WGU D027 OA EXAM 2026-2027 ACTUAL
EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
WhatmismthemgoldmstandardmformthemsuspectedmdiagnosismofmCeliacmDisease?m-
mCORRECTmANSWERmEndoscopymwithmsmallmintestinembiopsy
Am44-year-oldmwomanmhasmrecentlymbeenmdiagnosedmwithmadvancedmmetastaticmnon-small-
cellmlungmcancer.mGeneticmtestingmismorderedmtomdeterminemifmthempatient'smtumormhasmanymgeno
micmalterationsmandmtomguidemtreatmentmdecisions.mAmfewmweeksmlater,mthempatient'smtestmresults
mcomembackmpositivemformamgeneticmmutation.mThemAPNmstartsmosimertinibm(Tagrisso).mBasedmonmt
hisminformation,mwhatmtypemofmgeneticmmutationmdoesmthismpatientmhave?m-
mCORRECTmANSWERmEGFRmmutation
Am20-year-
oldmmalemmeetsmwithmanmadvancedmprofessionalmnursem(APN)mtomdiscussmsymptomsmthatmhavemb
eenmslowlymprogressingmovermthempastmseveralmyears.mHemismmainlymconcernedmbecausemhemhasmb
eenmfallingmfrequently.mSincemchildhood,mhismgaitmhasmconsistedmofmwalkingmonmhismtoes.mDuringm
middlemschool,mhemwasmablemtomparticipateminmsportsmbutmwasmunablemtomparticipateminmhighmsch
oolmsportsmduemtomdifficultymwithmrunningmandmjumping.mLately,mhemhasmnoticedmitmtakesmlongerma
ndmismmoremdifficultmtomchangempositionsmfrommsittingmtomstandingmthanmitmusedmtominmthempast.m
Hemhasmalsombeenmwakingmupmwithmmusclemandmjointmstiffness.mThemAPRNmnotesmthatmhismfamilym
historymismnotmsignificantmformanymchronicmormgeneticmdiseases.mWhichmconditionmismlikelymtombemt
hemcausemofmthesemsymptoms?m-mCORRECTmANSWERmBeckermmuscularmdystrophym
--
Beckermmuscularmdystrophym(oftenmcalledmBeckermMDmormBMD)mismamformmofmmuscularmdystroph
y,mamgeneticmdisordermthatmgraduallymmakesmthembody'smmusclesmweakermandmsmaller.mItmcausesml
essmseveremproblemsmthanmthemmostmcommonmtype,mDuchennemmuscularmdystrophy.
WhichmstatementmshouldmthemprovidermgivemthempatientmregardingmthempathophysiologymofmSLEm
andmitsmrelationmtomthrombocytopenia?m-
,mCORRECTmANSWERmSLEmdisruptsmimmunemhomeostasismandmpromotesmdevelopmentmofmself-
reactivemantibodies.
Amfemalempatientmpresentsmtomanmofficemtomestablishmcare.mHermpreviousmprimarymcaremprovidermt
oldmhermtomfollowmupmregardingmanmelevatedmferritinmlevel.mShemhasmnompreviousmmedicalmhistory
mandmismcurrentlymasymptomatic.mShemismconcernedmaboutmthemelevatedmferritinmandmwouldmlikemt
omknowmifmshemshouldmbemworried.mWhatmshouldmthemprovidermdomnextmformthismpatient?m-
mCORRECTmANSWERmOrdermamlivermfunctionmtest
Am75-year-
oldmfemalempresentsmtomthememergencymdepartmentmwithmanmirregularmheartmratemofm130.Whatm
canmbemascertainedmaboutmthismpatient'smfindingsmgivenmthemlimitedminformation?m-
mCORRECTmANSWERmShemismdiagnosedmwithmatrialmfibrillationmandmneedsmhermheartmratemcontroll
edmwithmmetoprololm(Lopressor).
Whichmconditionmfrommthismpatient'smmedicalmhistorymismcontributingmtomthemlossmofmcontractility
?m-mCORRECTmANSWERmAcutemmyocardialminfarction
Whichmconditionmismthismpatientmsufferingmfrom?m-mCORRECTmANSWERmDiabeticmketoacidosis
Am45-year-
oldmfemalemfearsmthatmshemismhavingmamstrokemandmtakesmherselfmtomanmemergencymroom.mAfterms
everalmdiagnosticmandmlaboratorymtests,mthempatientmismdiagnosedmwithmCushingmdisease.mWhichml
abmabnormalitymwouldmbempresentminmthismpatient?m-mCORRECTmANSWERmIncreasedmcortisol
SOBmwhenmlyingmdown,mandmmovingmaroundm--
Basedmonmthempatient'smpresentation,mwhichmdiseasemprocessmismthempatientmlikelymexhibiting?m-
mCORRECTmANSWERmAsthma
Amtwo-year-
oldmchildmpresentsmwithmamclearmrunnymnosemandmcoughmwhichmhasmlastedm3mdays.mThemchild'smm
, othermreportsmthemcoughmsoundsmlikemambarkingmnoise.mThemchildmismsleepingminmthemmother'smar
msmandmappearsmtomhavemstridor.mThemchild'smmothermalsomreportsmanmaxillarymtemperaturemofm1
01°Fmlastmnight.mWhichmmanagementmtechniquemismappropriatemformthismchild'smsymptoms?m-
mCORRECTmANSWERmOralmsteroidsmandmbreathingmtreatments
Delerium,murinarymincontinence,mfever--
mWhichmlabmandmdiagnosticmtestsmshouldmbemorderedmasmpartmofmthempatient'smassessment?m-
mCORRECTmANSWERmCompletembloodmcount,mcompletemmetabolicmprofile,mandmurinalysis
Anm18-year-
oldmmalemisminvolvedminmammotorcyclemcrashmwhilemnotmwearingmamhelmet.mHemismbroughtmintoman
memergencymroommandmismimmediatelymtakenmformamCTmscan.mThemprovidermtellsmthempatient'smpa
rentsmhemhasmbleedingmbetweenmthemdurammatermandmthemskull.mWhatmismthismpatient'smcondition
mcalled?m-mCORRECTmANSWERmEpiduralmhematoma
--mWhatmismthemappropriatemdiagnosismformthismpatient?m-mCORRECTmANSWERmCrohn'smdisease
Whichmdiagnosticmtestmismappropriatemtomordermformthismpatient?m-
mCORRECTmANSWERmUltrasound
Am45-year-oldmmalemismbeingmseenminmthemclinicmformamyearlymcheck-
upmandmlabmwork.mHismhistorymincludesmhypertensionmandmhyperlipidemiamformwhichmhemcurrentl
ymtakesmNorvascm5mmgmdailymandmLipitorm20mmgmnightly.mPatientmhasmamfamilymhistorymofmdiabetes
,mhypertension,mheartmdisease,mandmhyperlipidemia.mAftermobtainingmlabmwork,mthemprovidermnoti
cesmthempatient'smhgbA1cmismelevatedmatm7.5.mThempatientmismalreadymonmamDASHmdietmandmwatchi
ngmthemamountmofmsweetsmandmcarbohydratesmhemeatsmdaily.mThempatientmismnotmoverweightmand
mparticipatesminmmoderatemphysicalmactivitymatmleastm4-
5mdaysmamweek.mHemwasmstartedmonmMetforminmthreemmonthsmago,mandmhismhemoglobinmA1cmism
nowm6.9.mThemnursemexpectsmtomseemamclassmofmmedicationmprescribedmwhichmismprovenmtomreduc
emthemriskmofmcardiovascularmevents.mConsideringmthemtreatmentmguidelinesmfrommthemAmericanm
CollegemofmCardiology,mwhichmmedicationmshouldmbemrecommendedmformthismpatienm-
mCORRECTmANSWERmInvokanam100mmgmdaily
EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
WhatmismthemgoldmstandardmformthemsuspectedmdiagnosismofmCeliacmDisease?m-
mCORRECTmANSWERmEndoscopymwithmsmallmintestinembiopsy
Am44-year-oldmwomanmhasmrecentlymbeenmdiagnosedmwithmadvancedmmetastaticmnon-small-
cellmlungmcancer.mGeneticmtestingmismorderedmtomdeterminemifmthempatient'smtumormhasmanymgeno
micmalterationsmandmtomguidemtreatmentmdecisions.mAmfewmweeksmlater,mthempatient'smtestmresults
mcomembackmpositivemformamgeneticmmutation.mThemAPNmstartsmosimertinibm(Tagrisso).mBasedmonmt
hisminformation,mwhatmtypemofmgeneticmmutationmdoesmthismpatientmhave?m-
mCORRECTmANSWERmEGFRmmutation
Am20-year-
oldmmalemmeetsmwithmanmadvancedmprofessionalmnursem(APN)mtomdiscussmsymptomsmthatmhavemb
eenmslowlymprogressingmovermthempastmseveralmyears.mHemismmainlymconcernedmbecausemhemhasmb
eenmfallingmfrequently.mSincemchildhood,mhismgaitmhasmconsistedmofmwalkingmonmhismtoes.mDuringm
middlemschool,mhemwasmablemtomparticipateminmsportsmbutmwasmunablemtomparticipateminmhighmsch
oolmsportsmduemtomdifficultymwithmrunningmandmjumping.mLately,mhemhasmnoticedmitmtakesmlongerma
ndmismmoremdifficultmtomchangempositionsmfrommsittingmtomstandingmthanmitmusedmtominmthempast.m
Hemhasmalsombeenmwakingmupmwithmmusclemandmjointmstiffness.mThemAPRNmnotesmthatmhismfamilym
historymismnotmsignificantmformanymchronicmormgeneticmdiseases.mWhichmconditionmismlikelymtombemt
hemcausemofmthesemsymptoms?m-mCORRECTmANSWERmBeckermmuscularmdystrophym
--
Beckermmuscularmdystrophym(oftenmcalledmBeckermMDmormBMD)mismamformmofmmuscularmdystroph
y,mamgeneticmdisordermthatmgraduallymmakesmthembody'smmusclesmweakermandmsmaller.mItmcausesml
essmseveremproblemsmthanmthemmostmcommonmtype,mDuchennemmuscularmdystrophy.
WhichmstatementmshouldmthemprovidermgivemthempatientmregardingmthempathophysiologymofmSLEm
andmitsmrelationmtomthrombocytopenia?m-
,mCORRECTmANSWERmSLEmdisruptsmimmunemhomeostasismandmpromotesmdevelopmentmofmself-
reactivemantibodies.
Amfemalempatientmpresentsmtomanmofficemtomestablishmcare.mHermpreviousmprimarymcaremprovidermt
oldmhermtomfollowmupmregardingmanmelevatedmferritinmlevel.mShemhasmnompreviousmmedicalmhistory
mandmismcurrentlymasymptomatic.mShemismconcernedmaboutmthemelevatedmferritinmandmwouldmlikemt
omknowmifmshemshouldmbemworried.mWhatmshouldmthemprovidermdomnextmformthismpatient?m-
mCORRECTmANSWERmOrdermamlivermfunctionmtest
Am75-year-
oldmfemalempresentsmtomthememergencymdepartmentmwithmanmirregularmheartmratemofm130.Whatm
canmbemascertainedmaboutmthismpatient'smfindingsmgivenmthemlimitedminformation?m-
mCORRECTmANSWERmShemismdiagnosedmwithmatrialmfibrillationmandmneedsmhermheartmratemcontroll
edmwithmmetoprololm(Lopressor).
Whichmconditionmfrommthismpatient'smmedicalmhistorymismcontributingmtomthemlossmofmcontractility
?m-mCORRECTmANSWERmAcutemmyocardialminfarction
Whichmconditionmismthismpatientmsufferingmfrom?m-mCORRECTmANSWERmDiabeticmketoacidosis
Am45-year-
oldmfemalemfearsmthatmshemismhavingmamstrokemandmtakesmherselfmtomanmemergencymroom.mAfterms
everalmdiagnosticmandmlaboratorymtests,mthempatientmismdiagnosedmwithmCushingmdisease.mWhichml
abmabnormalitymwouldmbempresentminmthismpatient?m-mCORRECTmANSWERmIncreasedmcortisol
SOBmwhenmlyingmdown,mandmmovingmaroundm--
Basedmonmthempatient'smpresentation,mwhichmdiseasemprocessmismthempatientmlikelymexhibiting?m-
mCORRECTmANSWERmAsthma
Amtwo-year-
oldmchildmpresentsmwithmamclearmrunnymnosemandmcoughmwhichmhasmlastedm3mdays.mThemchild'smm
, othermreportsmthemcoughmsoundsmlikemambarkingmnoise.mThemchildmismsleepingminmthemmother'smar
msmandmappearsmtomhavemstridor.mThemchild'smmothermalsomreportsmanmaxillarymtemperaturemofm1
01°Fmlastmnight.mWhichmmanagementmtechniquemismappropriatemformthismchild'smsymptoms?m-
mCORRECTmANSWERmOralmsteroidsmandmbreathingmtreatments
Delerium,murinarymincontinence,mfever--
mWhichmlabmandmdiagnosticmtestsmshouldmbemorderedmasmpartmofmthempatient'smassessment?m-
mCORRECTmANSWERmCompletembloodmcount,mcompletemmetabolicmprofile,mandmurinalysis
Anm18-year-
oldmmalemisminvolvedminmammotorcyclemcrashmwhilemnotmwearingmamhelmet.mHemismbroughtmintoman
memergencymroommandmismimmediatelymtakenmformamCTmscan.mThemprovidermtellsmthempatient'smpa
rentsmhemhasmbleedingmbetweenmthemdurammatermandmthemskull.mWhatmismthismpatient'smcondition
mcalled?m-mCORRECTmANSWERmEpiduralmhematoma
--mWhatmismthemappropriatemdiagnosismformthismpatient?m-mCORRECTmANSWERmCrohn'smdisease
Whichmdiagnosticmtestmismappropriatemtomordermformthismpatient?m-
mCORRECTmANSWERmUltrasound
Am45-year-oldmmalemismbeingmseenminmthemclinicmformamyearlymcheck-
upmandmlabmwork.mHismhistorymincludesmhypertensionmandmhyperlipidemiamformwhichmhemcurrentl
ymtakesmNorvascm5mmgmdailymandmLipitorm20mmgmnightly.mPatientmhasmamfamilymhistorymofmdiabetes
,mhypertension,mheartmdisease,mandmhyperlipidemia.mAftermobtainingmlabmwork,mthemprovidermnoti
cesmthempatient'smhgbA1cmismelevatedmatm7.5.mThempatientmismalreadymonmamDASHmdietmandmwatchi
ngmthemamountmofmsweetsmandmcarbohydratesmhemeatsmdaily.mThempatientmismnotmoverweightmand
mparticipatesminmmoderatemphysicalmactivitymatmleastm4-
5mdaysmamweek.mHemwasmstartedmonmMetforminmthreemmonthsmago,mandmhismhemoglobinmA1cmism
nowm6.9.mThemnursemexpectsmtomseemamclassmofmmedicationmprescribedmwhichmismprovenmtomreduc
emthemriskmofmcardiovascularmevents.mConsideringmthemtreatmentmguidelinesmfrommthemAmericanm
CollegemofmCardiology,mwhichmmedicationmshouldmbemrecommendedmformthismpatienm-
mCORRECTmANSWERmInvokanam100mmgmdaily
