WGU D027 Course Material
Key Quizzes with Verified Answers,
Quiz_________________?
A 23-year-old woman comes in for prenatal counseling. While completing her family history,
she reports her brother has cystic fibrosis. She does not know if she is a carrier. She asks if
her children will be affected by the disease.
What is an accurate way to determine the likelihood of this patient's children being affected?
-
Answer✅
A genetic or a carrier test -
Cystic fibrosis is a hereditary disease that impacts the lungs and digestive system. It is the
result of the cystic fibrosis transmembrane conductance regulator gene mutation. The
disease occurs when an individual inherits the mutated gene from each parent. When only
one mutated gene is inherited, the individual is labeled a carrier.
Quiz_________________?
A 31-year-old man comes into the office for an exam. He is 6' 5 " with a high-pitched voice,
and he has a moderate degree of mental impairment. It is discovered upon exam that his
body hair is sparse, his testes are small, and he has gynecomastia.
Which genetic disorder should this patient be tested for? -
Answer✅
Klinefelter syndrome -
1
, Klinefelter syndrome is a hereditary disease also known as 47,XXY or XXY that manifests
as the series of symptoms described. The symptoms are expressed as a result of the
presence of two or more X chromosomes in males. It is often not diagnosed until
adulthood.
Quiz_________________?
A 40-year-old man presents to a clinic with an onset of a frequent cough. The patient states
the cough started when he started his new blood pressure medication two weeks ago. The
patient does not remember the name of the drug that was started. After a thorough
assessment, it is determined the cough is not being caused by an infection. It is determined
the likely cause of the frequent cough is the new blood pressure medication.
Which medication is the likely cause of this patient's symptoms? -
Answer✅
Lisinopril (Zestril) -
ACE inhibitors such as lisinopril (Zestril) are associated with dry, persistent coughing in
many patients. They prevent the breakdown of protussive mediators such as bradykinin and
substance P leading to an increase of these mediators in the respiratory tract. The cough is
actually a compensatory response of the body to force kinins out of the lungs.
Quiz_________________?
A 45-year-old female patient presents to a clinic complaining of chronic generalized pain and
wishes to be evaluated for fibromyalgia and chronic pain syndrome. A thorough history and
physical is conducted, and the findings are negative. The patient is not taking any
medications, has no allergies to medicines, and has a negative past medical history.
What is an appropriate first intervention for this patient? -
Answer✅
Assess the patient's sleep hygiene and make recommendations -
The most noninvasive approach to assessing generalized pain that seems to have no
etiologic physical findings of chronic fatigue, chronic pain syndrome, or fibromyalgia is to
further assess the patient's sleep history. Lack of adequate sleep has been linked to myalgias
and chronic pain. Often a vicious cycle occurs in which the pain induced by lack of sleep
then causes inability to sleep and so on.
2
, Quiz_________________?
A 45-year-old Jewish man is visiting a clinic for an adjustment of his diabetes medications.
Though the patient is taking oral medications, his blood sugar levels continue to increase,
and a decision is made to start him on insulin. Although the patient is comfortable with the
concept of starting insulin, he is concerned with the formulation of the insulin saying, "I
heard insulin was made from pigs. If that is the case, I cannot take it due to my faith."
Which response should be given to this patient? -
Answer✅
While insulin did have porcine sources in the past, it is now synthetically made -
All forms of insulin manufactured in the U.S. use recombinant DNA technology. Some are
identical to human pancreatic insulin, and others are synthetic analogs of natural human
insulin. It is appropriate to provide the patient with information that will decrease his
concerns about breaching his religious beliefs.
Quiz_________________?
A 45-year-old man reports his preference for natural methods of treating illness. He states
he takes natural supplements that he orders from China to boost his health and well-being.
One of the supplements he takes daily is red yeast rice.
Which medication should be avoided with this patient's supplement? -
Answer✅
Lovastatin (Mevacor) -
Red yeast rice naturally contains lovastatin and other statin-related compounds that
significantly impact LDL cholesterol; therefore, there is a risk for an increased effect and
side effects if taken with a statin.
Quiz_________________?
A 45-year-old Muslim woman presents to a clinic for an intervention for her type 2 diabetes.
She is prescribed metformin (Glucophage) 500 mg BID. During a follow-up phone call a
week later, it is discovered she has not been taking the metformin. A second visit is
3
, scheduled. During this visit, she states that she cannot take the medication as prescribed
because it is Ramadan, a month-long period of religious observances. Due to her religious
beliefs, she fasts from dawn to sunset. When the pharmacist told her to take metformin
with breakfast and dinner, she decided not to start the medication due to her fasting.
Which nursing intervention should be made for this patient? -
Answer✅
Start metformin XR (Glucophage XR) 250 mg once a day and reevaluate after Ramadan -
Metformin XR (Glucophage XR) is an extended release biguanide that can be given once
daily at a time when it will not impact the patient's cultural or religious practice. It has a half-
life elimination time of up to nine hours.
Quiz_________________?
A 54-year-old Caucasian man comes in for a lab review. His lipids reveal an LDL of 180, an
HDL of 52, and triglycerides of 326. He has no history of atherosclerotic cardiovascular
disease (ASCVD) or diabetes. His blood pressure is 118/64. He has a pulse rate of 64, and
he weighs 320 lb. He smokes one pack of cigarettes per day, and his ASCVD risk score is
12.8.
Which medication should this patient be started on? -
Answer✅
Atorvastatin (Lipitor) 20mg -
Atorvastatin is more effective in reducing total cholesterol having a greater impact on
lowering LDL cholesterol. The American College of Cardiology guidelines on blood
cholesterol management emphasize that the greater the reduction in the LDL-C on statin
therapy, the greater the subsequent risk reduction.
Quiz_________________?
A 54-year-old man comes into a clinic for a routine visit. His initial BP is 148/92. After a
recheck 15 minutes later, his BP is 140/90. He states he suffers from "white coat
hypertension." He states he has no history of high blood pressure and no family history of
high blood pressure.
Which nursing intervention would assist this patient in receiving a clinical diagnosis of
hypertension? -
4
Key Quizzes with Verified Answers,
Quiz_________________?
A 23-year-old woman comes in for prenatal counseling. While completing her family history,
she reports her brother has cystic fibrosis. She does not know if she is a carrier. She asks if
her children will be affected by the disease.
What is an accurate way to determine the likelihood of this patient's children being affected?
-
Answer✅
A genetic or a carrier test -
Cystic fibrosis is a hereditary disease that impacts the lungs and digestive system. It is the
result of the cystic fibrosis transmembrane conductance regulator gene mutation. The
disease occurs when an individual inherits the mutated gene from each parent. When only
one mutated gene is inherited, the individual is labeled a carrier.
Quiz_________________?
A 31-year-old man comes into the office for an exam. He is 6' 5 " with a high-pitched voice,
and he has a moderate degree of mental impairment. It is discovered upon exam that his
body hair is sparse, his testes are small, and he has gynecomastia.
Which genetic disorder should this patient be tested for? -
Answer✅
Klinefelter syndrome -
1
, Klinefelter syndrome is a hereditary disease also known as 47,XXY or XXY that manifests
as the series of symptoms described. The symptoms are expressed as a result of the
presence of two or more X chromosomes in males. It is often not diagnosed until
adulthood.
Quiz_________________?
A 40-year-old man presents to a clinic with an onset of a frequent cough. The patient states
the cough started when he started his new blood pressure medication two weeks ago. The
patient does not remember the name of the drug that was started. After a thorough
assessment, it is determined the cough is not being caused by an infection. It is determined
the likely cause of the frequent cough is the new blood pressure medication.
Which medication is the likely cause of this patient's symptoms? -
Answer✅
Lisinopril (Zestril) -
ACE inhibitors such as lisinopril (Zestril) are associated with dry, persistent coughing in
many patients. They prevent the breakdown of protussive mediators such as bradykinin and
substance P leading to an increase of these mediators in the respiratory tract. The cough is
actually a compensatory response of the body to force kinins out of the lungs.
Quiz_________________?
A 45-year-old female patient presents to a clinic complaining of chronic generalized pain and
wishes to be evaluated for fibromyalgia and chronic pain syndrome. A thorough history and
physical is conducted, and the findings are negative. The patient is not taking any
medications, has no allergies to medicines, and has a negative past medical history.
What is an appropriate first intervention for this patient? -
Answer✅
Assess the patient's sleep hygiene and make recommendations -
The most noninvasive approach to assessing generalized pain that seems to have no
etiologic physical findings of chronic fatigue, chronic pain syndrome, or fibromyalgia is to
further assess the patient's sleep history. Lack of adequate sleep has been linked to myalgias
and chronic pain. Often a vicious cycle occurs in which the pain induced by lack of sleep
then causes inability to sleep and so on.
2
, Quiz_________________?
A 45-year-old Jewish man is visiting a clinic for an adjustment of his diabetes medications.
Though the patient is taking oral medications, his blood sugar levels continue to increase,
and a decision is made to start him on insulin. Although the patient is comfortable with the
concept of starting insulin, he is concerned with the formulation of the insulin saying, "I
heard insulin was made from pigs. If that is the case, I cannot take it due to my faith."
Which response should be given to this patient? -
Answer✅
While insulin did have porcine sources in the past, it is now synthetically made -
All forms of insulin manufactured in the U.S. use recombinant DNA technology. Some are
identical to human pancreatic insulin, and others are synthetic analogs of natural human
insulin. It is appropriate to provide the patient with information that will decrease his
concerns about breaching his religious beliefs.
Quiz_________________?
A 45-year-old man reports his preference for natural methods of treating illness. He states
he takes natural supplements that he orders from China to boost his health and well-being.
One of the supplements he takes daily is red yeast rice.
Which medication should be avoided with this patient's supplement? -
Answer✅
Lovastatin (Mevacor) -
Red yeast rice naturally contains lovastatin and other statin-related compounds that
significantly impact LDL cholesterol; therefore, there is a risk for an increased effect and
side effects if taken with a statin.
Quiz_________________?
A 45-year-old Muslim woman presents to a clinic for an intervention for her type 2 diabetes.
She is prescribed metformin (Glucophage) 500 mg BID. During a follow-up phone call a
week later, it is discovered she has not been taking the metformin. A second visit is
3
, scheduled. During this visit, she states that she cannot take the medication as prescribed
because it is Ramadan, a month-long period of religious observances. Due to her religious
beliefs, she fasts from dawn to sunset. When the pharmacist told her to take metformin
with breakfast and dinner, she decided not to start the medication due to her fasting.
Which nursing intervention should be made for this patient? -
Answer✅
Start metformin XR (Glucophage XR) 250 mg once a day and reevaluate after Ramadan -
Metformin XR (Glucophage XR) is an extended release biguanide that can be given once
daily at a time when it will not impact the patient's cultural or religious practice. It has a half-
life elimination time of up to nine hours.
Quiz_________________?
A 54-year-old Caucasian man comes in for a lab review. His lipids reveal an LDL of 180, an
HDL of 52, and triglycerides of 326. He has no history of atherosclerotic cardiovascular
disease (ASCVD) or diabetes. His blood pressure is 118/64. He has a pulse rate of 64, and
he weighs 320 lb. He smokes one pack of cigarettes per day, and his ASCVD risk score is
12.8.
Which medication should this patient be started on? -
Answer✅
Atorvastatin (Lipitor) 20mg -
Atorvastatin is more effective in reducing total cholesterol having a greater impact on
lowering LDL cholesterol. The American College of Cardiology guidelines on blood
cholesterol management emphasize that the greater the reduction in the LDL-C on statin
therapy, the greater the subsequent risk reduction.
Quiz_________________?
A 54-year-old man comes into a clinic for a routine visit. His initial BP is 148/92. After a
recheck 15 minutes later, his BP is 140/90. He states he suffers from "white coat
hypertension." He states he has no history of high blood pressure and no family history of
high blood pressure.
Which nursing intervention would assist this patient in receiving a clinical diagnosis of
hypertension? -
4
