WGU D027 OA EXAM 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
What is the gold standard for the suspected diagnosis of Celiac Disease? - ANS>>Endoscopy
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with small intestine biopsy
vv vv vv vv
A 44-year-old woman has recently been diagnosed with advanced metastatic non-small-cell
vv vv vv vv vv vv vv vv vv vv
lung cancer. Genetic testing is ordered to determine if the patient's tumor has any genomic
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
alterations and to guide treatment decisions. A few weeks later, the patient's test results
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
come back positive for a genetic mutation. The APN starts osimertinib (Tagrisso). Based on
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
this information, what type of genetic mutation does this patient have? - ANS>>EGFR
vv vv vv vv vv vv vv vv vv vv vv vv vv
mutation
vv
A 20-year-old male meets with an advanced professional nurse (APN) to discuss symptoms
vv vv vv vv vv vv vv vv vv vv vv vv
that have been slowly progressing over the past several years. He is mainly concerned
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
because he has been falling frequently. Since childhood, his gait has consisted of walking on
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
his toes. During middle school, he was able to participate in sports but was unable to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
participate in high school sports due to difficulty with running and jumping. Lately, he has
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
noticed it takes longer and is more difficult to change positions from sitting to standing than
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
it used to in the past. He has also been waking up with muscle and joint stiffness. The APRN
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
notes that his family history is not significant for any chronic or genetic diseases. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
condition is likely to be the cause of these symptoms? - ANS>>Becker muscular dystrophy
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular
vv vv vv vv vv vv vv vv vv vv vv vv vv
dystrophy, a genetic disorder that gradually makes the body's muscles weaker and smaller. It
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
causes less severe problems than the most common type, Duchenne muscular dystrophy.
vv vv vv vv vv vv vv vv vv vv vv vv
Which statement should the provider give the patient regarding the pathophysiology of SLE
vv vv vv vv vv vv vv vv vv vv vv vv
and its relation to thrombocytopenia? - ANS>>SLE disrupts immune homeostasis and
vv vv vv vv vv vv vv vv vv vv vv
promotes development of self-reactive antibodies.
vv vv vv vv vv
A female patient presents to an office to establish care. Her previous primary care provider
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
told her to follow up regarding an elevated ferritin level. She has no previous medical history
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and is currently asymptomatic. She is concerned about the elevated ferritin and would like to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
know if she should be worried. What should the provider do next for this patient? -
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ANS>>Order a liver function test
vv vv vv vv vv
,WGU D027 OA EXAM 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
A 75-year-old female presents to the emergency department with an irregular heart rate of
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130.What can be ascertained about this patient's findings given the limited information? -
vv vv vv vv vv vv vv vv vv vv vv vv vv
ANS>>She is diagnosed with atrial fibrillation and needs her heart rate controlled with
vv vv vv vv vv vv vv vv vv vv vv vv vv
metoprolol (Lopressor).
vv vv
Which condition from this patient's medical history is contributing to the loss of contractility?
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- ANS>>Acute myocardial infarction
vv vv vv vv
Which condition is this patient suffering from? - ANS>>Diabetic ketoacidosis
vv vv vv vv vv vv vv vv vv
A 45-year-old female fears that she is having a stroke and takes herself to an emergency
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
room. After several diagnostic and laboratory tests, the patient is diagnosed with Cushing
vv vv vv vv vv vv vv vv vv vv vv vv vv
disease. Which lab abnormality would be present in this patient? - ANS>>Increased cortisol
vv vv vv vv vv vv vv vv vv vv vv vv vv
SOB when lying down, and moving around --Based on the patient's presentation, which
vv vv vv vv vv vv vv vv vv vv vv vv
disease process is the patient likely exhibiting? - ANS>>Asthma
vv vv vv vv vv vv vv vv vv
A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
child's mother reports the cough sounds like a barking noise. The child is sleeping in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mother's arms and appears to have stridor. The child's mother also reports an axillary
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
temperature of 101°F last night. Which management technique is appropriate for this child's
vv vv vv vv vv vv vv vv vv vv vv vv vv
symptoms? - ANS>>Oral steroids and breathing treatments
vv vv vv vv vv vv vv
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as
vv vv vv vv vv vv vv vv vv vv vv vv
part of the patient's assessment? - ANS>>Complete blood count, complete metabolic profile,
vv vv vv vv vv vv vv vv vv vv vv vv
and urinalysis
vv vv
An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
brought into an emergency room and is immediately taken for a CT scan. The provider tells
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the patient's parents he has bleeding between the dura mater and the skull. What is this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
patient's condition called? - ANS>>Epidural hematoma
vv vv vv vv vv vv
, WGU D027 OA EXAM 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
-- What is the appropriate diagnosis for this patient? - ANS>>Crohn's disease
vv vv vv vv vv vv vv vv vv vv vv
Which diagnostic test is appropriate to order for this patient? - ANS>>Ultrasound
vv vv vv vv vv vv vv vv vv vv vv
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His history
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
includes hypertension and hyperlipidemia for which he currently takes Norvasc 5 mg daily
vv vv vv vv vv vv vv vv vv vv vv vv vv
and Lipitor 20 mg nightly. Patient has a family history of diabetes, hypertension, heart
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
disease, and hyperlipidemia. After obtaining lab work, the provider notices the patient's
vv vv vv vv vv vv vv vv vv vv vv vv
hgbA1c is elevated at 7.5. The patient is already on a DASH diet and watching the amount of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
sweets and carbohydrates he eats daily. The patient is not overweight and participates in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
moderate physical activity at least 4-5 days a week. He was started on Metformin three
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
months ago, and his hemoglobin A1c is now 6.9. The nurse expects to see a class of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication prescribed which is proven to reduce the risk of cardiovascular events.
vv vv vv vv vv vv vv vv vv vv vv vv
Considering the treatment guidelines from the American College of Cardiology, which
vv vv vv vv vv vv vv vv vv vv vv
medication should be recommended for this patien - ANS>>Invokana 100 mg daily
vv vv vv vv vv vv vv vv vv vv vv vv
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
metformin. It is used together with exercise and diet. It is not recommended in type 1
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
diabetes. It is taken by mouth.
vv vv vv vv vv vv
A 78-year-old female presents to the clinic for a checkup and refills on her medications. She is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Synthroid).
vv vv vv vv vv vv vv vv vv
The patient has a history of hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ulcers. The patient is concerned about heart disease and wants to start taking a low-dose
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
aspirin. Which aspirin regimen recommendation should the advanced professional nurse
vv vv vv vv vv vv vv vv vv vv
(APN) give to the patient? - ANS>>Low-dose enteric coated aspirin 81 mg daily
vv vv vv vv vv vv vv vv vv vv vv vv vv
A 28-year-old married female presents to primary care accompanied by her husband with
vv vv vv vv vv vv vv vv vv vv vv vv
complaints of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty
vv vv vv vv vv vv vv vv vv vv vv
concentrating. The patient explains that she has been experiencing these symptoms with
vv vv vv vv vv vv vv vv vv vv vv vv
increasing frequency over the last two months and reports feeling upset that she has gained
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
10 pounds over the past month despite no significant changes in dietary intake or activity
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
level. The patient holds a bachelor's degree and is employed full time as an accountant. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
DETAILED ANSWERS WITH RATIONALES|AGRADE
What is the gold standard for the suspected diagnosis of Celiac Disease? - ANS>>Endoscopy
vv vv vv vv vv vv vv vv vv vv vv vv vv
with small intestine biopsy
vv vv vv vv
A 44-year-old woman has recently been diagnosed with advanced metastatic non-small-cell
vv vv vv vv vv vv vv vv vv vv
lung cancer. Genetic testing is ordered to determine if the patient's tumor has any genomic
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
alterations and to guide treatment decisions. A few weeks later, the patient's test results
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
come back positive for a genetic mutation. The APN starts osimertinib (Tagrisso). Based on
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
this information, what type of genetic mutation does this patient have? - ANS>>EGFR
vv vv vv vv vv vv vv vv vv vv vv vv vv
mutation
vv
A 20-year-old male meets with an advanced professional nurse (APN) to discuss symptoms
vv vv vv vv vv vv vv vv vv vv vv vv
that have been slowly progressing over the past several years. He is mainly concerned
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
because he has been falling frequently. Since childhood, his gait has consisted of walking on
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
his toes. During middle school, he was able to participate in sports but was unable to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
participate in high school sports due to difficulty with running and jumping. Lately, he has
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
noticed it takes longer and is more difficult to change positions from sitting to standing than
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
it used to in the past. He has also been waking up with muscle and joint stiffness. The APRN
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
notes that his family history is not significant for any chronic or genetic diseases. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
condition is likely to be the cause of these symptoms? - ANS>>Becker muscular dystrophy
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular
vv vv vv vv vv vv vv vv vv vv vv vv vv
dystrophy, a genetic disorder that gradually makes the body's muscles weaker and smaller. It
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
causes less severe problems than the most common type, Duchenne muscular dystrophy.
vv vv vv vv vv vv vv vv vv vv vv vv
Which statement should the provider give the patient regarding the pathophysiology of SLE
vv vv vv vv vv vv vv vv vv vv vv vv
and its relation to thrombocytopenia? - ANS>>SLE disrupts immune homeostasis and
vv vv vv vv vv vv vv vv vv vv vv
promotes development of self-reactive antibodies.
vv vv vv vv vv
A female patient presents to an office to establish care. Her previous primary care provider
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
told her to follow up regarding an elevated ferritin level. She has no previous medical history
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and is currently asymptomatic. She is concerned about the elevated ferritin and would like to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
know if she should be worried. What should the provider do next for this patient? -
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ANS>>Order a liver function test
vv vv vv vv vv
,WGU D027 OA EXAM 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
A 75-year-old female presents to the emergency department with an irregular heart rate of
vv vv vv vv vv vv vv vv vv vv vv vv vv
130.What can be ascertained about this patient's findings given the limited information? -
vv vv vv vv vv vv vv vv vv vv vv vv vv
ANS>>She is diagnosed with atrial fibrillation and needs her heart rate controlled with
vv vv vv vv vv vv vv vv vv vv vv vv vv
metoprolol (Lopressor).
vv vv
Which condition from this patient's medical history is contributing to the loss of contractility?
vv vv vv vv vv vv vv vv vv vv vv vv vv
- ANS>>Acute myocardial infarction
vv vv vv vv
Which condition is this patient suffering from? - ANS>>Diabetic ketoacidosis
vv vv vv vv vv vv vv vv vv
A 45-year-old female fears that she is having a stroke and takes herself to an emergency
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
room. After several diagnostic and laboratory tests, the patient is diagnosed with Cushing
vv vv vv vv vv vv vv vv vv vv vv vv vv
disease. Which lab abnormality would be present in this patient? - ANS>>Increased cortisol
vv vv vv vv vv vv vv vv vv vv vv vv vv
SOB when lying down, and moving around --Based on the patient's presentation, which
vv vv vv vv vv vv vv vv vv vv vv vv
disease process is the patient likely exhibiting? - ANS>>Asthma
vv vv vv vv vv vv vv vv vv
A two-year-old child presents with a clear runny nose and cough which has lasted 3 days. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
child's mother reports the cough sounds like a barking noise. The child is sleeping in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mother's arms and appears to have stridor. The child's mother also reports an axillary
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
temperature of 101°F last night. Which management technique is appropriate for this child's
vv vv vv vv vv vv vv vv vv vv vv vv vv
symptoms? - ANS>>Oral steroids and breathing treatments
vv vv vv vv vv vv vv
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as
vv vv vv vv vv vv vv vv vv vv vv vv
part of the patient's assessment? - ANS>>Complete blood count, complete metabolic profile,
vv vv vv vv vv vv vv vv vv vv vv vv
and urinalysis
vv vv
An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
brought into an emergency room and is immediately taken for a CT scan. The provider tells
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the patient's parents he has bleeding between the dura mater and the skull. What is this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
patient's condition called? - ANS>>Epidural hematoma
vv vv vv vv vv vv
, WGU D027 OA EXAM 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
-- What is the appropriate diagnosis for this patient? - ANS>>Crohn's disease
vv vv vv vv vv vv vv vv vv vv vv
Which diagnostic test is appropriate to order for this patient? - ANS>>Ultrasound
vv vv vv vv vv vv vv vv vv vv vv
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His history
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
includes hypertension and hyperlipidemia for which he currently takes Norvasc 5 mg daily
vv vv vv vv vv vv vv vv vv vv vv vv vv
and Lipitor 20 mg nightly. Patient has a family history of diabetes, hypertension, heart
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
disease, and hyperlipidemia. After obtaining lab work, the provider notices the patient's
vv vv vv vv vv vv vv vv vv vv vv vv
hgbA1c is elevated at 7.5. The patient is already on a DASH diet and watching the amount of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
sweets and carbohydrates he eats daily. The patient is not overweight and participates in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
moderate physical activity at least 4-5 days a week. He was started on Metformin three
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
months ago, and his hemoglobin A1c is now 6.9. The nurse expects to see a class of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
medication prescribed which is proven to reduce the risk of cardiovascular events.
vv vv vv vv vv vv vv vv vv vv vv vv
Considering the treatment guidelines from the American College of Cardiology, which
vv vv vv vv vv vv vv vv vv vv vv
medication should be recommended for this patien - ANS>>Invokana 100 mg daily
vv vv vv vv vv vv vv vv vv vv vv vv
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
metformin. It is used together with exercise and diet. It is not recommended in type 1
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
diabetes. It is taken by mouth.
vv vv vv vv vv vv
A 78-year-old female presents to the clinic for a checkup and refills on her medications. She is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine (Synthroid).
vv vv vv vv vv vv vv vv vv
The patient has a history of hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ulcers. The patient is concerned about heart disease and wants to start taking a low-dose
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
aspirin. Which aspirin regimen recommendation should the advanced professional nurse
vv vv vv vv vv vv vv vv vv vv
(APN) give to the patient? - ANS>>Low-dose enteric coated aspirin 81 mg daily
vv vv vv vv vv vv vv vv vv vv vv vv vv
A 28-year-old married female presents to primary care accompanied by her husband with
vv vv vv vv vv vv vv vv vv vv vv vv
complaints of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty
vv vv vv vv vv vv vv vv vv vv vv
concentrating. The patient explains that she has been experiencing these symptoms with
vv vv vv vv vv vv vv vv vv vv vv vv
increasing frequency over the last two months and reports feeling upset that she has gained
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
10 pounds over the past month despite no significant changes in dietary intake or activity
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
level. The patient holds a bachelor's degree and is employed full time as an accountant. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
