WGU D027 Practice Test questions &
answers graded A+
Colonoscopy with rectal biopsy - ANS ✔✔1. 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?
aa. Endoscopy
ALK mutation and EGFR mutation - ANS ✔✔1. 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 (Agresso).Based on this information, what types of genetic mutation does this
patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation
Becker muscular dystrophy - ANS ✔✔1. 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 is more difficult to change positions from
sitting to standing than it used to in the past. He has also been waking up with muscle and joint
stiffness. The APRN notes that his family history is not significant for any chronic or genetic
diseases. Which condition is likely to be the cause of these symptoms?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy
SLE disrupts immune homeostasis and promotes development of self-reactive antibodies. - ANS
✔✔1. A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation.
Order a liver function test - ANS ✔✔1. A female patient presents to an office to establish 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 asymptomatic. 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?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel
, She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor). - ANS ✔✔1. A 75-year-old female presents to the emergency department with an
irregular heart rate of 130.What can be ascertained about this patient's findings given the
limited information?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol
(Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled with
metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with
magnesium.
Acute myocardial infarction - ANS ✔✔1. A 75-year-old male presents with a history of transient
ischemic attack, acute myocardial infarction, angina, and atrial fibrillation. The patient's
echocardiogram shows low cardiac output and loss of contractility.Which condition from this
patient's medical history is contributing to the loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack
Diabetic ketoacidosis - ANS ✔✔1. A patient presents to an emergency room with blurred vision,
fatigue, shortness of breath, and disorientation. Some of the preliminary lab results reveal the
following: glucose >400 mg/dL, sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.Which condition is this patient suffering from?
a. Diabetic ketoacidosis
b. Retinopathy
c. Nephropathy
d. Peripheral neuropathy
answers graded A+
Colonoscopy with rectal biopsy - ANS ✔✔1. 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?
aa. Endoscopy
ALK mutation and EGFR mutation - ANS ✔✔1. 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 (Agresso).Based on this information, what types of genetic mutation does this
patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation
Becker muscular dystrophy - ANS ✔✔1. 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 is more difficult to change positions from
sitting to standing than it used to in the past. He has also been waking up with muscle and joint
stiffness. The APRN notes that his family history is not significant for any chronic or genetic
diseases. Which condition is likely to be the cause of these symptoms?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy
SLE disrupts immune homeostasis and promotes development of self-reactive antibodies. - ANS
✔✔1. A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation.
Order a liver function test - ANS ✔✔1. A female patient presents to an office to establish 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 asymptomatic. 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?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel
, She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor). - ANS ✔✔1. A 75-year-old female presents to the emergency department with an
irregular heart rate of 130.What can be ascertained about this patient's findings given the
limited information?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol
(Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled with
metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with
magnesium.
Acute myocardial infarction - ANS ✔✔1. A 75-year-old male presents with a history of transient
ischemic attack, acute myocardial infarction, angina, and atrial fibrillation. The patient's
echocardiogram shows low cardiac output and loss of contractility.Which condition from this
patient's medical history is contributing to the loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack
Diabetic ketoacidosis - ANS ✔✔1. A patient presents to an emergency room with blurred vision,
fatigue, shortness of breath, and disorientation. Some of the preliminary lab results reveal the
following: glucose >400 mg/dL, sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.Which condition is this patient suffering from?
a. Diabetic ketoacidosis
b. Retinopathy
c. Nephropathy
d. Peripheral neuropathy
