WGU D027 Study Guide Exam 2026 Actual
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A 78-year-old man comes in with stable angina. He reports
he has been having more angina recently. He is currently
taking the following medications: lisinopril (Zestril),
atorvastatin (Lipitor), aspirin, and nitrostat PRN for chest
pain. He has a history of COPD with bronchospasm. His
blood pressure is 145/88, and he has a pulse of 74.
Which class of medications should be avoided for this
patient? - Answer-BBs, BB contraindicated in pts w/
COPD/ asthma
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 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
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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
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.
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.
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Which medication should be avoided with this patient's
supplement? - Answer-Lovastatin (Mevacor), red yeast
rice contains this
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
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
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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-kleinfelters
sign of becker muscle dystrophy in kids? - Answer-may
begin to waddle, walk on their toes or push their abdomen
forward when walking
A six-month-old female infant with failure to thrive comes
in to the office with her parents. It is noticed upon exam
that the patient has facial deformities and is jaundiced. A
complete blood count (CBC) is ordered, which reveals
anemia. When that patient's blood is examined under a
microscope, the red blood cells appear small and
abnormally shaped. A mutational analysis is ordered, and
alpha thalassemia is diagnosed.
What is the likelihood of incidence of these parent's future
children having alpha thalassemia? - Answer-100%