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Exam (elaborations)

D027 WGU Study Guide – Questions, Answers & Exam Review 2026/2027

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D027 WGU Study Guide – Questions, Answers & Exam Review 2026/2027

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D027 WGU
D027 WGU
Study online at https://quizlet.com/_ax98y1

1. What is the gold standard for the suspected diagnosis Endoscopy with small in-
of Celiac Disease? testine biopsy

2. A 44-year-old woman has recently been diagnosed EGFR mutation
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 treat-
ment 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?

3. A 20-year-old male meets with an advanced profes- Becker muscular dystro-
sional nurse (APN) to discuss symptoms that have phy
been slowly progressing over the past several years. --Becker muscular dystro-
He is mainly concerned because he has been falling phy (often called Beck-
frequently. Since childhood, his gait has consisted of er MD or BMD) is a
walking on his toes. During middle school, he was able form of muscular dys-
to participate in sports but was unable to participate trophy, a genetic disor-
in high school sports due to difficulty with running der that gradually makes
and jumping. Lately, he has noticed it takes longer and the body's muscles weak-
is more difficult to change positions from sitting to er and smaller. It causes
standing than it used to in the past. He has also been less severe problems than
waking up with muscle and joint stiffness. The APRN the most common type,
notes that his family history is not significant for any Duchenne muscular dys-
chronic or genetic diseases. Which condition is likely trophy.
to be the cause of these symptoms?

4. Which statement should the provider give the patient SLE disrupts immune
regarding the pathophysiology of SLE and its relation homeostasis and pro-
to thrombocytopenia?

Page 1 of 29

, D027 WGU
D027 WGU
Study online at https://quizlet.com/_ax98y1

motes development of
self-reactive antibodies.

5. A female patient presents to an office to establish Order a liver function test
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 asymp-
tomatic. 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?

6. A 75-year-old female presents to the emergency de- She is diagnosed with
partment with an irregular heart rate of 130.What can atrial fibrillation and
be ascertained about this patient's findings given the needs her heart rate con-
limited information? trolled with metoprolol
(Lopressor).

7. Which condition from this patient's medical history is Acute myocardial infarc-
contributing to the loss of contractility? tion

8. Which condition is this patient suffering from? Diabetic ketoacidosis

9. A 45-year-old female fears that she is having a stroke Increased cortisol
and takes herself to an emergency room. After several
diagnostic and laboratory tests, the patient is diag-
nosed with Cushing disease. Which lab abnormality
would be present in this patient?

10. SOB when lying down, and moving around --Based on Asthma
the patient's presentation, which disease process is
the patient likely exhibiting?

11.


Page 2 of 29

, D027 WGU
D027 WGU
Study online at https://quizlet.com/_ax98y1

A two-year-old child presents with a clear runny nose Oral steroids and breath-
and cough which has lasted 3 days. The child's mother ing treatments
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?

12. Delerium, urinary incontinence, fever-- Which lab and Complete blood count,
diagnostic tests should be ordered as part of the pa- complete metabolic pro-
tient's assessment? file, and urinalysis

13. An 18-year-old male is involved in a motorcycle crash Epidural hematoma
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?

14. -- What is the appropriate diagnosis for this patient? Crohn's disease

15. Which diagnostic test is appropriate to order for this Ultrasound
patient?

16. A 45-year-old male is being seen in the clinic for a Invokana 100 mg daily
yearly check-up and lab work. His history includes hy- --Invokana is a medication
pertension and hyperlipidemia for which he currently used to treat type 2 di-
takes Norvasc 5 mg daily and Lipitor 20 mg nightly. abetes. It is a third-line
Patient has a family history of diabetes, hypertension, medication to metformin.
heart disease, and hyperlipidemia. After obtaining lab It is used together with ex-
work, the provider notices the patient's hgbA1c is ele- ercise and diet. It is not
vated at 7.5. The patient is already on a DASH diet and recommended in type 1
watching the amount of sweets and carbohydrates he

Page 3 of 29

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