WGU D116 Unit 7 Questions and
Answers A+ Graded (2025)
An .older .adult .patient .with .severe .gastroesophageal .reflux .disease .(GERD) .has
.had .only .minimal .relief .using .a .histamine2-receptor .antagonist .(H2RA). .The
.patient .is .to .begin .taking .omeprazole.
What .should .the .provider .teach .this .patient? .- .CORRECT .ANSWER-Long-term
.therapy .may .be .needed .for .severe .GERD
A .patient .is .diagnosed .with .Zollinger-Ellison .syndrome.
Which .medication .should .the .provider .order .for .this .patient? .- .CORRECT
.ANSWER-Ranitidine .which .is .a .H2 .receptor .antagonist .BID
Zollinger .ellison .syndrome: .body .produces .too .much .gastrin .which .causes .acid
.= .peptic .ulcers .and .diarrhea .
Not .cimetidine .because .it .is .an .CYP450 .inhibitor .- .decreases .metabolism .-
.increases .drug .effects
A .patient .has .been .taking .senna .for .several .days, .and .the .provider .notes .that
.the .urine .is .yellowish-brown.
What .should .the .provider .know .about .this .symptom? .- .CORRECT .ANSWER-It .is
.an .expected, .harmless .effect .of .senna
Senna .(exlax) .is .a .stimulant .laxative .
Yellowish-brown .pink .color .is .expected
Which .statement .is .correct .about .the .contrast .between .acarbose .and .miglitol? .-
.CORRECT .ANSWER-Miglitol .has .not .been .associated .with .hepatic .dysfunction
.like .acarbose .has .
both .drugs .are .alpha-glucosidase .inhibitors
A .patient .with .type .1 .diabetes .who .takes .insulin .reports .taking .propranolol .for
.hypertension.
Why .should .the .provider .be .concerned? .- .CORRECT .ANSWER-BB .can .mask
.symptoms .of .hypoglycemia
, A .patient .in .her .twenties .with .Graves' .disease .who .takes .methimazole .tells .her
.provider .that .she .is .trying .to .conceive .and .asks .about .disease .management
.during .pregnancy.
How .should .the .provider .respond? .- .CORRECT .ANSWER-Discuss .changing .to
.propylthiouracil .from .now .until .2nd .trimester
Methimazole .is .not .safe .during .1st .trimester .because .it .is .associated .with
.neonatal .hypothyroidism, .goiter, .and .cretinism .- .is .safe .in .2nd .and .third
.trimesters
A .patient .has .a .free .T4 .level .of .0.6 .ng/dL .and .a .free .T3 .level .of .220 .pg/dL. .The
.patient .asks .the .provider .what .these .laboratory .values .mean.
How .should .the .provider .respond? .- .CORRECT .ANSWER-"We .will .need .to
.obtain .a .TSH .level .to .better .evaluate .your .dx"
Free .T4 .level .less .than .0.9 .and .a .free .T3 .level .less .than .230 .are .consistent .with
.hypothyroidism .
Measurement .of .TSH .is .necessary .to .distinguish .primary .from .secondary
.hypothyroidism
A .patient .will .begin .taking .phentermine .and .topiramate .to .help .with .weight .loss
.and .asks .the .provider .why .the .second .ingredient .is .necessary.
Which .is .the .correct .response .by .the .provider? .- .CORRECT .ANSWER-
"Topiramate .helps .produce .feelings .of .satiety .to .augment .the .drug .effects" .
Antiseizure .med
A .provider .is .teaching .a .patient .who .is .about .to .begin .drug .therapy .with
.orlistat. .The .patient, .whose .BMI .is .28, .has .hypertension .and .type .2 .diabetes
.mellitus.
Which .statement .by .the .patient .indicates .understanding .of .the .teaching? .-
.CORRECT .ANSWER-"I .will .need .to .take .a .multi-vitamin .containing .fat-soluble
.vitamins .everyday"
Orlistat .works .by .reducing .fat .absorption, .so .fat-soluble .vitamins .are .not
.absorbed .well .(ADEK)
A .healthcare .professional .is .discussing .the .use .of .immunosuppressants .for .the
.treatment .of .inflammatory .bowel .disease .(IBD) .with .a .group .of .nursing
.students.
Which .statement .by .a .student .indicates .understanding .of .the .teaching? .-
.CORRECT .ANSWER-"Cyclosporine .can .be .used .to .induce .remission .of .IBD"
Can .be .given .IV .to .induce .rapid .remission .of .IBD
Methotrexate .used .to .promote .the .short-term .remission .of .IBD
Answers A+ Graded (2025)
An .older .adult .patient .with .severe .gastroesophageal .reflux .disease .(GERD) .has
.had .only .minimal .relief .using .a .histamine2-receptor .antagonist .(H2RA). .The
.patient .is .to .begin .taking .omeprazole.
What .should .the .provider .teach .this .patient? .- .CORRECT .ANSWER-Long-term
.therapy .may .be .needed .for .severe .GERD
A .patient .is .diagnosed .with .Zollinger-Ellison .syndrome.
Which .medication .should .the .provider .order .for .this .patient? .- .CORRECT
.ANSWER-Ranitidine .which .is .a .H2 .receptor .antagonist .BID
Zollinger .ellison .syndrome: .body .produces .too .much .gastrin .which .causes .acid
.= .peptic .ulcers .and .diarrhea .
Not .cimetidine .because .it .is .an .CYP450 .inhibitor .- .decreases .metabolism .-
.increases .drug .effects
A .patient .has .been .taking .senna .for .several .days, .and .the .provider .notes .that
.the .urine .is .yellowish-brown.
What .should .the .provider .know .about .this .symptom? .- .CORRECT .ANSWER-It .is
.an .expected, .harmless .effect .of .senna
Senna .(exlax) .is .a .stimulant .laxative .
Yellowish-brown .pink .color .is .expected
Which .statement .is .correct .about .the .contrast .between .acarbose .and .miglitol? .-
.CORRECT .ANSWER-Miglitol .has .not .been .associated .with .hepatic .dysfunction
.like .acarbose .has .
both .drugs .are .alpha-glucosidase .inhibitors
A .patient .with .type .1 .diabetes .who .takes .insulin .reports .taking .propranolol .for
.hypertension.
Why .should .the .provider .be .concerned? .- .CORRECT .ANSWER-BB .can .mask
.symptoms .of .hypoglycemia
, A .patient .in .her .twenties .with .Graves' .disease .who .takes .methimazole .tells .her
.provider .that .she .is .trying .to .conceive .and .asks .about .disease .management
.during .pregnancy.
How .should .the .provider .respond? .- .CORRECT .ANSWER-Discuss .changing .to
.propylthiouracil .from .now .until .2nd .trimester
Methimazole .is .not .safe .during .1st .trimester .because .it .is .associated .with
.neonatal .hypothyroidism, .goiter, .and .cretinism .- .is .safe .in .2nd .and .third
.trimesters
A .patient .has .a .free .T4 .level .of .0.6 .ng/dL .and .a .free .T3 .level .of .220 .pg/dL. .The
.patient .asks .the .provider .what .these .laboratory .values .mean.
How .should .the .provider .respond? .- .CORRECT .ANSWER-"We .will .need .to
.obtain .a .TSH .level .to .better .evaluate .your .dx"
Free .T4 .level .less .than .0.9 .and .a .free .T3 .level .less .than .230 .are .consistent .with
.hypothyroidism .
Measurement .of .TSH .is .necessary .to .distinguish .primary .from .secondary
.hypothyroidism
A .patient .will .begin .taking .phentermine .and .topiramate .to .help .with .weight .loss
.and .asks .the .provider .why .the .second .ingredient .is .necessary.
Which .is .the .correct .response .by .the .provider? .- .CORRECT .ANSWER-
"Topiramate .helps .produce .feelings .of .satiety .to .augment .the .drug .effects" .
Antiseizure .med
A .provider .is .teaching .a .patient .who .is .about .to .begin .drug .therapy .with
.orlistat. .The .patient, .whose .BMI .is .28, .has .hypertension .and .type .2 .diabetes
.mellitus.
Which .statement .by .the .patient .indicates .understanding .of .the .teaching? .-
.CORRECT .ANSWER-"I .will .need .to .take .a .multi-vitamin .containing .fat-soluble
.vitamins .everyday"
Orlistat .works .by .reducing .fat .absorption, .so .fat-soluble .vitamins .are .not
.absorbed .well .(ADEK)
A .healthcare .professional .is .discussing .the .use .of .immunosuppressants .for .the
.treatment .of .inflammatory .bowel .disease .(IBD) .with .a .group .of .nursing
.students.
Which .statement .by .a .student .indicates .understanding .of .the .teaching? .-
.CORRECT .ANSWER-"Cyclosporine .can .be .used .to .induce .remission .of .IBD"
Can .be .given .IV .to .induce .rapid .remission .of .IBD
Methotrexate .used .to .promote .the .short-term .remission .of .IBD
