WGU D115 OA Study Guide Unit 5 questions with
verified answers
A 34 year old pt is dx with primary hypertension, and an APRN is reviewing the
causes of the problem with the patient. What is a cause of this diagnosis?
Ans✓✓✓ Genetics which are non-modifiable risk factors
Secondary: modifiable risk factors
A 56 year old pt presents to the ED with acute CP on the day after the funeral of a
spouse. Diagnostics results reveal ST elevation and elevated troponins. What is
the probably diagnosis of these symptoms? Ans✓✓✓ Takotsubo cardiomyopathy
also called stress cardiomyopathy, broken heart syndrome
A 78 year old woman with long-standing, poorly controlled HTN. When evaluated
her for HTN target organ damage what do you look for? Ans✓✓✓ Left ventricular
hypertrophy
LVH is prevalent amoung HTN pts
A child presents to a clinic with fever, conjunctivitis, and a strawberry tongue. An
APRN assesses the pt, and stage IV Kawasaki disease is suspected. What is the
pathological mechanism in this disorder? Ans✓✓✓ Intimal thickening and
stenosis of coronary arteries
A new patient is being interviewed by the nurse practitioner. The patient reports
that she had a gastrectomy procedure 5 years ago to treat severe obesity.
Currently, her body mass index (BMI) is 25 and the patient denies complications
, from the procedure. The nurse practitioner is aware that the patient is at higher
risk for which of the following disorders? Ans✓✓✓ B12-deficiency anemia
Stomach site of absorption for B12 by intrinsic factor from parietal cells
A patient who underwent a percutaneous, transluminal coronary angioplasty four
weeks ago has a subsequent ejection fraction of 30%. The patient returns for a
follow-up visit. Examination reveals lungs that are clear to auscultation and slight
pedal edema. The patient's medications are digoxin (Lanoxin), furosemide (Lasix),
enalapril maleate (Vasotec), and aspirin. The patient reports a 5-lb (2.27-kg)
weight gain over the past two days. The cardiac-vascular nurse's initial action is
to? Ans✓✓✓ Inquire about the pt's medical compliance
lasix is used to decrease swelling especially in the lower extremities
A pt presents to the clinic with a chief complaint of numbness and tingling in the
hands and fingertips that is relieved by warmth. The pt reports fingers turning
blue and white and has no other medical hx. Which condition is this? Ans✓✓✓
Raynaud disease
A pt presents to the clinic with c/o epitaxsis. An APRN does an assessment and
notes areas of ecchymosis and petechiae. The APRN questions the pt about
current activities and medications and orders lab studies. Which lab exam should
the APRN order for this pt? Ans✓✓✓ Platelet count
Platelets form clots. If the count is low increase risk for bleeding. If high increase
risk for thrombis
verified answers
A 34 year old pt is dx with primary hypertension, and an APRN is reviewing the
causes of the problem with the patient. What is a cause of this diagnosis?
Ans✓✓✓ Genetics which are non-modifiable risk factors
Secondary: modifiable risk factors
A 56 year old pt presents to the ED with acute CP on the day after the funeral of a
spouse. Diagnostics results reveal ST elevation and elevated troponins. What is
the probably diagnosis of these symptoms? Ans✓✓✓ Takotsubo cardiomyopathy
also called stress cardiomyopathy, broken heart syndrome
A 78 year old woman with long-standing, poorly controlled HTN. When evaluated
her for HTN target organ damage what do you look for? Ans✓✓✓ Left ventricular
hypertrophy
LVH is prevalent amoung HTN pts
A child presents to a clinic with fever, conjunctivitis, and a strawberry tongue. An
APRN assesses the pt, and stage IV Kawasaki disease is suspected. What is the
pathological mechanism in this disorder? Ans✓✓✓ Intimal thickening and
stenosis of coronary arteries
A new patient is being interviewed by the nurse practitioner. The patient reports
that she had a gastrectomy procedure 5 years ago to treat severe obesity.
Currently, her body mass index (BMI) is 25 and the patient denies complications
, from the procedure. The nurse practitioner is aware that the patient is at higher
risk for which of the following disorders? Ans✓✓✓ B12-deficiency anemia
Stomach site of absorption for B12 by intrinsic factor from parietal cells
A patient who underwent a percutaneous, transluminal coronary angioplasty four
weeks ago has a subsequent ejection fraction of 30%. The patient returns for a
follow-up visit. Examination reveals lungs that are clear to auscultation and slight
pedal edema. The patient's medications are digoxin (Lanoxin), furosemide (Lasix),
enalapril maleate (Vasotec), and aspirin. The patient reports a 5-lb (2.27-kg)
weight gain over the past two days. The cardiac-vascular nurse's initial action is
to? Ans✓✓✓ Inquire about the pt's medical compliance
lasix is used to decrease swelling especially in the lower extremities
A pt presents to the clinic with a chief complaint of numbness and tingling in the
hands and fingertips that is relieved by warmth. The pt reports fingers turning
blue and white and has no other medical hx. Which condition is this? Ans✓✓✓
Raynaud disease
A pt presents to the clinic with c/o epitaxsis. An APRN does an assessment and
notes areas of ecchymosis and petechiae. The APRN questions the pt about
current activities and medications and orders lab studies. Which lab exam should
the APRN order for this pt? Ans✓✓✓ Platelet count
Platelets form clots. If the count is low increase risk for bleeding. If high increase
risk for thrombis
