WGU D116 UNIT 6 OA REVIEW || 2025
LATEST UPDATE!!
Which vitamin B deficiency is associated with cheilosis, glossitis, vascularization of the
cornea, and itchy dermatitis of the scrotum and vulva? - ANSWERRiboflavin (Vitamin
B2)
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? - ANSWERIV Thiamine
(Vitamin B1)
Alcoholics who are malnourished have a form of thiamine deficiency called Wernike-
Korsakoff syndrome: nystagmus, diplopia, ataxia, confusion, and short-term memory
loss
A patient appears malnourished. The patient's folic acid levels are low, and vitamin B12
levels are normal.
What should this patient's treatment include? - ANSWERA diet high in folic acid
A patient is admitted to the hospital. The patient's initial laboratory results reveal
megaloblastic anemia. The patient complains of tingling of the hands and appears
confused.
What should the provider suspect in this patient? - ANSWERVitamin B12 deficiency
When neurologic deficits are present more common to be a vitamin B12 deficiency over
folic acid deficiency
A patient will begin taking immunosuppressant drugs for rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? - ANSWEREchinacea
Stimulates the immune system and compromises the effectiveness of
immunosuppressive drugs
A patient admitted to the emergency department with abdominal pain tells the provider
he has been taking kava.
Which action should be the provider's priority at this time? - ANSWERReview liver
function studies
Kava can cause severe liver injury
A patient who will begin combination estrogen-progestin therapy (EPT) for menopause
asks the nurse why she cannot take an estrogen-only preparation. The patient has not
, had a hysterectomy, has a slightly increased risk of cardiovascular disease, and has
mild osteopenia.
What response from the provider about progestin is correct? - ANSWER"Progestin
decreases your risk of endometrial cancer"
In pts who STILL HAVE A UTERUS, progestin is necessary to reduce risk of
endometrial carcinoma
An adolescent female patient with multiple sexual partners asks a nurse about birth
control methods. The patient tells the nurse she tried oral contraceptives once but often
forgot to take her pills.
The nurse should recommend discussing which contraceptive method with the
provider? - ANSWERDMPA (Depo-Provera) and condoms
IUD not indicated for her because pts with multiple sexual partners who use IUDs are at
a greater risk for STDs
A patient who will begin combination estrogen/progestin therapy (EPT) for menopause
asks the nurse practitioner why she cannot take an estrogen-only preparation. The
patient has not had a hysterectomy, has a slightly increased risk of cardiovascular
disease, and has mild osteopenia. The nurse practitioner will tell her that the progestin
is necessary to: - ANSWERDecrease her risk of endometrial cancer
A nurse practitioner provides teaching to a group of students about the risks and
benefits of hormone therapy (HT), including estrogen therapy (ET) and combination
estrogen/progestin therapy (EPT). Which statement by a student indicates
understanding of the teaching? - ANSWER"Principal benefits of ET are suppression of
menopausal symptoms and prevention of bone loss"
A patient is taking a combination oral contraceptive (OC) and reports breast tenderness,
edema, and occasional nausea. What will the nurse practitioner recommend? -
ANSWERThe provider should recommend an OC containing less estrogen
Excess estrogen can cause nausea, breast tenderness, and edema
A patient who is taking a combination oral contraceptive begins taking carbamazepine.
After several weeks, the patient tells the nurse practitioner she has begun experiencing
spotting during her cycle. What will the nurse practitioner recommend? -
ANSWERDiscuss an oral contraceptive with increased estrogen
Carbamazepine is an inducer of CYP450 enzyme and metabolizes drugs quicker which
makes them have less of an effect - need to increase the dose
A 14-year-old male patient has not begun puberty. His parents tell the nurse practitioner
that their son does not want to go to school, because he gets teased. The NP learns
LATEST UPDATE!!
Which vitamin B deficiency is associated with cheilosis, glossitis, vascularization of the
cornea, and itchy dermatitis of the scrotum and vulva? - ANSWERRiboflavin (Vitamin
B2)
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? - ANSWERIV Thiamine
(Vitamin B1)
Alcoholics who are malnourished have a form of thiamine deficiency called Wernike-
Korsakoff syndrome: nystagmus, diplopia, ataxia, confusion, and short-term memory
loss
A patient appears malnourished. The patient's folic acid levels are low, and vitamin B12
levels are normal.
What should this patient's treatment include? - ANSWERA diet high in folic acid
A patient is admitted to the hospital. The patient's initial laboratory results reveal
megaloblastic anemia. The patient complains of tingling of the hands and appears
confused.
What should the provider suspect in this patient? - ANSWERVitamin B12 deficiency
When neurologic deficits are present more common to be a vitamin B12 deficiency over
folic acid deficiency
A patient will begin taking immunosuppressant drugs for rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? - ANSWEREchinacea
Stimulates the immune system and compromises the effectiveness of
immunosuppressive drugs
A patient admitted to the emergency department with abdominal pain tells the provider
he has been taking kava.
Which action should be the provider's priority at this time? - ANSWERReview liver
function studies
Kava can cause severe liver injury
A patient who will begin combination estrogen-progestin therapy (EPT) for menopause
asks the nurse why she cannot take an estrogen-only preparation. The patient has not
, had a hysterectomy, has a slightly increased risk of cardiovascular disease, and has
mild osteopenia.
What response from the provider about progestin is correct? - ANSWER"Progestin
decreases your risk of endometrial cancer"
In pts who STILL HAVE A UTERUS, progestin is necessary to reduce risk of
endometrial carcinoma
An adolescent female patient with multiple sexual partners asks a nurse about birth
control methods. The patient tells the nurse she tried oral contraceptives once but often
forgot to take her pills.
The nurse should recommend discussing which contraceptive method with the
provider? - ANSWERDMPA (Depo-Provera) and condoms
IUD not indicated for her because pts with multiple sexual partners who use IUDs are at
a greater risk for STDs
A patient who will begin combination estrogen/progestin therapy (EPT) for menopause
asks the nurse practitioner why she cannot take an estrogen-only preparation. The
patient has not had a hysterectomy, has a slightly increased risk of cardiovascular
disease, and has mild osteopenia. The nurse practitioner will tell her that the progestin
is necessary to: - ANSWERDecrease her risk of endometrial cancer
A nurse practitioner provides teaching to a group of students about the risks and
benefits of hormone therapy (HT), including estrogen therapy (ET) and combination
estrogen/progestin therapy (EPT). Which statement by a student indicates
understanding of the teaching? - ANSWER"Principal benefits of ET are suppression of
menopausal symptoms and prevention of bone loss"
A patient is taking a combination oral contraceptive (OC) and reports breast tenderness,
edema, and occasional nausea. What will the nurse practitioner recommend? -
ANSWERThe provider should recommend an OC containing less estrogen
Excess estrogen can cause nausea, breast tenderness, and edema
A patient who is taking a combination oral contraceptive begins taking carbamazepine.
After several weeks, the patient tells the nurse practitioner she has begun experiencing
spotting during her cycle. What will the nurse practitioner recommend? -
ANSWERDiscuss an oral contraceptive with increased estrogen
Carbamazepine is an inducer of CYP450 enzyme and metabolizes drugs quicker which
makes them have less of an effect - need to increase the dose
A 14-year-old male patient has not begun puberty. His parents tell the nurse practitioner
that their son does not want to go to school, because he gets teased. The NP learns
