WGU D027 Study Guide
1. During the body's inflammatory process, what causes edema? - answers-Increased
capillary permeability
2. A 56-year-old diabetic patient has not taken his insulin in 4 days due to him" feeling
well without it". He is admitted to the ED with an elevated blood sugar. What electrolyte
should be assessed FIRST? - answers-Potassium
3. A 46-year-old woman is considering having another child. The healthcare providers
are explaining to the woman that children born to women late in life have an increased
rate of having children with which condition? - answers-Down Syndrome
4. A patient with several risk factors is concerned about developing type 2 diabetes. The
healthcare professional advises the patient to lose weight, explaining that obesity is an
important risk factor for type 2 diabetes mellitus because it causes what? - answers-
Increased resistance to insulin in the cells
5. When evaluating a patient for hypertensive target organ damage, the APRN looks for
evidence of: - answers-Left ventricular hypertrophy
6. On ultrasound, a patient had 4-chamber dilation with an ejection fraction of 15% and
a pleural effusion on chest x-ray. Elevated liver function tests, hypokalemia, and
hypomagnesemia are seen on lab results. Blood pressure is 115/60, and heart rate is
110 bpm with regular rate and rhythm, respiratory rate 30 bpm and O2 saturation is
88% on room air. Initial therapy should include all of the following except: - answers-
Digoxin
7. A patient in the emergency department is suspected of having a myocardial infarction
(MI). The initial cardiac troponin 1 level was negative. What action by the healthcare
professional is best? - answers-Schedule a repeat troponin within a few hours.
8. Which patient would the healthcare professional assess for elevated levels of
antidiuretic hormone (ADH) secretion? - answers-Being treated for small cell carcinoma
of the stomach
9. A post-operative patient with gallbladder surgery has an epidural infusion of Astra
morph. The patient's respiratory rate starts to decline to 9 breaths/minute. Which
, medication should the healthcare provider anticipate administering to this patient? -
answers-Naloxone
10. A patient is brought to the emergency department with a gunshot wound to the
chest. The healthcare professional assesses an abnormality involving a pleural rupture
that acts as a one-way valve, permitting air to enter on inspiration but preventing its
escape by closing during expiration. What action by the healthcare professional is the
priority? - answers-Assist with a chest tube insertion.
11. A 2-year-old pediatric patient with limited medical history available arrives to an
urgent care with excessive irritability and crying. X-rays were obtained and noted to
have fractures of the metatarsals of the foot and left tibia. On exam, the nurse notes that
the patient seems to have a blue tint to both sclera, and she didn't seem to react
normally when the nurse was talking to her. Which diagnosis is most likely in this case?
- answers-Osteogenesis imperfecta
12.A patient who has chronic kidney disease has hemoglobin of 7.2 mg/dL. What
treatment does the healthcare professional prepare the patient for? - answers-
Erythropoietin
13.A healthcare professional is assessing a patient who could have either pyelonephritis
or cystitis. Which differentiating sign would assist the professional in making this
diagnosis? - answers-Urinalysis confirmation of white blood cell casts
14.James, a 22-year-old firefighter, presents to your practice with dyspnea on excretion.
He reports that he has trouble keeping up with his squad and can no longer carry his 40
lb. pack. He reports 2 months of nocturnal cough, a 10 lb. weight loss and fatigue. He
denies any history of smoking and he drinks 2-3 six packs of beer daily. He presented 3
weeks ago to a primary care clinic where he was told he had pneumonia and asthma.
He was started on antibiotics and a B-agonist, but still does not feel well. Which
pneumonia and asthma. He was started on antibiotics and a B-agonist, but still does not
feel well. Which of the following findings is the least specific in making a diagnosis? -
answers-Wheezing
15.A patient with history of a hemithyroidectomy is attending her annual wellness exam.
The healthcare provider orders a serum TSH. The results are 4.6 microunits/mL, with a
normal range of 0.3 - 6 microunits/milk The healthcare provider can draw the following
conclusion about this patient's thyroid function. - answers-TSH is normal indicating that
the patient's thyroid hormone is normal.
16.Lab results reveal that a 55-year-old male patient with insulin-dependent type 2
diabetes has a HgbA1c of 6.9%. A review of his medications reveals that he takes 60
units of Lantus SQ at night and covers his meals with Humalog insulin using a sliding
scale. Based on this information alone, what changes to his treatment regimen should
the provider recommend? - answers-Make no changes
1. During the body's inflammatory process, what causes edema? - answers-Increased
capillary permeability
2. A 56-year-old diabetic patient has not taken his insulin in 4 days due to him" feeling
well without it". He is admitted to the ED with an elevated blood sugar. What electrolyte
should be assessed FIRST? - answers-Potassium
3. A 46-year-old woman is considering having another child. The healthcare providers
are explaining to the woman that children born to women late in life have an increased
rate of having children with which condition? - answers-Down Syndrome
4. A patient with several risk factors is concerned about developing type 2 diabetes. The
healthcare professional advises the patient to lose weight, explaining that obesity is an
important risk factor for type 2 diabetes mellitus because it causes what? - answers-
Increased resistance to insulin in the cells
5. When evaluating a patient for hypertensive target organ damage, the APRN looks for
evidence of: - answers-Left ventricular hypertrophy
6. On ultrasound, a patient had 4-chamber dilation with an ejection fraction of 15% and
a pleural effusion on chest x-ray. Elevated liver function tests, hypokalemia, and
hypomagnesemia are seen on lab results. Blood pressure is 115/60, and heart rate is
110 bpm with regular rate and rhythm, respiratory rate 30 bpm and O2 saturation is
88% on room air. Initial therapy should include all of the following except: - answers-
Digoxin
7. A patient in the emergency department is suspected of having a myocardial infarction
(MI). The initial cardiac troponin 1 level was negative. What action by the healthcare
professional is best? - answers-Schedule a repeat troponin within a few hours.
8. Which patient would the healthcare professional assess for elevated levels of
antidiuretic hormone (ADH) secretion? - answers-Being treated for small cell carcinoma
of the stomach
9. A post-operative patient with gallbladder surgery has an epidural infusion of Astra
morph. The patient's respiratory rate starts to decline to 9 breaths/minute. Which
, medication should the healthcare provider anticipate administering to this patient? -
answers-Naloxone
10. A patient is brought to the emergency department with a gunshot wound to the
chest. The healthcare professional assesses an abnormality involving a pleural rupture
that acts as a one-way valve, permitting air to enter on inspiration but preventing its
escape by closing during expiration. What action by the healthcare professional is the
priority? - answers-Assist with a chest tube insertion.
11. A 2-year-old pediatric patient with limited medical history available arrives to an
urgent care with excessive irritability and crying. X-rays were obtained and noted to
have fractures of the metatarsals of the foot and left tibia. On exam, the nurse notes that
the patient seems to have a blue tint to both sclera, and she didn't seem to react
normally when the nurse was talking to her. Which diagnosis is most likely in this case?
- answers-Osteogenesis imperfecta
12.A patient who has chronic kidney disease has hemoglobin of 7.2 mg/dL. What
treatment does the healthcare professional prepare the patient for? - answers-
Erythropoietin
13.A healthcare professional is assessing a patient who could have either pyelonephritis
or cystitis. Which differentiating sign would assist the professional in making this
diagnosis? - answers-Urinalysis confirmation of white blood cell casts
14.James, a 22-year-old firefighter, presents to your practice with dyspnea on excretion.
He reports that he has trouble keeping up with his squad and can no longer carry his 40
lb. pack. He reports 2 months of nocturnal cough, a 10 lb. weight loss and fatigue. He
denies any history of smoking and he drinks 2-3 six packs of beer daily. He presented 3
weeks ago to a primary care clinic where he was told he had pneumonia and asthma.
He was started on antibiotics and a B-agonist, but still does not feel well. Which
pneumonia and asthma. He was started on antibiotics and a B-agonist, but still does not
feel well. Which of the following findings is the least specific in making a diagnosis? -
answers-Wheezing
15.A patient with history of a hemithyroidectomy is attending her annual wellness exam.
The healthcare provider orders a serum TSH. The results are 4.6 microunits/mL, with a
normal range of 0.3 - 6 microunits/milk The healthcare provider can draw the following
conclusion about this patient's thyroid function. - answers-TSH is normal indicating that
the patient's thyroid hormone is normal.
16.Lab results reveal that a 55-year-old male patient with insulin-dependent type 2
diabetes has a HgbA1c of 6.9%. A review of his medications reveals that he takes 60
units of Lantus SQ at night and covers his meals with Humalog insulin using a sliding
scale. Based on this information alone, what changes to his treatment regimen should
the provider recommend? - answers-Make no changes
