D027 WGU FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

D027WGUFINALEXAMQUESTIONSWITH
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CORRECT ANSWERS 2025/2026 b b b




1. WhatisthegoldstandardforthesuspecteddiagnosisofCeliacDisease? -CORRECT
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ANSWER -Endoscopy with small intestine biopsy
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2. A44-year-oldwomanhasrecentlybeendiagnosedwithadvancedmetastaticnon-small- cell
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lung cancer. Genetic testing is ordered to determine if the patient's tumor has any genomic
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alterations and to guide treatment decisions. A few weeks later, the patient's test results
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come back positive for a genetic mutation. The APN starts osimertinib (Tagrisso). Based on
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this information, what type of genetic mutation does this patient have? - CORRECT ANSWER -
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EGFR mutation b




3. A 20-year-old male meets with an advanced professional nurse (APN) to discuss
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symptomsthathavebeenslowlyprogressingoverthepastseveralyears.Heismainly
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concerned because he has been falling frequently. Since childhood, his gait has consisted of
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walkingon histoes.Duringmiddle school, he was able to participate in sports but was unable to
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participate in high school sports due to difficulty with running and jumping.
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Lately,hehasnoticedittakeslongerandismoredifficulttochangepositions fromsitting to
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standing than it used to in the past. He has also been waking up with muscle and joint stiffness.
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The APRN notes that his family history is not significant for any chronic or genetic diseases.
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Which condition is likely to be the cause of these symptoms? -
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CORRECTANSWER-Beckermusculardystrophy b b b b




4. --Beckermusculardystrophy(oftencalledBeckerMDorBMD)isaformofmuscular
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dystrophy, a genetic disorder that gradually makes the body's muscles weaker and
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smaller.Itcauseslesssevereproblemsthanthemostcommontype,Duchennemuscular
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dystrophy.
b




5. Whichstatementshouldtheprovidergivethepatientregardingthepathophysiologyof SLE
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and its relation to thrombocytopenia? - CORRECT ANSWER -SLE disrupts immune
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homeostasis and promotes development of self-reactive antibodies.
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,6. A female patient presents to an office to establish care. Her previous primary care
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providertoldhertofollowupregardinganelevatedferritinlevel.Shehasnoprevious
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medical history and is currently asymptomatic. She is concerned about the elevated
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ferritinand would liketoknowif she shouldbeworried.Whatshouldtheprovider do next
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for this patient? - CORRECT ANSWER -Order a liver function test
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7. A75-year-oldfemalepresentstotheemergencydepartmentwithanirregularheartrate of
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130.What can be ascertained about this patient's findings given the limited
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information?-CORRECTANSWER-Sheisdiagnosedwithatrialfibrillationandneedsher heart
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rate controlled with metoprolol (Lopressor).
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8. Whichconditionfromthispatient'smedicalhistoryiscontributingtothelossof
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contractility? - CORRECT ANSWER -Acute myocardial infarction
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9. Whichconditionisthispatientsufferingfrom?-CORRECTANSWER-Diabetic
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ketoacidosis
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10. A45-year-oldfemalefearsthatsheishavingastrokeandtakesherselftoanemergency room.
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bAfter several diagnostic and laboratory tests, the patient is diagnosed with Cushing disease.
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bWhich lab abnormality would be present in this patient? - CORRECT ANSWER -Increased
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bcortisol



11. SOBwhenlyingdown,andmovingaround --Basedon thepatient'spresentation,which
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bdisease process is the patient likely exhibiting? - CORRECT ANSWER -Asthma
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12. Atwo-year-oldchildpresentswithaclearrunnynoseandcoughwhichhaslasted3days. The
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bchild's mother reports the cough sounds like a barking noise. The child is sleeping in the
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bmother's arms and appears to have stridor. The child's mother also reports an
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axillary temperature of 101°F last night. Which management technique is appropriate for
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bthischild'ssymptoms?-CORRECTANSWER-Oralsteroidsandbreathingtreatments
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, 13. Delerium,urinaryincontinence,fever--Whichlabanddiagnostictestsshouldbeordered as
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part of the patient's assessment? - CORRECT ANSWER -Complete blood count,
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completemetabolicprofile,andurinalysis b b b b




14. An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is
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brought into an emergency room and is immediately taken for a CT scan. The provider tellsthe
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patient'sparentshehasbleedingbetween theduramaterandtheskull.Whatis this patient's
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condition called? - CORRECT ANSWER -Epidural hematoma
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◼ Whatistheappropriatediagnosisforthispatient? -CORRECTANSWER-Crohn's b b b b b b b b b b b




disease b




15. Whichdiagnostictestisappropriatetoorderforthispatient? -CORRECTANSWER-
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Ultrasound
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16. A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His history
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includes hypertension and hyperlipidemia for which he currently takes Norvasc 5 mgdailyand
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Lipitor20mgnightly.Patienthasafamilyhistoryof diabetes,hypertension, heart disease, and
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hyperlipidemia. After obtaining lab work, the provider notices the patient's hgbA1c is
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elevated at 7.5. The patient is already on a DASH diet and watching theamountofsweetsand
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carbohydratesheeatsdaily.Thepatientisnotoverweightand participates in moderate
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physical activity at least 4-5 days a week. He was started on Metformin three months ago, and
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his hemoglobin A1c is now 6.9. The nurse expects to
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see a class of medication prescribed which is proven to reduce the risk of cardiovascular
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events. Considering the treatment guidelines from the American College of Cardiology,
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whichmedicationshouldberecommendedforthispatien -CORRECTANSWER-Invokana 100
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mg daily
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17. --Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to
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metformin. It is used together with exercise and diet. It is not recommended in type 1
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diabetes. It is taken by mouth.
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18. A 78-year-old femalepresents to the clinic for a checkup and refills on her medications. She is
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currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine
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