WGU D027 OBJECTIVE ASSESSMENT 2026
PERFORMANCE EVALUATION EXAM
◉ 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? Answer: 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
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? 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?
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? 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 information? Answer: 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.
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? Answer: 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? 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? Answer:
Increased cortisol
◉ SOB when lying down, and moving around --Based on the
patient's presentation, which disease process is the patient likely
exhibiting?
PERFORMANCE EVALUATION EXAM
◉ 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? Answer: 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
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? 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?
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? 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 information? Answer: 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.
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? Answer: 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? 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? Answer:
Increased cortisol
◉ SOB when lying down, and moving around --Based on the
patient's presentation, which disease process is the patient likely
exhibiting?
