WGU D027 OBJECTIVE ASSESSMENT FINAL EXAM NEWEST
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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? - CORRECT ANSWER ✔✔ - Epidural
hematoma
-- What is the appropriate diagnosis for this patient? - CORRECT
ANSWER ✔✔ - Crohn's disease
Which diagnostic test is appropriate to order for this patient? -
CORRECT 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
1|Page
,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 - CORRECT 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? -
CORRECT 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
2|Pa g e
,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 - CORRECT ANSWER
✔✔ - 5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to the emergency
department (ED) with pain in his left leg, and is diagnosed with a deep
vein thrombosis (DVT).What is this patient's symptoms related to? -
CORRECT ANSWER ✔✔ - Elevated Von Willebrand factor
A 42-year-old asthmatic who has been using beta-adrenergic agonists
for several years began to experience premature atrial contractions
(PACs). To treat the PACs, metoprolol (Toprol XL) therapy was
started.What is a likely consequence of this patient taking metoprolol
(Toprol XL)? - CORRECT ANSWER ✔✔ - Metoprolol (Toprol XL)
worsened asthma symptoms, but improved the PACs.
-- Beta blockers are widely used in the management of cardiac
conditions and thyrotoxicosis, and to reduce perioperative
complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta blockers
because of their potential for causing bronchospasm.
3|Pa g e
, Which inhaler prescription would support long-acting treatment for
twice-daily use in controlled asthma management? - CORRECT
ANSWER ✔✔ - Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that
are used to help control the symptoms of asthma and improve
breathing.
A 65-year-old male presents for a visit regarding his type 2 diabetes.
He has been dealing with diabetes for the last 15 years. He has a history
of diabetic neuropathy in his feet. Six months ago his symptoms were
mild to almost nonexistent. He currently describes the neuropathy as
painful, and it wakes him up at night. Which medication would be the
first line treatment for this patient? - CORRECT ANSWER ✔✔ -
Pregabalin (Lyrica)
A 55-year-old male presents for a new diagnosis of Parkinson's
Disease. He has experienced gait disorders and a pill rolling tremor.
The patient was a former boxer with a history of multiple concussions.
He was started on carbidopa-levodopa (Sinemet), which has decreased
his symptoms. How would an antipsychotic medication such as
haloperidol (Haldol) cause an interaction with this patient? - CORRECT
ANSWER ✔✔ - By antagonizing dopamine
A 25-year-old female is 35 weeks pregnant and presents for lower back
pain. She has a history of moderate lower back pain that she normally
controls with stretching, yoga, and ice. The patient reports not being
able to engage in stretching and yoga because of the state of her
4|Page
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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? - CORRECT ANSWER ✔✔ - Epidural
hematoma
-- What is the appropriate diagnosis for this patient? - CORRECT
ANSWER ✔✔ - Crohn's disease
Which diagnostic test is appropriate to order for this patient? -
CORRECT 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
1|Page
,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 - CORRECT 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? -
CORRECT 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
2|Pa g e
,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 - CORRECT ANSWER
✔✔ - 5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to the emergency
department (ED) with pain in his left leg, and is diagnosed with a deep
vein thrombosis (DVT).What is this patient's symptoms related to? -
CORRECT ANSWER ✔✔ - Elevated Von Willebrand factor
A 42-year-old asthmatic who has been using beta-adrenergic agonists
for several years began to experience premature atrial contractions
(PACs). To treat the PACs, metoprolol (Toprol XL) therapy was
started.What is a likely consequence of this patient taking metoprolol
(Toprol XL)? - CORRECT ANSWER ✔✔ - Metoprolol (Toprol XL)
worsened asthma symptoms, but improved the PACs.
-- Beta blockers are widely used in the management of cardiac
conditions and thyrotoxicosis, and to reduce perioperative
complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta blockers
because of their potential for causing bronchospasm.
3|Pa g e
, Which inhaler prescription would support long-acting treatment for
twice-daily use in controlled asthma management? - CORRECT
ANSWER ✔✔ - Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that
are used to help control the symptoms of asthma and improve
breathing.
A 65-year-old male presents for a visit regarding his type 2 diabetes.
He has been dealing with diabetes for the last 15 years. He has a history
of diabetic neuropathy in his feet. Six months ago his symptoms were
mild to almost nonexistent. He currently describes the neuropathy as
painful, and it wakes him up at night. Which medication would be the
first line treatment for this patient? - CORRECT ANSWER ✔✔ -
Pregabalin (Lyrica)
A 55-year-old male presents for a new diagnosis of Parkinson's
Disease. He has experienced gait disorders and a pill rolling tremor.
The patient was a former boxer with a history of multiple concussions.
He was started on carbidopa-levodopa (Sinemet), which has decreased
his symptoms. How would an antipsychotic medication such as
haloperidol (Haldol) cause an interaction with this patient? - CORRECT
ANSWER ✔✔ - By antagonizing dopamine
A 25-year-old female is 35 weeks pregnant and presents for lower back
pain. She has a history of moderate lower back pain that she normally
controls with stretching, yoga, and ice. The patient reports not being
able to engage in stretching and yoga because of the state of her
4|Page
