WGU D027 OA EXAM 2026 ACTUAL EXAM TEST
BANK 200 QUESTIONS AND CORRECT DETAILED
ANSWERS
1. A patient with type 2 diabetes is currently on Metformin and has a
hemoglobin A1c of 8.5%. After discussing treatment options, the physician
decides to add a medication. Which of the following scenarios would best
justify the addition of a GLP-1 receptor agonist?
The patient prefers to manage their diabetes solely with diet and
exercise.
The patient is overweight and has difficulty controlling their blood
sugar levels.
The patient has normal blood sugar levels and does not require
additional medication.
The patient has a history of heart failure and cannot take any new
medications.
2. Why is it important for the nurse to assess the patient's heart rate before
giving digoxin?
Digoxin is metabolized in the liver, so liver function tests are
necessary.
Digoxin increases blood pressure, so the nurse must ensure it is low
enough.
Digoxin affects respiratory function, so the nurse must check
breathing patterns.
Digoxin can cause bradycardia, so checking the heart rate ensures it
is safe to administer.
3. According to the most recent Standards of Care from the American Diabetes
, Association (ADA), which is the next step for a patient with atherosclerotic
cardiovascular disease (ASCVD) who is on metformin and is unable to
achieve their A1c target?
Continue metformin and add a sulfonylurea medication
Discontinue metformin and begin a different biguanide or a
thiazolidinedione medication
Continue metformin and add a sodium-glucose cotransporter 2
inhibitor or glucagon-like peptide 1 agonist
Continue metformin and add a dipeptidyl peptidase 4 inhibitor
4. A diagnostic test is said to be highly specific and less sensitive. What does
this mean?
The test is better at identifying those who may develop the condition.
The test is better at identifying people who do not have the
condition.
The test is better at identifying those who have the condition.
The test is better at identifying how at risk a person is for a specific
condition.
5. Describe the factors that an IV therapy nurse should consider when
prioritizing patients.
The nurse should prioritize based on the time of arrival at the hospital.
The nurse should only consider the patient's age and gender.
The nurse should consider the severity of the patient's condition,
the urgency of the IV therapy needed, and the potential
complications.
The nurse should prioritize patients based on their insurance status.
6. Why is the patient who is four days post right lobectomy prioritized over the
, others?
This patient has mild pain, which is expected after surgery.
This patient has stable vital signs and is recovering well.
This patient shows signs of potential complications such as
tachycardia and lightheadedness.
This patient is experiencing nausea, which is common postoperatively.
7. What are laboratory or other diagnostic tests ordered for?
To help the physician bill for more services
To assist the patient in meeting a deductible
To ensure the patient has had all tests related to a possible diagnosis
To confirm a diagnosis or to rule out other possible disorders
8. A person's health and wellbeing are dependent on a good start, good future,
good care, and support. These influences, social, economic, physical, and
environmental factors are known as:
Population health
Social determinants of health
Health environment
Socioeconomic status
9. If a patient has a history of coronary artery disease, how might this condition
affect their heart's contractility during exercise?
It will only affect heart rate, not contractility during exercise.
It will increase contractility, enhancing cardiac output during exercise.
It will have no effect on contractility during exercise.
, It may decrease contractility, leading to reduced cardiac output
during exercise.
10. A patient is having frequent asthma exacerbations requiring use of a rescue
inhaler 3 separate days during the week. Which of the following medications
would be added first for long term control of asthma symptoms?
no additional med needed, just increase frequency of short acting
beta agonist
long acting beta agonist (LABA)
inhaled corticosteroid (ICS)
oral corticosteroid
11. On a follow-up appointment, a mother of a newborn reports the infant draws
up the legs, clenches fists, and cries as if in pain. The mother reports the
symptoms usually occur during the evening but the baby tolerates formula
well. The nurse tells the mother that the baby has infantile colic. The mother
inquires about the child's prognosis. How should the nurse describe the
prognosis of infantile colic to the patient's mother?
The etiology is unspecified, therefore the diagnosis is long-lasting.
Children will typically have symptoms until three years of age.
Children usually outgrow the condition at about three months of
age.
The child will outgrow colic symptoms at 12 months of age.
12. If the patient who is four days post right lobectomy continues to exhibit
tachycardia and cold sweats, what should be the nurse's immediate action?
Assess the patient for signs of shock or other complications.
Encourage the patient to ambulate to prevent complications.
Document the vital signs and monitor for changes.
BANK 200 QUESTIONS AND CORRECT DETAILED
ANSWERS
1. A patient with type 2 diabetes is currently on Metformin and has a
hemoglobin A1c of 8.5%. After discussing treatment options, the physician
decides to add a medication. Which of the following scenarios would best
justify the addition of a GLP-1 receptor agonist?
The patient prefers to manage their diabetes solely with diet and
exercise.
The patient is overweight and has difficulty controlling their blood
sugar levels.
The patient has normal blood sugar levels and does not require
additional medication.
The patient has a history of heart failure and cannot take any new
medications.
2. Why is it important for the nurse to assess the patient's heart rate before
giving digoxin?
Digoxin is metabolized in the liver, so liver function tests are
necessary.
Digoxin increases blood pressure, so the nurse must ensure it is low
enough.
Digoxin affects respiratory function, so the nurse must check
breathing patterns.
Digoxin can cause bradycardia, so checking the heart rate ensures it
is safe to administer.
3. According to the most recent Standards of Care from the American Diabetes
, Association (ADA), which is the next step for a patient with atherosclerotic
cardiovascular disease (ASCVD) who is on metformin and is unable to
achieve their A1c target?
Continue metformin and add a sulfonylurea medication
Discontinue metformin and begin a different biguanide or a
thiazolidinedione medication
Continue metformin and add a sodium-glucose cotransporter 2
inhibitor or glucagon-like peptide 1 agonist
Continue metformin and add a dipeptidyl peptidase 4 inhibitor
4. A diagnostic test is said to be highly specific and less sensitive. What does
this mean?
The test is better at identifying those who may develop the condition.
The test is better at identifying people who do not have the
condition.
The test is better at identifying those who have the condition.
The test is better at identifying how at risk a person is for a specific
condition.
5. Describe the factors that an IV therapy nurse should consider when
prioritizing patients.
The nurse should prioritize based on the time of arrival at the hospital.
The nurse should only consider the patient's age and gender.
The nurse should consider the severity of the patient's condition,
the urgency of the IV therapy needed, and the potential
complications.
The nurse should prioritize patients based on their insurance status.
6. Why is the patient who is four days post right lobectomy prioritized over the
, others?
This patient has mild pain, which is expected after surgery.
This patient has stable vital signs and is recovering well.
This patient shows signs of potential complications such as
tachycardia and lightheadedness.
This patient is experiencing nausea, which is common postoperatively.
7. What are laboratory or other diagnostic tests ordered for?
To help the physician bill for more services
To assist the patient in meeting a deductible
To ensure the patient has had all tests related to a possible diagnosis
To confirm a diagnosis or to rule out other possible disorders
8. A person's health and wellbeing are dependent on a good start, good future,
good care, and support. These influences, social, economic, physical, and
environmental factors are known as:
Population health
Social determinants of health
Health environment
Socioeconomic status
9. If a patient has a history of coronary artery disease, how might this condition
affect their heart's contractility during exercise?
It will only affect heart rate, not contractility during exercise.
It will increase contractility, enhancing cardiac output during exercise.
It will have no effect on contractility during exercise.
, It may decrease contractility, leading to reduced cardiac output
during exercise.
10. A patient is having frequent asthma exacerbations requiring use of a rescue
inhaler 3 separate days during the week. Which of the following medications
would be added first for long term control of asthma symptoms?
no additional med needed, just increase frequency of short acting
beta agonist
long acting beta agonist (LABA)
inhaled corticosteroid (ICS)
oral corticosteroid
11. On a follow-up appointment, a mother of a newborn reports the infant draws
up the legs, clenches fists, and cries as if in pain. The mother reports the
symptoms usually occur during the evening but the baby tolerates formula
well. The nurse tells the mother that the baby has infantile colic. The mother
inquires about the child's prognosis. How should the nurse describe the
prognosis of infantile colic to the patient's mother?
The etiology is unspecified, therefore the diagnosis is long-lasting.
Children will typically have symptoms until three years of age.
Children usually outgrow the condition at about three months of
age.
The child will outgrow colic symptoms at 12 months of age.
12. If the patient who is four days post right lobectomy continues to exhibit
tachycardia and cold sweats, what should be the nurse's immediate action?
Assess the patient for signs of shock or other complications.
Encourage the patient to ambulate to prevent complications.
Document the vital signs and monitor for changes.
