Section Quizzes COMBINATION examination 2025 -2026 QUESTIONS WITH
CORRECT ANSWERS VERIFIED 100% GRADED A+
D027 WGU
Crohn's disease is associated with increased risk of malignancy in which
segments of the G.I. tract?
A. Duodenum and colon
B. Esophagus and stomach
C. Ileum and jejunum
D. Ileum and colon
D. Ileum and colon
--Patients with poorly controlled Crohn's disease will be at a heightened risk for
malignancy in the distal G.I. tract which includes the ileum and colon.
Which of the following is not a function of the kidney?
A. Release of oxytocin
B. Release of antidiuretic hormone
C. Release of erythropoietin
D. Release of renin
A. Release of oxytocin
--This is a function of the posterior pituitary gland
Short-acting beta 2 agonists reduce symptoms of asthma by causing
A. Bronchial smooth muscle relaxation
B. Bronchial smooth muscle contraction
C. Decreased airway sensitivity
D. Decreased immune hypersensitivity
A. Bronchial smooth muscle relaxation
--An agonist effect on the beta 2 receptors in the lungs causes bronchiole smooth
muscle relaxation which leads to bronchodilation thereby improving air exchange.
Which endocrine gland is responsible for regulation of calcium?
A. Adrenal gland
B. Thyroid gland
C. Parathyroid gland
D. Pancreas
C. Parathyroid gland
--The parathyroid gland regulates calcium through a negative feedback loop similar
to all endocrine system organs.
The most common mental health disorder that goes unidentified in primary
care is:
A. Depression
B. Obsessive-compulsive disorder
,C. Anxiety
D. Schizophrenia
Q. Depression
--Depression is the most common mental health condition diagnosed yet many go
undiagnosed due to inadequate screening practices or patient denial.
Which nonpharmacologic strategy is most effective in managing a patient with
schizophrenia?
A. Cognitive behavioral therapy
B. Hypnotherapy
C. Herbal therapy
D. Nonpharmacologic therapies do not work with this diagnosis
A. Cognitive behavioral therapy
--Schizophrenia is thought to be caused by imbalances of neurotransmitters
glutamate and dopamine therefore pharmacotherapy is required. Cognitive
behavioral therapy will help redirect hallucinations, delusions and disordered thinking
common to this diagnosis which may decrease adjunct medication uses like
benzodiazepines.
Recommended duration of using antianxiety agents like the benzodiazepine
group, when treating anxiety disorders is:
A. Generally given for 4 to 6 months
B. Continued at least six months after remission is achieved
C. Continued indefinitely with the first diagnosis of the condition
D. Titrated to the highest dose recommended after symptom relief is achieved
Continued at least six months after remission is achieved
A 36-year-old man with asthma requires antihypertensive therapy. Which one
of the medications should be avoided?
A. Hydrochlorothiazide
B. Propanolol
C. Amlodipine
D. Enalapril
B. Propanolol
--Propanolol is a beta-2 blocker and contraindicated in patients with chronic
respiratory conditions due to the bronchoconstrictive risk this drug would pose.
To determine a patient's adequacy of alveolar ventilation which assessment
would be most helpful?
A. Venous blood gas shows a PaCO2 of 44 mmHg
B. Ventilatory pattern is regular and rhythmic.
C. Respiratory effort is strained with muscle involvement.
D. Arterial blood gas shows a PaCO2 of 44 mmHg
D. Arterial blood gas shows a PaCO2 of 44 mmHg
--Observation of the ventilatory rate, pattern, or effort cannot determine the
adequacy of alveolar ventilation. If a healthcare professional needs to determine the
adequacy of ventilation, then an arterial blood gas would be the most helpful.
The mechanism of radioactive iodine in the treatment of Grave's disease is to:
A. Destroy the overactive thyroid tissue
,B. Reduce the production of TSH
C. Alter thyroid metabolic rate
D. Relieve distress caused by increased thyroid size
A. Destroy the overactive thyroid tissue
--By decreasing viability of a portion of the thyroid gland the aim is to have normal
levels of thyroid hormone produced.
When norepinephrine binds with alpha-2 receptors, the expected physiologic
response is which one of the following?
A. Bradycardia
B. Tachycardia
C. Bladder relaxation
D. Hypertension
A. Bradycardia
--
A patient receiving the loop diuretic furosemide may experience which "first
dose" adverse reaction?
A. Hypokalemia
B. Ototoxicity
C. Nephrotoxicity
D. Hypotension
D. Hypotension
--The loop diuretic category is the fastest acting diuretic therefore the first dose
adverse effect most common would be hypotension. Hypokalemia may also be the
case if the patient had borderline low potassium before receiving the medication but
that information is not evident. Ototoxicity and nephrotoxicity are more common with
repeated doses of this medication category.
A 30-week pregnant female should not receive which vaccine?
A. Tdap
B. Influenza
C. Hepatitis B
D. varicella
D. varicella
--The effects of the varicella vaccine are unknown therefore this vaccine is
contraindicated. Congenital defects are a possible consequence to the fetus when
live vaccines are administered during pregnancy, particularly the first 2 trimesters.
Non-pregnant females should not become pregnant for at least 1 month after
receiving the vaccine.
What is the gold standard for the suspected diagnosis of Celiac Disease?
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?
EGFR mutation
, A 20-year-old male meets with an advanced professional nurse (APN) to
discuss symptoms that have been slowly progressing over the past several
years. He is mainly concerned because he has been falling frequently. Since
childhood, his gait has consisted of walking on his toes. During middle school,
he was able to participate in sports but was unable to participate in high
school sports due to difficulty with running and jumping. Lately, he has
noticed it takes longer and is more difficult to change positions from sitting to
standing than it used to in the past. He has also been waking up with muscle
and joint stiffness. The APRN notes that his family history is not significant for
any chronic or genetic diseases. Which condition is likely to be the cause of
these symptoms?
Becker muscular dystrophy
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular
dystrophy, a genetic disorder that gradually makes the body's muscles weaker and
smaller. It causes less severe problems than the most common type, Duchenne
muscular dystrophy.
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia?
SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
A female patient presents to an office to establish care. Her previous primary
care provider told her to follow up regarding an elevated ferritin level. She has
no previous medical history and is currently asymptomatic. She is concerned
about the elevated ferritin and would like to know if she should be worried.
What should the provider do next for this patient?
Order a liver function test
A 75-year-old female presents to the emergency department with an irregular
heart rate of 130.What can be ascertained about this patient's findings given
the limited information?
She is diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
Which condition from this patient's medical history is contributing to the loss
of contractility?
Acute myocardial infarction
Which condition is this patient suffering from?
Diabetic ketoacidosis
A 45-year-old female fears that she is having a stroke and takes herself to an
emergency room. After several diagnostic and laboratory tests, the patient is
diagnosed with Cushing disease. Which lab abnormality would be present in
this patient?
Increased cortisol
SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting?
Asthma
A two-year-old child presents with a clear runny nose and cough which has
lasted 3 days. The child's mother reports the cough sounds like a barking
noise. The child is sleeping in the mother's arms and appears to have stridor.
The child's mother also reports an axillary temperature of 101°F last night.
Which management technique is appropriate for this child's symptoms?
Oral steroids and breathing treatments