D027 WGU Questions and Correct Answers
What is the gold standard for the suspected diagnosis of Celiac Disease?
✓ ~~~ 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?
✓ ~~~ 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?
, ✓ ~~~ 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?
✓ ~~~ 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?
✓ ~~~ 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?
✓ ~~~ 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?
✓ ~~~ Acute myocardial infarction
Which condition is this patient suffering from?
✓ ~~~ 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?
✓ ~~~ Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting?
✓ ~~~ 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?
✓ ~~~ Oral steroids and breathing treatments
What is the gold standard for the suspected diagnosis of Celiac Disease?
✓ ~~~ 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?
✓ ~~~ 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?
, ✓ ~~~ 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?
✓ ~~~ 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?
✓ ~~~ 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?
✓ ~~~ 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?
✓ ~~~ Acute myocardial infarction
Which condition is this patient suffering from?
✓ ~~~ 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?
✓ ~~~ Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting?
✓ ~~~ 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?
✓ ~~~ Oral steroids and breathing treatments
