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WGU D027 OBJECTIVE ASSESMENT EXAM LATEST 2024-2025
VERSION A, B, C AND D WITH A PRACTICE TEST ALL COMPLETE
600 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES JUST RELEASED
WGU D027 OBJECTIVE ASSESMENT EXAM VERSION A
A patient who has lung cancer reports facial and neck swelling so severe that some shirts no longer fit. What question by the healthcare professional would be most appropriate to screen for superior vena cava syndrome, a possible complication of cancer tumors?
- "Have you gained weight recently?"
- "Are your feet and ankles swollen?"
- "Does your voice sound hoarse?"
- "When was your last chemotherapy?" - ANSWER-b. "Are your feet and ankles swollen?"
A student asks the health care professional why obese people are at higher risk for hypertension than non-obese individuals. What response by the professional is best?
- They produce more ghrelin in the stomach.
- Their thyroid gland secretes less hormone.
- They produce more angiotensinogen.
- They secrete fewer endocannabinoids. - ANSWER-c. They produce more angiotensinogen.
Angiotensinogen is a precursor of angiotensin I, which, converted to angiotensin II, is a potent vasoconstrictor. Angiotensinogen is produced both by the liver and by adipocytes; therefore obese individuals have more, leading to increased vasoconstriction and increased systemic 1 / 4
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2 vascular resistance which leads to high blood pressure. Ghrelin, produced in the stomach, increases food intake. The thyroid gland function is not directly linked to obesity.Endocannabinoids are associated with increase in appetite and nutrient absorption.
A patient has damage to the lower pons and medulla. What finding does the healthcare professional associate with this injury?
- Flexion with or without extensor response of the lower extremities
- Extension response of the upper and lower extremities
- Extension response of the upper extremities and flexion response of the lower extremities
- Flaccid response in the upper and lower extremities - ANSWER-d. Flaccid response in the
upper and lower extremities
A healthcare professional wants to determine the adequacy of a person's alveolar ventilation.What assessment finding is most important for the professional to consider?
- Respiratory rate of 12 breaths/min
- Ventilatory pattern is regular and rhythmic.
- Respiratory effort is strained with muscle involvement.
- Arterial blood gas shows a PaCO2 of 44 mmHg. - ANSWER-d. Arterial blood gas shows a
PaCO2 of 44 mmHg.
The differential diagnosis of RA will usually include all of the following except:
- Gout
- Fracture 2 / 4
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- OA
- Psoriatic arthritis - ANSWER-b. Fracture
Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic man?
- Ligase chain reaction (LCR)
- Gram-stain technique
- Polymerase chain reaction (PCR)
- DNA testing - ANSWER-b. Gram-stain technique
A patient has a disorder affecting ventricular depolarization. What ECG finding would the healthcare professional associate with this condition?
- Absence of P waves
- Short PR interval
- QT interval variability
- Prolonged QRS interval - ANSWER-d. Prolonged QRS interval
The QRS complex represents the sum of all ventricular muscle cell depolarizations. If a patient had ECG findings suggestive of problems with this activity, there would be prolongation of the QRS interval.
A 25-year-old male complains of urinary urgency, chills, low back pain, and malaise for two days. Objective findings include fever of 101 degrees F., and a tender, boggy prostate gland. 3 / 4
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4 The APRN suspects acute prostatitis and orders which of the following test to identify the
offending organism:
- A urine culture
- A urethral culture
- Antibody testing
- A urine gram stain - ANSWER-a. A urine culture
A urine culture will allow growth and isolation of bacteria which cause the patient's symptoms.The bacteria can be identified and antimicrobial sensitivities determined to provide guidance with
A 29-year-old pregnant female arrives with acute onset trouble breathing. A spiral CT scan is performed, and the patient is diagnosed with bilateral pulmonary artery emboli (pulmonary embolism). Which medication would the nurse anticipate administering to this patient?
- Unfractionated heparin
- Low molecular weight heparin
- Fondaparinux
- Vitamin K - ANSWER-a. Unfractionated heparin
The statement that best represents the current recommendation for the treatment of
rheumatoid arthritis (RA) is:
- NSAIDS are the only medications recommended for the treatment of mild to moderate RA.
- Biologic response modifiers ("smart" bombs) are indicated for mild to moderate RA.
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