and stayi The patient's lifestyle structure 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 son 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 me sleep. I have been doing this for the past year." The patient also states he has trouble falling asleep and staying Seeking higher or advanced education in his field A 72-year-old male patient comes into the clinic complaining of shortness of breath, wheezing, chills, and hot flashes at night for over three weeks. He is currently only prescribed a blood pressure medication but is unsure of the name and has not had any refills in the last several months. He reports being unsure if he has been exposed to any respiratory illnesses. He continues to report he is homeless and lives in different shelters or outside. He is unemployed but does receive assistance money from an unknown donor which averages $300 per month. He states he does not have any family or social support. The patient states he only has an eighth-grade education and is unable to read very well. He is unable to write his name, although he has always learned easily by watching and interacting with live instructions. He denies illegal drug use and uses public transportation.The assessment findings include a blood pressure Lack of income and poverty level A 32-year-old female presents to the emergency room (ER) with headache, fatigue, and shortness of breath on exertion. A complete blood count reveals a hemoglobin of 4.4g/dl. During the gynecological review of systems, she reports a change of a fully saturated pad every two hours for the first three out of six days of a 28-day menstrual cycle. She states she thought this was normal and has never sought gynecological care. She does not follow with a primary care physician.Which factor in the "health and healthcare" domain of the social determinants of health contributed to this patient's hemoglobin of 4.4g/dl? Health literacy