WGU D027 COURSE MATERIAL EXAM 2
PRACTICE QUESTIONS WITH ACCURATE
SOLUTIONS
◉ 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?
Answer: Oral steroids and breathing treatments
◉ Delerium, urinary incontinence, fever-- Which lab and diagnostic
tests should be ordered as part of the patient's assessment?
Answer: 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?
Answer: Epidural hematoma
,◉ -- What is the appropriate diagnosis for this patient?
Answer: Crohn's disease
◉ Which diagnostic test is appropriate to order for this patient?
Answer: 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
Answer: 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?
Answer: 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
Answer: 5.31 mIU/L
PRACTICE QUESTIONS WITH ACCURATE
SOLUTIONS
◉ 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?
Answer: Oral steroids and breathing treatments
◉ Delerium, urinary incontinence, fever-- Which lab and diagnostic
tests should be ordered as part of the patient's assessment?
Answer: 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?
Answer: Epidural hematoma
,◉ -- What is the appropriate diagnosis for this patient?
Answer: Crohn's disease
◉ Which diagnostic test is appropriate to order for this patient?
Answer: 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
Answer: 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?
Answer: 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
Answer: 5.31 mIU/L
