Wgu D027 Oa Exam 2025/2026 Actual Exam Test Bank 100 Question And Correct Detailed Answers With Rationales|Agrade

WGU D027 OA EXAM
2025/2026 ACTUAL EXAM TEST BANK 100 QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE




1. What is the gold standard for the suspected diagnosis of Celiac Disease?-
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Ans>> :Endoscopy with small intestine biopsy
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2. A44-year-oldwomanhasrecentlybeendiagnosedwithadvancedmetasta- tic
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non-small-cell lung cancer. Genetic testing is ordered to determine if the
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patient'stumorhasanygenomicalterationsandtoguidetreatmentdecisions. A
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few weeks later,the patient's test results come back positive for a genetic
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mutation.The APN starts osimertinib (Tagrisso). Based on this information,
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what type of genetic mutation does this patient have?
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Ans>>: EGFR mutation gy gy




3. A 20-year-old male meets with an advanced professional nurse (APN) to
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discuss symptoms that have been slowly progressing over the past several
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years.He is mainly concerned because he has been falling frequently.Since
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childhood,hisgaithasconsistedofwalkingonhistoes.Duringmiddleschool, he
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was able to participate in sports but was unable to participate in high school
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sports due to difficulty with running and jumping. Lately, he has noticedittakes
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longerandismoredifficulttochangepositionsfromsittingto standing than it used
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to in the past.He has also been waking up with muscle and joint stiffness.The
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APRN notes that his family history is not significant for any chronic or genetic
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diseases.Which condition is likely to be the cause of these symptoms?
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1/35 gy gy

,Ans>>: Becker muscular dystrophy gy gy gy




--Beckermusculardystrophy(oftencalledBeckerMDorBMD)isaformofmuscular
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dystrophy,ageneticdisorderthatgraduallymakesthebody'smusclesweakerand smalle
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It causes less severe problems than the most common type, Duchenne muscular
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dystrophy.
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4. Which statement should the provider give the patient regarding the patho-
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physiologyofSLEanditsrelationtothrombocytopenia?
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Ans>>:SLEdisruptsimmune homeostasis and promotes development of self-reactive
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antibodies.
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5. A female patient presents to an office to establish care.Her previous pri- mary
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careprovidertoldhertofollowupregarding anelevatedferritinlevel. She has no
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previous medical history and is currently asymptomatic.She is concerned
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about the elevated ferritin and would like to know if she should be worried.
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What should the provider do next for this patient?
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Ans>>:Order a liver function test y
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6. A 75-year-old female presents to the emergency department with an irreg- ular
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heart rate of 130.What can be ascertained about this patient's findings given the
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limited information?
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Ans>>:She is diagnosed withatrial fibrillation and needs her heart rate controlled with
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metoprolol (Lopressor).
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7. Which condition from this patient's medical history is contributing to the loss
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of contractility?
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Ans>>: Acute myocardial infarction gy gy gy




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,8. Which condition is this patient suffering from? gy gy gy gy gy gy




Ans>>:Diabetic ketoacidosis y
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9. A 45-year-old female fears that she is having a stroke and takes herself to an
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emergencyroom.Afterseveraldiagnosticandlaboratorytests,thepatient is
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diagnosed with Cushing disease.Which lab abnormality would be present in this
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patient?
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Ans>>: Increased cortisol gy gy




10. SOBwhen lyingdown,andmovingaround--Basedon the patient'spre-
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sentation, which disease process is the patient likely exhibiting?
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Ans>>: Asthma gy




11. A two-year-old child presents with a clear runny nose and cough which has
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lasted3days.Thechild'smotherreportsthecoughsoundslikeabarking noise.The
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childis sleepinginthe mother's armsandappearstohave stridor. The child's
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mother also reports an axillary temperature of 101°F last night. Which
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managementtechniqueisappropriateforthischild'ssymptoms?
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Ans>>:Oral steroids and breathing treatmentsy
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12. Delerium, urinary incontinence, fever--Which lab and diagnostic tests gy gy gy y
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shouldbeorderedaspartofthepatient'sassessment?:Completebloodcount,
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complete metabolic profile, and urinalysis
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13. An18-year-oldmaleis involvedina motorcyclecrashwhilenotwearinga
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helmet. He is brought into an emergency room and is immediately taken for a CT
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scan.The provider tells the patient's parents he has bleeding between thedura
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mater and the skull.What is this patient's condition called?
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Ans>>:Epidural hematoma y
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14. -- What is the appropriate diagnosis for this patient?
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Ans>>:Crohn's disease y
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15. Which diagnostic test is appropriate to order for this patient? gy gy gy gy gy gy gy gy gy




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, Ans>>:Ultrasound y
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16. A 45-year-old male is being seen in the clinic for a yearly check-up and lab
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work.His history includes hypertension and hyperlipidemia for which he
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currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly.Patient has a family
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history of diabetes, hypertension, heart disease, and hyperlipidemia. After
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obtaininglabwork,theprovidernoticesthepatient'shgbA1ciselevated at7.5.The
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patientisalreadyonaDASHdietandwatchingtheamountofsweets and
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carbohydratesheeatsdaily.Thepatientisnotoverweightandparticipates in
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moderate physical activity at least 4-5 days a week. He was started on Metformin
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three months ago, and his hemoglobin A1c is now 6.9.The nurse expectstoseea
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classofmedicationprescribedwhichisproventoreducethe risk of
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cardiovascular events.Considering the treatment guidelines from the American
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College of Cardiology,which medication should be recommended for this patien
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Ans>>: Invokana 100 mg daily gy gy gy gy




--Invokanaisamedicationusedto treattype2 diabetes.Itisathird-linemedication
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4/35
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