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WGU D027 OA EXAM ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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WGU D027 OA EXAM ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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WGU D027 OA EXAM 2024-2025
ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
What is the gold standard for the suspected diagnosis of Celiac Disease? -
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ANSWERS-Endoscopy with small intestine biopsy
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A 44-year-old woman has recently been diagnosed with advanced metastatic non-
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small-
cell lung cancer. Genetic testing is ordered to determine if the patient's tumor has a
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ny genomic alterations and to guide treatment decisions. A few weeks later, the pat
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ient's test results come back positive for a genetic mutation. The APN starts osimer
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tinib (Tagrisso). Based on this information, what type of genetic mutation does this
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patient have? - ANSWERS-EGFR mutation
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A 20-year-
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old male meets with an advanced professional nurse (APN) to discuss symptoms t
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hat have been slowly progressing over the past several years. He is mainly concer
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ned because he has been falling frequently. Since childhood, his gait has consisted
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of walking on his toes. During middle school, he was able to participate in sports b
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ut was unable to participate in high school sports due to difficulty with running and j
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umping. Lately, he has noticed it takes longer and is more difficult to change positio
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ns from sitting to standing than it used to in the past. He has also been waking up
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with muscle and joint stiffness. The APRN notes that his family history is not signifi
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cant for any chronic or genetic diseases. Which condition is likely to be the cause o
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f these symptoms? - ANSWERS-Becker muscular dystrophy
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--
Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular
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xdystrophy, a genetic disorder that gradually makes the body's muscles weaker and
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xsmaller. It causes less severe problems than the most common type, Duchenne m
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uscular dystrophy. vx




Which statement should the provider give the patient regarding the pathophysiology
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of SLE and its relation to thrombocytopenia? - ANSWERS-
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SLE disrupts immune homeostasis and promotes development of self-
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reactive antibodies. vx




A female patient presents to an office to establish care. Her previous primary care
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provider told her to follow up regarding an elevated ferritin level. She has no previo
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us medical history and is currently asymptomatic. She is concerned about the eleva
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ted ferritin and would like to know if she should be worried. What should the provid
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er do next for this patient? - ANSWERS-Order a liver function test
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,A 75-year-
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old female presents to the emergency department with an irregular heart rate of 13
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0.What can be ascertained about this patient's findings given the limited information
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? - ANSWERS-
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She is diagnosed with atrial fibrillation and needs her heart rate controlled with met
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oprolol (Lopressor). vx




Which condition from this patient's medical history is contributing to the loss of cont
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ractility? - ANSWERS-Acute myocardial infarction
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Which condition is this patient suffering from? - ANSWERS-Diabetic ketoacidosis
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A 45-year-
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old female fears that she is having a stroke and takes herself to an emergency roo
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m. After several diagnostic and laboratory tests, the patient is diagnosed with Cushi
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ng disease. Which lab abnormality would be present in this patient? - ANSWERS-
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Increased cortisol vx




SOB when lying down, and moving around --
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Based on the patient's presentation, which disease process is the patient likely exhi
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biting? - ANSWERS-Asthma vx vx




A two-year-
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old child presents with a clear runny nose and cough which has lasted 3 days. The
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child's mother reports the cough sounds like a barking noise. The child is sleeping i
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n the mother's arms and appears to have stridor. The child's mother also reports a
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n axillary temperature of 101°F last night. Which management technique is appropri
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ate for this child's symptoms? - ANSWERS-Oral steroids and breathing treatments
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Delerium, urinary incontinence, fever-- vx vx vx


Which lab and diagnostic tests should be ordered as part of the patient's assessm
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ent? - ANSWERS-Complete blood count, complete metabolic profile, and urinalysis
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An 18-year-vx


old male is involved in a motorcycle crash while not wearing a helmet. He is broug
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ht into an emergency room and is immediately taken for a CT scan. The provider te
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lls the patient's parents he has bleeding between the dura mater and the skull. Wh
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at is this patient's condition called? - ANSWERS-Epidural hematoma
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-- What is the appropriate diagnosis for this patient? - ANSWERS-Crohn's disease
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Which diagnostic test is appropriate to order for this patient? - ANSWERS-
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Ultrasound

A 45-year-old male is being seen in the clinic for a yearly check-
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up and lab work. His history includes hypertension and hyperlipidemia for which he
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currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a family h
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istory of diabetes, hypertension, heart disease, and hyperlipidemia. After obtaining l
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ab work, the provider notices the patient's hgbA1c is elevated at 7.5. The patient is
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already on a DASH diet and watching the amount of sweets and carbohydrates he
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, eats daily. The patient is not overweight and participates in moderate physical activi
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ty at least 4-
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5 days a week. He was started on Metformin three months ago, and his hemoglobi
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n A1c is now 6.9. The nurse expects to see a class of medication prescribed which
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xis proven to reduce the risk of cardiovascular events. Considering the treatment gui
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delines from the American College of Cardiology, which medication should be reco
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mmended for this patien - ANSWERS-Invokana 100 mg daily
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--Invokana is a medication used to treat type 2 diabetes. It is a third-
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line medication to metformin. It is used together with exercise and diet. It is not rec
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ommended in type 1 diabetes. It is taken by mouth. vx vx vx vx vx vx vx vx vx




A 78-year-
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old female presents to the clinic for a checkup and refills on her medications. She i
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s currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Sy
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nthroid). The patient has a history of hypertension, type 2 diabetes, hypothyroidism,
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GERD, and gastric ulcers. The patient is concerned about heart disease and want
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s to start taking a low-
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dose aspirin. Which aspirin regimen recommendation should the advanced professi
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onal nurse (APN) give to the patient? - ANSWERS-Low-
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dose enteric coated aspirin 81 mg daily
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A 28-year-
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old married female presents to primary care accompanied by her husband with co
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mplaints of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty
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concentrating. The patient explains that she has been experiencing these symptom
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s with increasing frequency over the last two months and reports feeling upset that
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she has gained 10 pounds over the past month despite no significant changes in di
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etary intake or activity level. The patient holds a bachelor's degree and is employed
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full time as an accountant. The patient reports feeling frustrated with her poor conc
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entration and identifies recent work errors to be due to this symptom. The patient e
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xplains that she and her spouse plan to start trying to conceive soon, and she is w
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orried that she may have trouble becoming pregnant. The patient reports using ove
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r-the-
counter laxative products over the last week to combat constipation. The patient re
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po - ANSWERS-5.31 mIU/L
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A 74- year-
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old male with Cushing syndrome presents to the emergency department (ED) with
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pain in his left leg, and is diagnosed with a deep vein thrombosis (DVT).What is thi
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s patient's symptoms related to? - ANSWERS-Elevated Von Willebrand factor
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A 42-year-old asthmatic who has been using beta-
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adrenergic agonists for several years began to experience premature atrial contract
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ions (PACs). To treat the PACs, metoprolol (Toprol XL) therapy was started.What i
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s a likely consequence of this patient taking metoprolol (Toprol XL)? - ANSWERS-
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Metoprolol (Toprol XL) worsened asthma symptoms, but improved the PACs.
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--
Beta blockers are widely used in the management of cardiac conditions and thyrot
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oxicosis, and to reduce perioperative complications. Asthma and chronic obstructiv
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