WGU D027 OA EXAM 2025 ACTUAL EXAM |/ |/ |/ |/ |/ |/
WITH ANSWERS
|/ |/
What is the gold standard for the suspected diagnosis of Celiac
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Disease? - CORRECT ANSWERS ✔✔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? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔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?
|/ |/ |/ |/ |/ |/ |/ |/ |/
- CORRECT ANSWERS ✔✔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? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔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? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔Acute
|/ |/ |/ |/ |/ |/ |/ |/ |/
myocardial infarction
|/ |/
,Which condition is this patient suffering from? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔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? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔Increased cortisol
|/ |/ |/ |/
SOB when lying down, and moving around --Based on the
|/ |/ |/ |/ |/ |/ |/ |/ |/
patient's presentation, which disease process is the patient likely
|/ |/ |/ |/ |/ |/ |/ |/ |/
exhibiting? - CORRECT ANSWERS ✔✔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? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔Oral steroids and breathing treatments
|/ |/ |/ |/ |/ |/
Delerium, urinary incontinence, fever-- Which lab and diagnostic
|/ |/ |/ |/ |/ |/ |/
tests should be ordered as part of the patient's assessment? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/
|/ ✔✔Epidural hematoma |/
-- What is the appropriate diagnosis for this patient? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔Crohn's disease
|/ |/ |/
Which diagnostic test is appropriate to order for this patient? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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.
|/ |/ |/
WITH ANSWERS
|/ |/
What is the gold standard for the suspected diagnosis of Celiac
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Disease? - CORRECT ANSWERS ✔✔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? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔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?
|/ |/ |/ |/ |/ |/ |/ |/ |/
- CORRECT ANSWERS ✔✔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? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔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? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔Acute
|/ |/ |/ |/ |/ |/ |/ |/ |/
myocardial infarction
|/ |/
,Which condition is this patient suffering from? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔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? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔Increased cortisol
|/ |/ |/ |/
SOB when lying down, and moving around --Based on the
|/ |/ |/ |/ |/ |/ |/ |/ |/
patient's presentation, which disease process is the patient likely
|/ |/ |/ |/ |/ |/ |/ |/ |/
exhibiting? - CORRECT ANSWERS ✔✔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? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔Oral steroids and breathing treatments
|/ |/ |/ |/ |/ |/
Delerium, urinary incontinence, fever-- Which lab and diagnostic
|/ |/ |/ |/ |/ |/ |/
tests should be ordered as part of the patient's assessment? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/
|/ ✔✔Epidural hematoma |/
-- What is the appropriate diagnosis for this patient? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔Crohn's disease
|/ |/ |/
Which diagnostic test is appropriate to order for this patient? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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.
|/ |/ |/
