D027 WGU FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2025/2026
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 between the dura mater and the skull. What is
this patient's condition called? - CORRECT ANSWER -Epidural hematoma
◼ What is the appropriate diagnosis for this patient? - CORRECT ANSWER -Crohn's
disease
15. Which diagnostic test is appropriate to order for this patient? - CORRECT ANSWER -
Ultrasound
16. 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 ANSWER -Invokana
100 mg daily
17. --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.
18. A 78-year-old female presents to the clinic for a checkup and refills on her medications.
She is currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine
CORRECT ANSWERS 2025/2026
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 between the dura mater and the skull. What is
this patient's condition called? - CORRECT ANSWER -Epidural hematoma
◼ What is the appropriate diagnosis for this patient? - CORRECT ANSWER -Crohn's
disease
15. Which diagnostic test is appropriate to order for this patient? - CORRECT ANSWER -
Ultrasound
16. 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 ANSWER -Invokana
100 mg daily
17. --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.
18. A 78-year-old female presents to the clinic for a checkup and refills on her medications.
She is currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine
