WGU D027 OA EXAM ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|A+ GRADE
ordered to determine if the patient's tumor has any genomic
alterations and to guide treatment decisions. A few weeks later,
the patient's test results come back positive for a genetic
mutation. The APN starts osimertinib (Tagrisso). Based on this
information, what type of genetic mutation does this patient
have? - ANSWER//EGFR mutation A 20-year-old male meets
with an advanced professional nurse (APN) to discuss
symptoms that have been slowly progressing over the past
several years. He is mainly concerned because he has been
falling frequently. Since childhood, his gait has consisted of
walking on his toes. During middle school, he was able to
participate in sports but was unable to participate in high
school sports due to difficulty with running and jumping. Lately,
he has noticed it takes longer and is more difficult to change
positions from sitting to standing than it used to in the past. He
has also been waking up with muscle and joint stiffness. The
APRN notes that his family history is not significant for any
chronic or genetic diseases. Which condition is likely to be the
cause of these symptoms? - ANSWER//Becker muscular
dystrophy --Becker muscular dystrophy (often called Becker
MD or BMD) is a form of muscular dystrophy, a genetic
disorder that gradually makes the body's muscles weaker and
smaller. It causes less severe problems than the most common
type, Duchenne muscular dystrophy. Which statement should
the provider give the patient regarding the pathophysiology of
SLE and its relation to thrombocytopenia? - ANSWER//SLE
disrupts immune homeostasis and promotes development of
,self-reactive antibodies. A female patient presents to an office
to establish care. Her previous primary care provider told her to
follow up regarding an elevated ferritin level. She has no
previous medical history and is currently asymptomatic. She is
concerned about the elevated ferritin and would like to know if
she should be worried. What should the provider do next for
this patient? - ANSWER//Order a liver function test A 75-year-
old female presents to the emergency department with an
irregular heart rate of 130.What can be ascertained about this
patient's findings given the limited information? -
ANSWER//She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor). Which
condition from this patient's medical history is contributing to
the loss of contractility? - ANSWER//Acute myocardial
infarction Which condition is this patient suffering from? -
ANSWER//Diabetic ketoacidosis A 45-year-old female fears that
she is having a stroke and takes herself to an emergency room.
After several diagnostic and laboratory tests, the patient is
diagnosed with Cushing disease. Which lab abnormality would
be present in this patient? - ANSWER//Increased cortisol SOB
when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely
exhibiting? - ANSWER//Asthma 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
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? - 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)? -
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. Which inhaler prescription
would support long-acting treatment for twice-daily use in
controlled asthma management? - ANSWER//Fluticasone
propionate/salmeterol (Advair Diskus) --Fluticasone and
salmeterol is a combination of two medicines that are used to
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|A+ GRADE
ordered to determine if the patient's tumor has any genomic
alterations and to guide treatment decisions. A few weeks later,
the patient's test results come back positive for a genetic
mutation. The APN starts osimertinib (Tagrisso). Based on this
information, what type of genetic mutation does this patient
have? - ANSWER//EGFR mutation A 20-year-old male meets
with an advanced professional nurse (APN) to discuss
symptoms that have been slowly progressing over the past
several years. He is mainly concerned because he has been
falling frequently. Since childhood, his gait has consisted of
walking on his toes. During middle school, he was able to
participate in sports but was unable to participate in high
school sports due to difficulty with running and jumping. Lately,
he has noticed it takes longer and is more difficult to change
positions from sitting to standing than it used to in the past. He
has also been waking up with muscle and joint stiffness. The
APRN notes that his family history is not significant for any
chronic or genetic diseases. Which condition is likely to be the
cause of these symptoms? - ANSWER//Becker muscular
dystrophy --Becker muscular dystrophy (often called Becker
MD or BMD) is a form of muscular dystrophy, a genetic
disorder that gradually makes the body's muscles weaker and
smaller. It causes less severe problems than the most common
type, Duchenne muscular dystrophy. Which statement should
the provider give the patient regarding the pathophysiology of
SLE and its relation to thrombocytopenia? - ANSWER//SLE
disrupts immune homeostasis and promotes development of
,self-reactive antibodies. A female patient presents to an office
to establish care. Her previous primary care provider told her to
follow up regarding an elevated ferritin level. She has no
previous medical history and is currently asymptomatic. She is
concerned about the elevated ferritin and would like to know if
she should be worried. What should the provider do next for
this patient? - ANSWER//Order a liver function test A 75-year-
old female presents to the emergency department with an
irregular heart rate of 130.What can be ascertained about this
patient's findings given the limited information? -
ANSWER//She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor). Which
condition from this patient's medical history is contributing to
the loss of contractility? - ANSWER//Acute myocardial
infarction Which condition is this patient suffering from? -
ANSWER//Diabetic ketoacidosis A 45-year-old female fears that
she is having a stroke and takes herself to an emergency room.
After several diagnostic and laboratory tests, the patient is
diagnosed with Cushing disease. Which lab abnormality would
be present in this patient? - ANSWER//Increased cortisol SOB
when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely
exhibiting? - ANSWER//Asthma 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
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? - 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)? -
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. Which inhaler prescription
would support long-acting treatment for twice-daily use in
controlled asthma management? - ANSWER//Fluticasone
propionate/salmeterol (Advair Diskus) --Fluticasone and
salmeterol is a combination of two medicines that are used to
