D027 WGU Exam Latest 2023 -2024 Actual Exam Questions
with Correct Verified Answers/ Graded A+
1. What is the gold standard for the suspected diagno- Endoscopy with
sis of Celiac Disease? small intestine
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
sional nurse (APN) to discuss symptoms that have dystrophy
been slowly progressing over the past several years. --Becker muscu-
He is mainly concerned because he has been falling lar dystrophy (of-
frequently. Since childhood, his gait has consisted ten called Becker
of walking on his toes. During middle school, he MD or BMD) is a
was able to participate in sports but was unable to form of muscular
participate in high school sports due to difficulty dystrophy, a ge-
with running and jumping. Lately, he has noticed it netic disorder that
takes longer and is more difficult to change positions gradually makes
from sitting to standing than it used to in the past. the body's mus-
He has also been waking up with muscle and joint cles weaker and
stiffness. The APRN notes that his family history is smaller. It caus-
not significant for any chronic or genetic diseases. es less severe
Which condition is likely to be the cause of these problems than
symptoms? the most common
type, Duchenne
muscular dystro-
phy.
4. Which statement should the provider give the patient SLE disrupts im-
regarding the pathophysiology of SLE and its relation mune homeosta-
to thrombocytopenia? sis and promotes
development of
, D027 WGU Latest 2023 -2024
self-reactive anti-
bodies.
5. A female patient presents to an office to establish Order a liver func-
care. Her previous primary care provider told her to tion test
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
partment with an irregular heart rate of 130.What can with atrial fibril-
be ascertained about this patient's findings given the lation and needs
limited information? her heart rate con-
trolled with meto-
prolol (Lopressor).
7. Which condition from this patient's medical history is Acute myocardial
contributing to the loss of contractility? infarction
8. Which condition is this patient suffering from? Diabetic ketoaci-
dosis
9. A 45-year-old female fears that she is having a stroke Increased cortisol
and takes herself to an emergency room. After sever-
al 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 Asthma
on the patient's presentation, which disease process
is the patient likely exhibiting?
11. A two-year-old child presents with a clear runny nose Oral steroids and
and cough which has lasted 3 days. The child's moth- breathing treat-
er reports the cough sounds like a barking noise. ments
The child is sleeping in the mother's arms and ap-
pears to have stridor. The child's mother also reports
an axillary temperature of 101°F last night. Which
, D027 WGU Latest 2023 -2024
management technique is appropriate for this child's
symptoms?
12. Delerium, urinary incontinence, fever-- Which lab and Complete blood
diagnostic tests should be ordered as part of the count, complete
patient's assessment? metabolic profile,
and urinalysis
13. An 18-year-old male is involved in a motorcycle crash Epidural
while not wearing a helmet. He is brought into an hematoma
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
yearly check-up and lab work. His history includes hy- daily
pertension and hyperlipidemia for which he currently --Invokana is a
takes Norvasc 5 mg daily and Lipitor 20 mg nightly. medication used
Patient has a family history of diabetes, hypertension, to treat type 2
heart disease, and hyperlipidemia. After obtaining lab diabetes. It is a
work, the provider notices the patient's hgbA1c is third-line medica-
elevated at 7.5. The patient is already on a DASH diet tion to metformin.
and watching the amount of sweets and carbohy- It is used together
drates he eats daily. The patient is not overweight with exercise and
and participates in moderate physical activity at least diet. It is not rec-
4-5 days a week. He was started on Metformin three ommended in type
months ago, and his hemoglobin A1c is now 6.9. The 1 diabetes. It is
nurse expects to see a class of medication prescribed taken by mouth.
which is proven to reduce the risk of cardiovascular
events. Considering the treatment guidelines from
the American College of Cardiology, which medica-
tion should be recommended for this patien
17.
with Correct Verified Answers/ Graded A+
1. What is the gold standard for the suspected diagno- Endoscopy with
sis of Celiac Disease? small intestine
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
sional nurse (APN) to discuss symptoms that have dystrophy
been slowly progressing over the past several years. --Becker muscu-
He is mainly concerned because he has been falling lar dystrophy (of-
frequently. Since childhood, his gait has consisted ten called Becker
of walking on his toes. During middle school, he MD or BMD) is a
was able to participate in sports but was unable to form of muscular
participate in high school sports due to difficulty dystrophy, a ge-
with running and jumping. Lately, he has noticed it netic disorder that
takes longer and is more difficult to change positions gradually makes
from sitting to standing than it used to in the past. the body's mus-
He has also been waking up with muscle and joint cles weaker and
stiffness. The APRN notes that his family history is smaller. It caus-
not significant for any chronic or genetic diseases. es less severe
Which condition is likely to be the cause of these problems than
symptoms? the most common
type, Duchenne
muscular dystro-
phy.
4. Which statement should the provider give the patient SLE disrupts im-
regarding the pathophysiology of SLE and its relation mune homeosta-
to thrombocytopenia? sis and promotes
development of
, D027 WGU Latest 2023 -2024
self-reactive anti-
bodies.
5. A female patient presents to an office to establish Order a liver func-
care. Her previous primary care provider told her to tion test
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
partment with an irregular heart rate of 130.What can with atrial fibril-
be ascertained about this patient's findings given the lation and needs
limited information? her heart rate con-
trolled with meto-
prolol (Lopressor).
7. Which condition from this patient's medical history is Acute myocardial
contributing to the loss of contractility? infarction
8. Which condition is this patient suffering from? Diabetic ketoaci-
dosis
9. A 45-year-old female fears that she is having a stroke Increased cortisol
and takes herself to an emergency room. After sever-
al 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 Asthma
on the patient's presentation, which disease process
is the patient likely exhibiting?
11. A two-year-old child presents with a clear runny nose Oral steroids and
and cough which has lasted 3 days. The child's moth- breathing treat-
er reports the cough sounds like a barking noise. ments
The child is sleeping in the mother's arms and ap-
pears to have stridor. The child's mother also reports
an axillary temperature of 101°F last night. Which
, D027 WGU Latest 2023 -2024
management technique is appropriate for this child's
symptoms?
12. Delerium, urinary incontinence, fever-- Which lab and Complete blood
diagnostic tests should be ordered as part of the count, complete
patient's assessment? metabolic profile,
and urinalysis
13. An 18-year-old male is involved in a motorcycle crash Epidural
while not wearing a helmet. He is brought into an hematoma
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
yearly check-up and lab work. His history includes hy- daily
pertension and hyperlipidemia for which he currently --Invokana is a
takes Norvasc 5 mg daily and Lipitor 20 mg nightly. medication used
Patient has a family history of diabetes, hypertension, to treat type 2
heart disease, and hyperlipidemia. After obtaining lab diabetes. It is a
work, the provider notices the patient's hgbA1c is third-line medica-
elevated at 7.5. The patient is already on a DASH diet tion to metformin.
and watching the amount of sweets and carbohy- It is used together
drates he eats daily. The patient is not overweight with exercise and
and participates in moderate physical activity at least diet. It is not rec-
4-5 days a week. He was started on Metformin three ommended in type
months ago, and his hemoglobin A1c is now 6.9. The 1 diabetes. It is
nurse expects to see a class of medication prescribed taken by mouth.
which is proven to reduce the risk of cardiovascular
events. Considering the treatment guidelines from
the American College of Cardiology, which medica-
tion should be recommended for this patien
17.
