WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
WGU D027 PATHOPHARMACOLOGICAL ADVANCED FOUNDATIONS OBJECTIVE
FINAL EXAM NEWEST 2025 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED A
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? - 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? - 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
pregnancy. Ice use has been ineffective. After a benign exam and a negative urinalysis, the
provider is convinced that the pain is musculoskeletal. The patient inquires if there are any
medications she can take for the pain. Which medication does the provider tell the patient she
can safely take? - ANSWER-Acetaminophen (Tylenol)
A nurse is administering medication to a 67-year-old patient in liver failure, secondary to end-
stage cirrhosis. Liver dysfunction can influence drug pharmacokinetics and pharmacodynamics.
Which pharmacokinetic phase is affected in this patient? - ANSWER-Metabolism
A 17-year-old male patient presents to a clinic for a physical, and he has a diagnosis of moderate
glucose-6-phosphate dehydrogenase (G6PD) deficiency. During the exam, he states he is going
to study abroad in Egypt during his sophomore year, and he has concerns about his nutrition
while being away from home. Which counseling about the patient's deficiency should the
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, WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
advanced professional nurse (APN) give to this patient while he studies abroad? - ANSWER-
Acetaminophen (Tylenol) is safe to consume.
A patient presents with new onset of atrial fibrillation that has proved resistant to cardioversion
and ablation. The patient is prescribed Warfarin (Coumadin). Which strategy should be
employed when dosing the medication prescribed for this patient? - ANSWER-Titrate dosage to
an INR of 2.1 seconds
Which medication would be contraindicated for a 46-year-old male patient diagnosed with beta
thalassemia? - ANSWER-Ferrous sulfate (Feosol)
--People with thalassaemia may be advised to avoid iron supplements because they are at risk
of iron overload.
An advanced professional nurse (APN) is administering medications on the pediatric floor and
treating an infant with thrush who is currently taking Nystatin oral suspension (Mycostatin). The
APN knows the infant is unable to follow the directions of swishing the medication and
swallowing. How should the APN administer this infant's suspension? - ANSWER-Swab the
infected area
A two-week-old newborn presents to the pediatric clinic with her mother for a check-up. The
nurse discusses the recommended vaccination guidelines from the Centers for Disease Control
and Prevention (CDC), including the hepatitis B vaccine.What is the recommended schedule for
this patient receiving the hepatitis B vaccination? - ANSWER-Three immunizations with one
injection now (if not given at birth), one injection at two months, and one injection at six
months
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? - ANSWER-Children usually outgrow the
condition at about three months of age.
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, WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
-- infantile colic: Predictable periods of significant distress in an otherwise well-fed, healthy
baby.
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest pain,
indigestion, nausea, and belching after eating certain foods. He is a single father living and
working in New York City. He recently obtained his green card after living in the United States for
more than 10 years. He has a GED and works as an IT help desk technician earning $42,000 a
year. He has health insurance through the New York health marketplace because it is cheaper
than his employer's plan. Because of the high cost of living in New York, the patient is unable to
afford an apartment on his own; therefore, he and his child share a home with his mother and
older sister. As the nurse begins to explore his social history regarding his alcohol use, the
patient states, "I have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and stayi - ANSWER-The
patient's lifestyle structure
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest pain,
indigestion, nausea, and belching after eating certain foods. He is a single father living and
working in New York City. He recently obtained his green card after living in the United States for
more than 10 years. He has a GED and works as an IT help desk technician earning $42,000 a
year. He has health insurance through the New York health marketplace because it is cheaper
than his employer's plan. Because of the high cost of living in New York, the patient is unable to
afford an apartment on his own; therefore, he and his son share a home with his mother and
older sister. As the nurse begins to explore his social history regarding his alcohol use, the
patient states, "I have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and staying - ANSWER-
Seeking higher or advanced education in his field
A 72-year-old male patient comes into the clinic complaining of shortness of breath, wheezing,
chills, and hot flashes at night for over three weeks. He is currently only prescribed a blood
pressure medication but is unsure of the name and has not had any refills in the last several
months. He reports being unsure if he has been exposed to any respiratory illnesses. He
continues to report he is homeless and lives in different shelters or outside. He is unemployed
but does receive assistance money from an unknown donor which averages $300 per month. He
states he does not have any family or social support. The patient states he only has an eighth-
grade education and is unable to read very well. He is unable to write his name, although he has
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, WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
always learned easily by watching and interacting with live instructions. He denies illegal drug
use and uses public transportation.The assessment findings include a blood pressure - ANSWER-
Lack of income and poverty level
A 32-year-old female presents to the emergency room (ER) with headache, fatigue, and
shortness of breath on exertion. A complete blood count reveals a hemoglobin of 4.4g/dl.
During the gynecological review of systems, she reports a change of a fully saturated pad every
two hours for the first three out of six days of a 28-day menstrual cycle. She states she thought
this was normal and has never sought gynecological care. She does not follow with a primary
care physician.Which factor in the "health and healthcare" domain of the social determinants of
health contributed to this patient's hemoglobin of 4.4g/dl? - ANSWER-Health literacy
An emergency room (ER) nurse is in a room caring for a patient when the ER suddenly becomes
very busy and fills all available rooms. When the nurse completes the care of the current
patient, he finds an emergency medical technician (EMT) ready to report on each of the new
patients. Which patient from the report should be seen first? - ANSWER-The 40-year-old male
with crushing chest pain who denies any injury or prior history of heart disease
An advanced professional nurse (APN) on the float team was assigned to provide care of four
postoperative patients on the medical-surgical unit. Which patient should the APN see first? -
ANSWER-The patient who is four days post right lobectomy with a heart rate of 120, cold
sweats, and lightheadedness
What is the gold standard for the suspected diagnosis of Celiac Disease? - ANSWER-Endoscopy
with small intestine biopsy
A 44-year-old woman has recently been diagnosed with advanced metastatic non-small-cell
lung cancer. Genetic testing is 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
4|Page
WGU D027 PATHOPHARMACOLOGICAL ADVANCED FOUNDATIONS OBJECTIVE
FINAL EXAM NEWEST 2025 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED A
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? - 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? - 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
pregnancy. Ice use has been ineffective. After a benign exam and a negative urinalysis, the
provider is convinced that the pain is musculoskeletal. The patient inquires if there are any
medications she can take for the pain. Which medication does the provider tell the patient she
can safely take? - ANSWER-Acetaminophen (Tylenol)
A nurse is administering medication to a 67-year-old patient in liver failure, secondary to end-
stage cirrhosis. Liver dysfunction can influence drug pharmacokinetics and pharmacodynamics.
Which pharmacokinetic phase is affected in this patient? - ANSWER-Metabolism
A 17-year-old male patient presents to a clinic for a physical, and he has a diagnosis of moderate
glucose-6-phosphate dehydrogenase (G6PD) deficiency. During the exam, he states he is going
to study abroad in Egypt during his sophomore year, and he has concerns about his nutrition
while being away from home. Which counseling about the patient's deficiency should the
1|Page
, WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
advanced professional nurse (APN) give to this patient while he studies abroad? - ANSWER-
Acetaminophen (Tylenol) is safe to consume.
A patient presents with new onset of atrial fibrillation that has proved resistant to cardioversion
and ablation. The patient is prescribed Warfarin (Coumadin). Which strategy should be
employed when dosing the medication prescribed for this patient? - ANSWER-Titrate dosage to
an INR of 2.1 seconds
Which medication would be contraindicated for a 46-year-old male patient diagnosed with beta
thalassemia? - ANSWER-Ferrous sulfate (Feosol)
--People with thalassaemia may be advised to avoid iron supplements because they are at risk
of iron overload.
An advanced professional nurse (APN) is administering medications on the pediatric floor and
treating an infant with thrush who is currently taking Nystatin oral suspension (Mycostatin). The
APN knows the infant is unable to follow the directions of swishing the medication and
swallowing. How should the APN administer this infant's suspension? - ANSWER-Swab the
infected area
A two-week-old newborn presents to the pediatric clinic with her mother for a check-up. The
nurse discusses the recommended vaccination guidelines from the Centers for Disease Control
and Prevention (CDC), including the hepatitis B vaccine.What is the recommended schedule for
this patient receiving the hepatitis B vaccination? - ANSWER-Three immunizations with one
injection now (if not given at birth), one injection at two months, and one injection at six
months
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? - ANSWER-Children usually outgrow the
condition at about three months of age.
2|Page
, WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
-- infantile colic: Predictable periods of significant distress in an otherwise well-fed, healthy
baby.
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest pain,
indigestion, nausea, and belching after eating certain foods. He is a single father living and
working in New York City. He recently obtained his green card after living in the United States for
more than 10 years. He has a GED and works as an IT help desk technician earning $42,000 a
year. He has health insurance through the New York health marketplace because it is cheaper
than his employer's plan. Because of the high cost of living in New York, the patient is unable to
afford an apartment on his own; therefore, he and his child share a home with his mother and
older sister. As the nurse begins to explore his social history regarding his alcohol use, the
patient states, "I have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and stayi - ANSWER-The
patient's lifestyle structure
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest pain,
indigestion, nausea, and belching after eating certain foods. He is a single father living and
working in New York City. He recently obtained his green card after living in the United States for
more than 10 years. He has a GED and works as an IT help desk technician earning $42,000 a
year. He has health insurance through the New York health marketplace because it is cheaper
than his employer's plan. Because of the high cost of living in New York, the patient is unable to
afford an apartment on his own; therefore, he and his son share a home with his mother and
older sister. As the nurse begins to explore his social history regarding his alcohol use, the
patient states, "I have two to three beers every night to help me sleep. I have been doing this
for the past year." The patient also states he has trouble falling asleep and staying - ANSWER-
Seeking higher or advanced education in his field
A 72-year-old male patient comes into the clinic complaining of shortness of breath, wheezing,
chills, and hot flashes at night for over three weeks. He is currently only prescribed a blood
pressure medication but is unsure of the name and has not had any refills in the last several
months. He reports being unsure if he has been exposed to any respiratory illnesses. He
continues to report he is homeless and lives in different shelters or outside. He is unemployed
but does receive assistance money from an unknown donor which averages $300 per month. He
states he does not have any family or social support. The patient states he only has an eighth-
grade education and is unable to read very well. He is unable to write his name, although he has
3|Page
, WGU D027 Pathopharmacological Advanced Foundations Objective Final Exam
always learned easily by watching and interacting with live instructions. He denies illegal drug
use and uses public transportation.The assessment findings include a blood pressure - ANSWER-
Lack of income and poverty level
A 32-year-old female presents to the emergency room (ER) with headache, fatigue, and
shortness of breath on exertion. A complete blood count reveals a hemoglobin of 4.4g/dl.
During the gynecological review of systems, she reports a change of a fully saturated pad every
two hours for the first three out of six days of a 28-day menstrual cycle. She states she thought
this was normal and has never sought gynecological care. She does not follow with a primary
care physician.Which factor in the "health and healthcare" domain of the social determinants of
health contributed to this patient's hemoglobin of 4.4g/dl? - ANSWER-Health literacy
An emergency room (ER) nurse is in a room caring for a patient when the ER suddenly becomes
very busy and fills all available rooms. When the nurse completes the care of the current
patient, he finds an emergency medical technician (EMT) ready to report on each of the new
patients. Which patient from the report should be seen first? - ANSWER-The 40-year-old male
with crushing chest pain who denies any injury or prior history of heart disease
An advanced professional nurse (APN) on the float team was assigned to provide care of four
postoperative patients on the medical-surgical unit. Which patient should the APN see first? -
ANSWER-The patient who is four days post right lobectomy with a heart rate of 120, cold
sweats, and lightheadedness
What is the gold standard for the suspected diagnosis of Celiac Disease? - ANSWER-Endoscopy
with small intestine biopsy
A 44-year-old woman has recently been diagnosed with advanced metastatic non-small-cell
lung cancer. Genetic testing is 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
4|Page
