WGU D027 Objective Assessment Questions &
Verified Answers 2026/2027 Update QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES
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? – answer 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? – answer 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? – answer Acute myocardial infarction
Which condition is this patient suffering from? – answer 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? – answer
Increased cortisol
1
,What is the gold standard for the suspected diagnosis of Celiac Disease? – Answer
endoscopy with small intestine biopsy
A 44-year-old woman has recently been diagnosed with advanced metastatic nonsmall-
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? – answer 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? – answer 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? – answer SLE disrupts immune homeostasis
and promotes development of self-reactive antibodies.
SOB when lying down, and moving around --Based on the patient's presentation, which
disease process is the patient likely exhibiting? – answer 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? – answer Oral steroids and breathing treatments
2
, Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be
ordered as part of the patient's assessment? – answer 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? – answer Epidural hematoma
-- What is the appropriate diagnosis for this patient? – answer Crohn's disease
Which diagnostic test is appropriate to order for this patient? – answer 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 –
answer Invokana 100 mg daily
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to
metformin. It is used 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
3
Verified Answers 2026/2027 Update QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES
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? – answer 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? – answer 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? – answer Acute myocardial infarction
Which condition is this patient suffering from? – answer 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? – answer
Increased cortisol
1
,What is the gold standard for the suspected diagnosis of Celiac Disease? – Answer
endoscopy with small intestine biopsy
A 44-year-old woman has recently been diagnosed with advanced metastatic nonsmall-
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? – answer 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? – answer 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? – answer SLE disrupts immune homeostasis
and promotes development of self-reactive antibodies.
SOB when lying down, and moving around --Based on the patient's presentation, which
disease process is the patient likely exhibiting? – answer 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? – answer Oral steroids and breathing treatments
2
, Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be
ordered as part of the patient's assessment? – answer 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? – answer Epidural hematoma
-- What is the appropriate diagnosis for this patient? – answer Crohn's disease
Which diagnostic test is appropriate to order for this patient? – answer 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 –
answer Invokana 100 mg daily
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to
metformin. It is used 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
3
