D027 WGU Exam 2025 Questions and
Answers
What is the gold standard for the suspected diagnosis of Celiac Disease? - --
CORRECT ANSWER--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 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,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
--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
ANSWER--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 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, information? - --CORRECT 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? - --CORRECT ANSWER--Acute myocardial infarction
Which condition is this patient suffering from? - --CORRECT 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? - --CORRECT ANSWER--Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting? - --CORRECT 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? - --CORRECT ANSWER--Oral steroids
and breathing treatments
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
Answers
What is the gold standard for the suspected diagnosis of Celiac Disease? - --
CORRECT ANSWER--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 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,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
--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
ANSWER--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 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, information? - --CORRECT 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? - --CORRECT ANSWER--Acute myocardial infarction
Which condition is this patient suffering from? - --CORRECT 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? - --CORRECT ANSWER--Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting? - --CORRECT 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? - --CORRECT ANSWER--Oral steroids
and breathing treatments
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
