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?-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>> : Endoscopy with small intestine biopsy
0x 0x 0x 0x 0x 0x
2. A 44-year-old woman has recently been diagnosed with advanced metasta-
0x 0x 0x 0x 0x 0x 0x 0x 0x
tic non-small-cell lung cancer. Genetic testing is ordered to determine if the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
patient's tumor has any genomic alterations and to guide treatment decisions. A
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
few weeks later, the patient's test results come back positive for a genetic
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
mutation.The APN starts osimertinib (Tagrisso). Based on this information,
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x
what type of genetic mutation does this patient have?
0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: EGFR mutation 0x 0x
3. A 20-year-old male meets with an advanced professional nurse (APN) to
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
discuss symptoms that have been slowly progressing over the past several
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
years. He is mainly concerned because he has been falling frequently. Since
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
childhood,his gait has consisted of walking on his toes.During middle school, he
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x x
0 0x 0x 0x
was able to participate in sports but was unable to participate in high school
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
sports due to difficulty with running and jumping. Lately, he has noticed it
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
takes longer and is more difficult to change positions from sitting to standing
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
than it used to in the past. He has also been waking up with muscle and joint
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
stiffness.The APRN notes that his family history is not significant for any
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
chronic or genetic diseases.Which condition is likely to be the cause of
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x
0x 0x
,0x these symptoms? 0x
Ans>>: Becker muscular dystrophy 0x 0x 0x
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
dystrophy, a genetic disorder that gradually makes the body's muscles weaker and
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
smaller. It causes less severe problems than the most common type, Duchenne
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
muscular dystrophy.
0x 0x
4. Which statement should the provider give the patient regarding the patho-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
physiology of SLE and its relation to thrombocytopenia?
0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: SLE disrupts immune homeostasis and promotes development of self-
0x 0x 0x 0x 0x 0x 0x 0x 0x
reactive antibodies. 0x
5. A female patient presents to an office to establish care. Her previous pri-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
mary care provider told her to follow up regarding an elevated ferritin level.
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
She has no previous medical history and is currently asymptomatic. She is
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
concerned about the elevated ferritin and would like to know if she should
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
be worried.What should the provider do next for this patient?
0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Order a liver function test 0x 0x 0x 0x 0x
6. A 75-year-old female presents to the emergency department with an irreg-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
ular heart rate of 130.What can be ascertained about this patient's findings
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
given the limited information?
0x 0x 0x 0x
Ans>>: She is diagnosed with atrial fibrillation and needs her heart rate controlled
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
with metoprolol (Lopressor).
0x 0x 0x
7. Which condition from this patient's medical history is contributing to the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
loss of contractility?
0x 0x 0x
Ans>>: Acute myocardial infarction 0x 0x 0x
0x 0x
,8. Which condition is this patient suffering from? 0x 0x 0x 0x 0x 0x
Ans>>: Diabetic ketoacidosis 0x 0x
9. A 45-year-old female fears that she is having a stroke and takes herself to
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
an emergency room. After several diagnostic and laboratory tests, the patient is
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
diagnosed with Cushing disease.Which lab abnormality would be present in
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x
this patient?
0x 0x
Ans>>: Increased cortisol 0x 0x
10. SOB when lying down, and moving around --Based on the patient's pre-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
sentation, which disease process is the patient likely exhibiting?
0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Asthma 0x
11. A two-year-old child presents with a clear runny nose and cough which
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
has lasted 3 days.The child's mother reports the cough sounds like a barking
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x
noise.The child is sleeping in the mother's arms and appears to have stridor.
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
The child's mother also reports an axillary temperature of 101°F last night.
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
Which management technique is appropriate for this child's symptoms?
0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Oral steroids and breathing treatments
0x 0x 0x 0x 0x
12. Delerium, urinary incontinence, fever-- Which lab and diagnostic tests 0x 0x 0x 0x 0x 0x 0x 0x
should be ordered as part of the patient's assessment?: Complete blood count,
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
complete metabolic profile, and urinalysis
0x 0x 0x 0x 0x
13. An 18-year-old male is involved in a motorcycle crash while not wearing a
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
helmet. He is brought into an emergency room and is immediately taken for
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
a CT scan.The provider tells the patient's parents he has bleeding between
0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x
the dura mater and the skull.What is this patient's condition called?
0x 0x 0x 0x 0x 0x x
0 0x 0x 0x 0x 0x
Ans>>: Epidural hematoma 0x 0x
14. -- What is the appropriate diagnosis for this patient?
0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Crohn's disease 0x 0x
15. Which diagnostic test is appropriate to order for this patient?
0x 0x 0x 0x 0x 0x 0x 0x 0x
0x 0x
, Ans>>: Ultrasound 0x
16. A 45-year-old male is being seen in the clinic for a yearly check-up and
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
lab work. His history includes hypertension and hyperlipidemia for which he
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
family history of diabetes, hypertension, heart disease, and hyperlipidemia.
0x 0x 0x 0x 0x 0x 0x 0x 0x
After obtaining lab work, the provider notices the patient's hgbA1c is elevated at
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
7.5.The patient is already on a DASH diet and watching the amount of sweets and
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
carbohydrates he eats daily.The patient is not overweight and participates in
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x
moderate physical activity at least 4-5 days a week. He was started on
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
Metformin three months ago, and his hemoglobin A1c is now 6.9.The nurse
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x x
0 0x
expects to see a class of medication prescribed which is proven to reduce the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
risk of cardiovascular events. Considering the treatment guidelines from the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
American College of Cardiology, which medication should be recommended
0x 0x 0x 0x 0x 0x 0x 0x 0x
for this patien
0x 0x 0x
Ans>>: Invokana 100 mg daily 0x 0x 0x 0x
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
0x 0x
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?-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>> : Endoscopy with small intestine biopsy
0x 0x 0x 0x 0x 0x
2. A 44-year-old woman has recently been diagnosed with advanced metasta-
0x 0x 0x 0x 0x 0x 0x 0x 0x
tic non-small-cell lung cancer. Genetic testing is ordered to determine if the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
patient's tumor has any genomic alterations and to guide treatment decisions. A
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
few weeks later, the patient's test results come back positive for a genetic
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
mutation.The APN starts osimertinib (Tagrisso). Based on this information,
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x
what type of genetic mutation does this patient have?
0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: EGFR mutation 0x 0x
3. A 20-year-old male meets with an advanced professional nurse (APN) to
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
discuss symptoms that have been slowly progressing over the past several
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
years. He is mainly concerned because he has been falling frequently. Since
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
childhood,his gait has consisted of walking on his toes.During middle school, he
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x x
0 0x 0x 0x
was able to participate in sports but was unable to participate in high school
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
sports due to difficulty with running and jumping. Lately, he has noticed it
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
takes longer and is more difficult to change positions from sitting to standing
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
than it used to in the past. He has also been waking up with muscle and joint
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
stiffness.The APRN notes that his family history is not significant for any
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
chronic or genetic diseases.Which condition is likely to be the cause of
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x
0x 0x
,0x these symptoms? 0x
Ans>>: Becker muscular dystrophy 0x 0x 0x
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
dystrophy, a genetic disorder that gradually makes the body's muscles weaker and
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
smaller. It causes less severe problems than the most common type, Duchenne
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
muscular dystrophy.
0x 0x
4. Which statement should the provider give the patient regarding the patho-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
physiology of SLE and its relation to thrombocytopenia?
0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: SLE disrupts immune homeostasis and promotes development of self-
0x 0x 0x 0x 0x 0x 0x 0x 0x
reactive antibodies. 0x
5. A female patient presents to an office to establish care. Her previous pri-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
mary care provider told her to follow up regarding an elevated ferritin level.
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
She has no previous medical history and is currently asymptomatic. She is
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
concerned about the elevated ferritin and would like to know if she should
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
be worried.What should the provider do next for this patient?
0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Order a liver function test 0x 0x 0x 0x 0x
6. A 75-year-old female presents to the emergency department with an irreg-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
ular heart rate of 130.What can be ascertained about this patient's findings
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
given the limited information?
0x 0x 0x 0x
Ans>>: She is diagnosed with atrial fibrillation and needs her heart rate controlled
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
with metoprolol (Lopressor).
0x 0x 0x
7. Which condition from this patient's medical history is contributing to the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
loss of contractility?
0x 0x 0x
Ans>>: Acute myocardial infarction 0x 0x 0x
0x 0x
,8. Which condition is this patient suffering from? 0x 0x 0x 0x 0x 0x
Ans>>: Diabetic ketoacidosis 0x 0x
9. A 45-year-old female fears that she is having a stroke and takes herself to
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
an emergency room. After several diagnostic and laboratory tests, the patient is
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
diagnosed with Cushing disease.Which lab abnormality would be present in
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x
this patient?
0x 0x
Ans>>: Increased cortisol 0x 0x
10. SOB when lying down, and moving around --Based on the patient's pre-
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
sentation, which disease process is the patient likely exhibiting?
0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Asthma 0x
11. A two-year-old child presents with a clear runny nose and cough which
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
has lasted 3 days.The child's mother reports the cough sounds like a barking
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x
noise.The child is sleeping in the mother's arms and appears to have stridor.
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
The child's mother also reports an axillary temperature of 101°F last night.
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
Which management technique is appropriate for this child's symptoms?
0x 0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Oral steroids and breathing treatments
0x 0x 0x 0x 0x
12. Delerium, urinary incontinence, fever-- Which lab and diagnostic tests 0x 0x 0x 0x 0x 0x 0x 0x
should be ordered as part of the patient's assessment?: Complete blood count,
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
complete metabolic profile, and urinalysis
0x 0x 0x 0x 0x
13. An 18-year-old male is involved in a motorcycle crash while not wearing a
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
helmet. He is brought into an emergency room and is immediately taken for
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
a CT scan.The provider tells the patient's parents he has bleeding between
0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x
the dura mater and the skull.What is this patient's condition called?
0x 0x 0x 0x 0x 0x x
0 0x 0x 0x 0x 0x
Ans>>: Epidural hematoma 0x 0x
14. -- What is the appropriate diagnosis for this patient?
0x 0x 0x 0x 0x 0x 0x 0x
Ans>>: Crohn's disease 0x 0x
15. Which diagnostic test is appropriate to order for this patient?
0x 0x 0x 0x 0x 0x 0x 0x 0x
0x 0x
, Ans>>: Ultrasound 0x
16. A 45-year-old male is being seen in the clinic for a yearly check-up and
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
lab work. His history includes hypertension and hyperlipidemia for which he
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
family history of diabetes, hypertension, heart disease, and hyperlipidemia.
0x 0x 0x 0x 0x 0x 0x 0x 0x
After obtaining lab work, the provider notices the patient's hgbA1c is elevated at
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
7.5.The patient is already on a DASH diet and watching the amount of sweets and
0x x
0 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
carbohydrates he eats daily.The patient is not overweight and participates in
0x 0x 0x 0x x
0 0x 0x 0x 0x 0x 0x 0x
moderate physical activity at least 4-5 days a week. He was started on
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
Metformin three months ago, and his hemoglobin A1c is now 6.9.The nurse
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x x
0 0x
expects to see a class of medication prescribed which is proven to reduce the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
risk of cardiovascular events. Considering the treatment guidelines from the
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
American College of Cardiology, which medication should be recommended
0x 0x 0x 0x 0x 0x 0x 0x 0x
for this patien
0x 0x 0x
Ans>>: Invokana 100 mg daily 0x 0x 0x 0x
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication
0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x
0x 0x
