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D027 WGU Pre Assessment Questions and
Answers
What is the gold standard for the suspected diagnosis of Celiac
Disease? Ans: 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? Ans: EGFR mutation and
ALK 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
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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? Ans: 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?
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Ans: 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? Ans: 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? Ans: She is
diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
A 75-year-old male presents with a history of transient ischemic
attack, acute myocardial infarction, angina, and atrial fibrillation.
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The patient's echocardiogram shows low cardiac output and loss
of contractility.
Which condition from this patient's medical history is contributing
to the loss of contractility? Ans: Acute myocardial infarction
A patient presents to an emergency room with blurred vision,
fatigue, shortness of breath, and disorientation. Some of the
preliminary lab results reveal the following: glucose >400 mg/dL,
sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.
Which condition is this patient suffering from? Ans: Diabetic
ketoacidosis
© 2025 All rights reserved
D027 WGU Pre Assessment Questions and
Answers
What is the gold standard for the suspected diagnosis of Celiac
Disease? Ans: 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? Ans: EGFR mutation and
ALK 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
© 2025 All rights reserved
, 2 | Page
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? Ans: 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?
© 2025 All rights reserved
, 3 | Page
Ans: 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? Ans: 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? Ans: She is
diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
A 75-year-old male presents with a history of transient ischemic
attack, acute myocardial infarction, angina, and atrial fibrillation.
© 2025 All rights reserved
, 4 | Page
The patient's echocardiogram shows low cardiac output and loss
of contractility.
Which condition from this patient's medical history is contributing
to the loss of contractility? Ans: Acute myocardial infarction
A patient presents to an emergency room with blurred vision,
fatigue, shortness of breath, and disorientation. Some of the
preliminary lab results reveal the following: glucose >400 mg/dL,
sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.
Which condition is this patient suffering from? Ans: Diabetic
ketoacidosis
© 2025 All rights reserved
