WGU D027 OBJECTIVE ASSESSMENT EXAM AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
WGU D027 OBJECTIVE ASSESSMENT EXAM
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.
What are side effects of ACE inhibitors? -
...ANSWER...dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to
patients with Asthma? - ...ANSWER...Nonselective beta
blocker (-lol) because both beta-2 receptors are effected
,What is the first choice of calcium channel blocker? -
...ANSWER...Verapamil
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.
Which diuretic is NOT used in patients with kidney
failure and sickle cell disease? - ...ANSWER...Thiazide
diuretics
What type of drug is spironolactone? -
...ANSWER...potassium sparing diuretic
Which type of insulin is the most painful during injection?
- ...ANSWER...Lantus (long-acting)
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%
,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.
What lab test would we recommend for thyroid? -
...ANSWER...Thyroid peroxidase antibodies (TPO)
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
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.
, What is Hashimoto's disease? - ...ANSWER...An
autoimmune cause of hypothyroid. Symptoms include
weight gain and fatigue.
Symptoms of hyperthyroidism (thyrotoxicosis) -
...ANSWER...Tachyarrhythmias, anxiety, insomnia, rapid
flow/speech, hot
GRAVES DISEASE
how to treat grave's disease? - ...ANSWER...Remove or
destroy thyroid tissue or suppress with drug
(methimazole or propylthiouracil)
Treat with Iodine-131
Beta blockers also used to suppress release of thyroid
hormones and reduce HR.
What causes vasodilation, bronchoconstriction, and
helps with memory and sleep? - ...ANSWER...histamine-
1
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
WGU D027 OBJECTIVE ASSESSMENT EXAM
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.
What are side effects of ACE inhibitors? -
...ANSWER...dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to
patients with Asthma? - ...ANSWER...Nonselective beta
blocker (-lol) because both beta-2 receptors are effected
,What is the first choice of calcium channel blocker? -
...ANSWER...Verapamil
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.
Which diuretic is NOT used in patients with kidney
failure and sickle cell disease? - ...ANSWER...Thiazide
diuretics
What type of drug is spironolactone? -
...ANSWER...potassium sparing diuretic
Which type of insulin is the most painful during injection?
- ...ANSWER...Lantus (long-acting)
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%
,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.
What lab test would we recommend for thyroid? -
...ANSWER...Thyroid peroxidase antibodies (TPO)
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
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.
, What is Hashimoto's disease? - ...ANSWER...An
autoimmune cause of hypothyroid. Symptoms include
weight gain and fatigue.
Symptoms of hyperthyroidism (thyrotoxicosis) -
...ANSWER...Tachyarrhythmias, anxiety, insomnia, rapid
flow/speech, hot
GRAVES DISEASE
how to treat grave's disease? - ...ANSWER...Remove or
destroy thyroid tissue or suppress with drug
(methimazole or propylthiouracil)
Treat with Iodine-131
Beta blockers also used to suppress release of thyroid
hormones and reduce HR.
What causes vasodilation, bronchoconstriction, and
helps with memory and sleep? - ...ANSWER...histamine-
1
