D027 WGU QUESTIONS WITH 100% ACCURATE
ANSWERS
What is the gold standard for the suspected diagnosis of Celiac Disease? - Accurate answers
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? - Accurate answers
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? - Accurate answers 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? - Accurate answers 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? - Accurate answers
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? -
Accurate answers 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? -
Accurate answers Acute myocardial infarction
Which condition is this patient suffering from? - Accurate answers 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? - Accurate answers Increased
cortisol
SOB when lying down, and moving around --Based on the patient's presentation, which disease
process is the patient likely exhibiting? - Accurate answers 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? - Accurate answers Oral steroids and breathing treatments
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as
part of the patient's assessment? - Accurate answers Complete blood count, complete
metabolic profile, and urinalysis
An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is brought
into an emergency room and is immediately taken for a CT scan. The provider tells the patient's
parents he has bleeding between the dura mater and the skull. What is this patient's condition
called? - Accurate answers Epidural hematoma
-- What is the appropriate diagnosis for this patient? - Accurate answers Crohn's disease
Which diagnostic test is appropriate to order for this patient? - Accurate answers
Ultrasound
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 -
Accurate answers Invokana 100 mg daily
ANSWERS
What is the gold standard for the suspected diagnosis of Celiac Disease? - Accurate answers
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? - Accurate answers
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? - Accurate answers 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? - Accurate answers 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? - Accurate answers
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? -
Accurate answers 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? -
Accurate answers Acute myocardial infarction
Which condition is this patient suffering from? - Accurate answers 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? - Accurate answers Increased
cortisol
SOB when lying down, and moving around --Based on the patient's presentation, which disease
process is the patient likely exhibiting? - Accurate answers 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? - Accurate answers Oral steroids and breathing treatments
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as
part of the patient's assessment? - Accurate answers Complete blood count, complete
metabolic profile, and urinalysis
An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is brought
into an emergency room and is immediately taken for a CT scan. The provider tells the patient's
parents he has bleeding between the dura mater and the skull. What is this patient's condition
called? - Accurate answers Epidural hematoma
-- What is the appropriate diagnosis for this patient? - Accurate answers Crohn's disease
Which diagnostic test is appropriate to order for this patient? - Accurate answers
Ultrasound
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 -
Accurate answers Invokana 100 mg daily
