WGU D027 OBJECTIVE ASSESSMENT FINAL

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WGU D027 OBJECTIVE ASSESSMENT FINAL

EXAM NEWEST 2024-2025 ACTUAL EXAM

COMPLETE 100 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES

(VERIFIED ANSWERS ) |ALREADY GRADED A+

WGU D027 OA FINAL EXAM

A 45-year-old male is being seen in the clinic for a yearly check- up and lab work. His history includes hypertension and hyperlipidemia for which he currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a family history of diabetes, hypertension, heart disease, and hyperlipidemia. After obtaining lab work, the provider notices the patient's hgbA1c is elevated at 7.5. The patient is already on a DASH diet and watching the amount of sweets and carbohydrates he eats daily.The patient is not overweight and participates in moderate physical activity at least 4-5 days a week. He was started on Metformin three months ago, and his hemoglobin A1c is now

6.9. The nurse expects to see a class of medication prescribed

which is proven to reduce the risk of cardiovascular events.Considering the treatment guidelines from the American College of Cardiology, which medication should be recommended for this patien - ANSWER- Invokana 100 mg daily Rationale; --Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to metformin. It is used 1 / 4

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together with exercise and diet. It is not recommended in type 1 diabetes. It is taken by mouth.

A 78-year-old female presents to the clinic for a checkup and refills on her medications. She is currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Synthroid). The patient has a history of hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric ulcers. The patient is concerned about heart disease and wants to start taking a low- dose aspirin. Which aspirin regimen recommendation should the advanced professional nurse (APN) give to the patient? - ANSWER- Low-dose enteric coated aspirin 81 mg daily

A 28-year-old married female presents to primary care accompanied by her husband with complaints of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty concentrating. The patient explains that she has been experiencing these symptoms with increasing frequency over the last two months and reports feeling upset that she has gained 10 pounds over the past month despite no significant changes in dietary intake or activity level. The patient holds a bachelor's degree and is employed full time as an accountant. The patient reports feeling frustrated with her poor concentration and identifies recent work errors to be due to this symptom. The patient explains that she and her spouse plan to start trying to conceive soon, and she is worried that she may have trouble becoming pregnant. The patient reports using over-the-counter 2 / 4

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laxative products over the last week to combat constipation. The patient repo - ANSWER- 5.31 mIU/L

A 74- year-old male with Cushing syndrome presents to the emergency department (ED) with pain in his left leg, and is diagnosed with a deep vein thrombosis (DVT).What is this patient's symptoms related to? - ANSWER- Elevated Von Willebrand factor

A 42-year-old asthmatic who has been using beta-adrenergic agonists for several years began to experience premature atrial contractions (PACs). To treat the PACs, metoprolol (Toprol XL) therapy was started.What is a likely consequence of this patient taking metoprolol (Toprol XL)? - ANSWER- Metoprolol (Toprol XL) worsened asthma symptoms, but improved the PACs.Rationale; -- Beta blockers are widely used in the management of cardiac conditions and thyrotoxicosis, and to reduce perioperative complications. Asthma and chronic obstructive pulmonary disease (COPD) have been classic contraindications to the use of beta blockers because of their potential for causing bronchospasm.

Which inhaler prescription would support long-acting treatment for twice-daily use in controlled asthma management? - ANSWER- Fluticasone propionate/salmeterol (Advair Diskus) 3 / 4

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Rationale; --Fluticasone and salmeterol is a combination of two medicines that are used to help control the symptoms of asthma and improve breathing.

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

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