WGU D027 OA EXAM 2025-2026
ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|A+ GRADE
1. What is the gold standard for the suspected diagnosis of Celiac Disease? -
CORRECT ANSWER-Endoscopy with small intestine biopsy
2. 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 ANSWER-EGFR mutation
3. 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
ANSWER-Becker muscular dystrophy
4. --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.
5. Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - CORRECT
ANSWER-SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
6. 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 ANSWER-Order a liver function test
7. 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 ANSWER-She is
diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
8. Which condition from this patient's medical history is contributing to the
loss of contractility? - CORRECT ANSWER-Acute myocardial infarction
, 9. Which condition is this patient suffering from? - CORRECT ANSWER-
Diabetic ketoacidosis
10.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 ANSWER-Increased cortisol
11.SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting? -
CORRECT ANSWER-Asthma
12.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 ANSWER-Oral steroids and breathing
treatments
13.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment? - CORRECT
ANSWER-Complete blood count, complete metabolic profile, and
urinalysis
14.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
ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|A+ GRADE
1. What is the gold standard for the suspected diagnosis of Celiac Disease? -
CORRECT ANSWER-Endoscopy with small intestine biopsy
2. 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 ANSWER-EGFR mutation
3. 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
ANSWER-Becker muscular dystrophy
4. --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.
5. Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - CORRECT
ANSWER-SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
6. 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 ANSWER-Order a liver function test
7. 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 ANSWER-She is
diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
8. Which condition from this patient's medical history is contributing to the
loss of contractility? - CORRECT ANSWER-Acute myocardial infarction
, 9. Which condition is this patient suffering from? - CORRECT ANSWER-
Diabetic ketoacidosis
10.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 ANSWER-Increased cortisol
11.SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting? -
CORRECT ANSWER-Asthma
12.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 ANSWER-Oral steroids and breathing
treatments
13.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment? - CORRECT
ANSWER-Complete blood count, complete metabolic profile, and
urinalysis
14.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
