WGU D027 PRACTICE TEST QUESTIONS WITH
VERIFIED ANSWERS
1. A 26-year-old female presents to urgent care with complaints of extreme fatigue,
muscle aches, abdominal pain, numbness and tingling in her extremities, and bloating.
She explains that she has been experiencing gastrointestinal upset after meals and has
not had a bowel movement for the past four days. She reports using over-the-counter,
anti-diarrheal products last week to combat diarrhea. She denies having any chronic
diseases. The assessment findings include a blood pressure of 108/71 mm Hg, pulse of
82 beats per minute, and respirations of 20 breaths per minute. The abdomen is
distended and firm. Bowel sounds are present in all four quadrants. The patient has a
steady gait, though verbally complains of feeling weak and off balance upon ambulation.
Following antibody testing, Celiac disease is suspected.Which follow-up tissue test, the
gold standard for this suspected diagnosis, should be ordered?
aa. Endoscopy - Answers - Colonoscopy with rectal biopsy
1. 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 types of genetic mutation does
this patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - Answers - ALK mutation and EGFR mutation
1. 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy - Answers - Becker muscular dystrophy
, 1. A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation. - Answers - SLE disrupts immune
homeostasis and promotes development of self-reactive antibodies.
1. 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?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel - Answers - Order a liver function test
1. 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?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol
(Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled
with metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with
magnesium. - Answers - She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
1. A 75-year-old male presents with a history of transient ischemic attack, acute
myocardial infarction, angina, and atrial fibrillation. The patient's echocardiogram shows
low cardiac output and loss of contractility.Which condition from this patient's medical
history is contributing to the loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - Answers - Acute myocardial infarction
1. A patient presents to an emergency room with blurred vision, fatigue, shortness of
breath, and disorientation. Some of the preliminary lab results reveal the following:
glucose >400 mg/dL, sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.Which condition is this patient suffering from?
VERIFIED ANSWERS
1. A 26-year-old female presents to urgent care with complaints of extreme fatigue,
muscle aches, abdominal pain, numbness and tingling in her extremities, and bloating.
She explains that she has been experiencing gastrointestinal upset after meals and has
not had a bowel movement for the past four days. She reports using over-the-counter,
anti-diarrheal products last week to combat diarrhea. She denies having any chronic
diseases. The assessment findings include a blood pressure of 108/71 mm Hg, pulse of
82 beats per minute, and respirations of 20 breaths per minute. The abdomen is
distended and firm. Bowel sounds are present in all four quadrants. The patient has a
steady gait, though verbally complains of feeling weak and off balance upon ambulation.
Following antibody testing, Celiac disease is suspected.Which follow-up tissue test, the
gold standard for this suspected diagnosis, should be ordered?
aa. Endoscopy - Answers - Colonoscopy with rectal biopsy
1. 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 types of genetic mutation does
this patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - Answers - ALK mutation and EGFR mutation
1. 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy - Answers - Becker muscular dystrophy
, 1. A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation. - Answers - SLE disrupts immune
homeostasis and promotes development of self-reactive antibodies.
1. 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?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel - Answers - Order a liver function test
1. 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?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol
(Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled
with metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with
magnesium. - Answers - She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
1. A 75-year-old male presents with a history of transient ischemic attack, acute
myocardial infarction, angina, and atrial fibrillation. The patient's echocardiogram shows
low cardiac output and loss of contractility.Which condition from this patient's medical
history is contributing to the loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - Answers - Acute myocardial infarction
1. A patient presents to an emergency room with blurred vision, fatigue, shortness of
breath, and disorientation. Some of the preliminary lab results reveal the following:
glucose >400 mg/dL, sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.Which condition is this patient suffering from?
