WGU D027 Pre-assessment Questions
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A 26-year-old female presents to urgent care with complaints of
extreme fatigue, muscle aches, abdominal pain, numbness and
tingling in her extremities, and bloating. She explains that she has
been experiencing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She reports using
over-the-counter, anti-diarrheal products last week to combat
diarrhea. She denies having any chronic diseases. The assessment
findings include a blood pressure of 108/71 mm Hg, pulse of 82 beats
per minute, and respirations of 20 breaths per minute. The abdomen
is distended and firm. Bowel sounds are present in all four quadrants.
The patient has a steady gait, though verbally complains of feeling
weak and off balance upon ambulation. Following antibody testing,
Celiac disease is suspected. Which follow-up tissue test, the gold
standard for this suspected diagnosis, should be ordered?
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Ans: Endoscopy with small intestine biopsy
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 types of
genetic mutation does this patient have? Choose 2 answers.
Ans: ALK & EGFR 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