WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
A 23-year-old woman comes in for prenatal counseling. While completing her family
history, she reports her brother has cystic fibrosis. She does not know if she is a
carrier. She asks if her children will be affected by the disease.
What is an accurate way to determine the likelihood of this patient's children being
affected? - correct answer A genetic or a carrier test
A 31-year-old man comes into the office for an exam. He is 6' 5 " with a high-pitched
voice, and he has a moderate degree of mental impairment. It is discovered upon
exam that his body hair is sparse, his testes are small, and he has gynecomastia.
Which genetic disorder should this patient be tested for? - correct answer kleinfelters
sign of becker muscle dystrophy in kids? - correct answer may begin to waddle, walk
on their toes or push their abdomen forward when walking
A six-month-old female infant with failure to thrive comes in to the office with her
parents. It is noticed upon exam that the patient has facial deformities and is
jaundiced. A complete blood count (CBC) is ordered, which reveals anemia. When
that patient's blood is examined under a microscope, the red blood cells appear small
and abnormally shaped. A mutational analysis is ordered, and alpha thalassemia is
diagnosed.
, WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
What is the likelihood of incidence of these parent's future children having alpha
thalassemia? - correct answer 100%
A 64-year-old male truck driver comes in complaining of pain in his lower left calf. He
states he drives eight to ten hours per day. Upon exam, swelling and mottled coloring
are noted in the patient's calf. A D-dimer test is ordered and comes back positive.
Which additional test should be ordered to confirm a diagnosis in this patient? -
correct answer Doppler U/S
A 54-year-old man comes into a clinic for a routine visit. His initial BP is 148/92. After
a recheck 15 minutes later, his BP is 140/90. He states he suffers from "white coat
hypertension." He states he has no history of high blood pressure and no family
history of high blood pressure.
Which nursing intervention would assist this patient in receiving a clinical diagnosis
of hypertension? - correct answer Completing an ambulatory blood pressure
assessment
A 58-year-old woman comes in complaining of retrosternal chest pain, worsening
with recumbent position. She states she has had a low-grade fever for two days.
Upon exam, the patient has a friction rub. An EKG reveals sinus tachycardia with
, WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
inflammatory changes. An ultrasound is performed, and she is diagnosed with an
acute pericarditis.
Which condition would make pericarditis more likely in this patient? - correct answer
Lupus
A 54-year-old Caucasian man comes in for a lab review. His lipids reveal an LDL of
180, an HDL of 52, and triglycerides of 326. He has no history of atherosclerotic
cardiovascular disease (ASCVD) or diabetes. His blood pressure is 118/64. He has a
pulse rate of 64, and he weighs 320 lb. He smokes one pack of cigarettes per day, and
his ASCVD risk score is 12.8.
Which medication should this patient be started on? - correct answer Lipitor 20 mg
A 73-year-old man with Systolic congestive heart failure (CHF) with reduced ejection
fraction (HFrEF) comes to a clinic complaining of shortness of breath. He is currently
taking 6.25 mg carvedilol (Coreg) twice a day and 50 mg losartan (Cozaar) and 20 mg
furosemide (Lasix) daily. His oxygen saturation is 95%, and he has a pulse of 64. His
BP is 138/82, and his BNP is 1150.
Using the 2017 heart failure guidelines, which medication change should be
recommended for this patient? - correct answer Stop angiotensin receptor blockers
(ARB) and add sacubitril/valsartan (Entresto), if BNP high replace ARB w/ ACE or ARNI
, WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
A 78-year-old man comes in with stable angina. He reports he has been having more
angina recently. He is currently taking the following medications: lisinopril (Zestril),
atorvastatin (Lipitor), aspirin, and nitrostat PRN for chest pain. He has a history of
COPD with bronchospasm. His blood pressure is 145/88, and he has a pulse of 74.
Which class of medications should be avoided for this patient? - correct answer BBs,
BB contraindicated in pts w/ COPD/ asthma
A 45-year-old Muslim woman presents to a clinic for an intervention for her type 2
diabetes. She is prescribed metformin (Glucophage) 500 mg BID. During a follow-up
phone call a week later, it is discovered she has not been taking the metformin. A
second visit is scheduled. During this visit, she states that she cannot take the
medication as prescribed because it is Ramadan, a month-long period of religious
observances. Due to her religious beliefs, she fasts from dawn to sunset. When the
pharmacist told her to take metformin with breakfast and dinner, she decided not to
start the medication due to her fasting.
Which nursing intervention should be made for this patient? - correct answer Start
metformin XR (Glucophage XR) 250 mg once a day and reevaluate after Ramadan
A 45-year-old Jewish man is visiting a clinic for an adjustment of his diabetes
medications. Though the patient is taking oral medications, his blood sugar levels
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
A 23-year-old woman comes in for prenatal counseling. While completing her family
history, she reports her brother has cystic fibrosis. She does not know if she is a
carrier. She asks if her children will be affected by the disease.
What is an accurate way to determine the likelihood of this patient's children being
affected? - correct answer A genetic or a carrier test
A 31-year-old man comes into the office for an exam. He is 6' 5 " with a high-pitched
voice, and he has a moderate degree of mental impairment. It is discovered upon
exam that his body hair is sparse, his testes are small, and he has gynecomastia.
Which genetic disorder should this patient be tested for? - correct answer kleinfelters
sign of becker muscle dystrophy in kids? - correct answer may begin to waddle, walk
on their toes or push their abdomen forward when walking
A six-month-old female infant with failure to thrive comes in to the office with her
parents. It is noticed upon exam that the patient has facial deformities and is
jaundiced. A complete blood count (CBC) is ordered, which reveals anemia. When
that patient's blood is examined under a microscope, the red blood cells appear small
and abnormally shaped. A mutational analysis is ordered, and alpha thalassemia is
diagnosed.
, WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
What is the likelihood of incidence of these parent's future children having alpha
thalassemia? - correct answer 100%
A 64-year-old male truck driver comes in complaining of pain in his lower left calf. He
states he drives eight to ten hours per day. Upon exam, swelling and mottled coloring
are noted in the patient's calf. A D-dimer test is ordered and comes back positive.
Which additional test should be ordered to confirm a diagnosis in this patient? -
correct answer Doppler U/S
A 54-year-old man comes into a clinic for a routine visit. His initial BP is 148/92. After
a recheck 15 minutes later, his BP is 140/90. He states he suffers from "white coat
hypertension." He states he has no history of high blood pressure and no family
history of high blood pressure.
Which nursing intervention would assist this patient in receiving a clinical diagnosis
of hypertension? - correct answer Completing an ambulatory blood pressure
assessment
A 58-year-old woman comes in complaining of retrosternal chest pain, worsening
with recumbent position. She states she has had a low-grade fever for two days.
Upon exam, the patient has a friction rub. An EKG reveals sinus tachycardia with
, WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
inflammatory changes. An ultrasound is performed, and she is diagnosed with an
acute pericarditis.
Which condition would make pericarditis more likely in this patient? - correct answer
Lupus
A 54-year-old Caucasian man comes in for a lab review. His lipids reveal an LDL of
180, an HDL of 52, and triglycerides of 326. He has no history of atherosclerotic
cardiovascular disease (ASCVD) or diabetes. His blood pressure is 118/64. He has a
pulse rate of 64, and he weighs 320 lb. He smokes one pack of cigarettes per day, and
his ASCVD risk score is 12.8.
Which medication should this patient be started on? - correct answer Lipitor 20 mg
A 73-year-old man with Systolic congestive heart failure (CHF) with reduced ejection
fraction (HFrEF) comes to a clinic complaining of shortness of breath. He is currently
taking 6.25 mg carvedilol (Coreg) twice a day and 50 mg losartan (Cozaar) and 20 mg
furosemide (Lasix) daily. His oxygen saturation is 95%, and he has a pulse of 64. His
BP is 138/82, and his BNP is 1150.
Using the 2017 heart failure guidelines, which medication change should be
recommended for this patient? - correct answer Stop angiotensin receptor blockers
(ARB) and add sacubitril/valsartan (Entresto), if BNP high replace ARB w/ ACE or ARNI
, WGU D027 EXAM Advanced Path
pharmacological Foundations (Latest
update 2026- 2027) Questions and
Answers 100% Correct {GRADE A}
A 78-year-old man comes in with stable angina. He reports he has been having more
angina recently. He is currently taking the following medications: lisinopril (Zestril),
atorvastatin (Lipitor), aspirin, and nitrostat PRN for chest pain. He has a history of
COPD with bronchospasm. His blood pressure is 145/88, and he has a pulse of 74.
Which class of medications should be avoided for this patient? - correct answer BBs,
BB contraindicated in pts w/ COPD/ asthma
A 45-year-old Muslim woman presents to a clinic for an intervention for her type 2
diabetes. She is prescribed metformin (Glucophage) 500 mg BID. During a follow-up
phone call a week later, it is discovered she has not been taking the metformin. A
second visit is scheduled. During this visit, she states that she cannot take the
medication as prescribed because it is Ramadan, a month-long period of religious
observances. Due to her religious beliefs, she fasts from dawn to sunset. When the
pharmacist told her to take metformin with breakfast and dinner, she decided not to
start the medication due to her fasting.
Which nursing intervention should be made for this patient? - correct answer Start
metformin XR (Glucophage XR) 250 mg once a day and reevaluate after Ramadan
A 45-year-old Jewish man is visiting a clinic for an adjustment of his diabetes
medications. Though the patient is taking oral medications, his blood sugar levels
