WGU D026 EXAM QUESTIONS AND
ANSWERS. VERIFIED 2025/2026.
Celiac suspected diagnosis gold standard test - ANS Endoscopy with small intestine biopsy
Genetic mutation test for non-small-cell lung cancer - ANS EGFR, ALK, KRAS
Becker muscular dystrophy (BMD) - ANS X-linked recessive disorder involving dystrophin gene
mutation, resulting in progressive muscle degeneration. Proximal lower limb muscles are most
often affected, while heart failure is a frequent complication. very similar to, but less sever than,
Duchenne muscular dystrophy
Duchenne Muscular Dystrophy (DMD) - ANS most common of all x-linked recessive disorders;
progressive muscular degeneration. affects primarily boys with onset between the ages of 3 and
5 years; the disorder progresses rapidly so that most of these boys are unable to walk by age 12
and later need a respirator to breathe
systemic lupus erythematosus (SLE) - ANS chronic inflammatory autoimmune disease
involving joints, skin, kidneys, central nervous system (CNS), heart, and lungs
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? - ANS Order a liver function test
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Irregular heart rate of 130 - ANS She is diagnosed with a fib and needs her heart rate
controlled with metoprolol
75 year old male hx of TIA, acute MI, angina, a fib. The echo shows low cardiac output and loss
of contractility. Which condition from this patients medical history is contributing to the loss of
contractility - ANS Acute MI
Invokana (canagliflozin) - ANS SGLT2 inhibitor, reduces the risk of cardiovascular events and
kidney failure
Lantus (insulin glargine) - ANS Classification: Antidiabetic; pancreatic hormone. Long acting
24 hours
Therapeutic Effects: Lowers blood glucose by increasing transport into cells and promoting
conversion of glucose to glycogen. Inhibits release of free fatty acids.
Adverse Reactions & side effects: HYPOGYCEMIA, lipodystrophy, anaphylaxis
Nursing Implications & teaching: For all insulins: typical diabetic teaching and concerns. Watch
for interactions with beta blockers, thiazide diuretics, corticosteroids. Lantus: Do not mix with
any other insulin. No peak. Humulin 70/30: 2 Peaks . Lispro: Do not give sooner than 15 minutes
before a meal . Know peaks, onsets, durations High Alert Medications
Toprol XL (metoprolol succinate) - ANS Beta Blocker, Beta-1 Selective, used for hypertension
and tachycardia, MOA/ADR: cholinergic effects: hypotension, bronchoconstriction, bradycardia.
Contraindication: COPD, asthma, DM
Which pharmokinetic phase is affected by liver failure - ANS Metabolism
G6PD - ANS glucose-6-phosphate dehydrogenase deficiency in erythrocytes, hemolytic
anemia that can lead to paleness, jaundice, dark urine, fatigue, SOB, enlarged spleen, rapid
heart rate, x-linked recessive primarily affects males, tx avoid agents that might trigger: henna,
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2025/2026.
Celiac suspected diagnosis gold standard test - ANS Endoscopy with small intestine biopsy
Genetic mutation test for non-small-cell lung cancer - ANS EGFR, ALK, KRAS
Becker muscular dystrophy (BMD) - ANS X-linked recessive disorder involving dystrophin gene
mutation, resulting in progressive muscle degeneration. Proximal lower limb muscles are most
often affected, while heart failure is a frequent complication. very similar to, but less sever than,
Duchenne muscular dystrophy
Duchenne Muscular Dystrophy (DMD) - ANS most common of all x-linked recessive disorders;
progressive muscular degeneration. affects primarily boys with onset between the ages of 3 and
5 years; the disorder progresses rapidly so that most of these boys are unable to walk by age 12
and later need a respirator to breathe
systemic lupus erythematosus (SLE) - ANS chronic inflammatory autoimmune disease
involving joints, skin, kidneys, central nervous system (CNS), heart, and lungs
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? - ANS Order a liver function test
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Irregular heart rate of 130 - ANS She is diagnosed with a fib and needs her heart rate
controlled with metoprolol
75 year old male hx of TIA, acute MI, angina, a fib. The echo shows low cardiac output and loss
of contractility. Which condition from this patients medical history is contributing to the loss of
contractility - ANS Acute MI
Invokana (canagliflozin) - ANS SGLT2 inhibitor, reduces the risk of cardiovascular events and
kidney failure
Lantus (insulin glargine) - ANS Classification: Antidiabetic; pancreatic hormone. Long acting
24 hours
Therapeutic Effects: Lowers blood glucose by increasing transport into cells and promoting
conversion of glucose to glycogen. Inhibits release of free fatty acids.
Adverse Reactions & side effects: HYPOGYCEMIA, lipodystrophy, anaphylaxis
Nursing Implications & teaching: For all insulins: typical diabetic teaching and concerns. Watch
for interactions with beta blockers, thiazide diuretics, corticosteroids. Lantus: Do not mix with
any other insulin. No peak. Humulin 70/30: 2 Peaks . Lispro: Do not give sooner than 15 minutes
before a meal . Know peaks, onsets, durations High Alert Medications
Toprol XL (metoprolol succinate) - ANS Beta Blocker, Beta-1 Selective, used for hypertension
and tachycardia, MOA/ADR: cholinergic effects: hypotension, bronchoconstriction, bradycardia.
Contraindication: COPD, asthma, DM
Which pharmokinetic phase is affected by liver failure - ANS Metabolism
G6PD - ANS glucose-6-phosphate dehydrogenase deficiency in erythrocytes, hemolytic
anemia that can lead to paleness, jaundice, dark urine, fatigue, SOB, enlarged spleen, rapid
heart rate, x-linked recessive primarily affects males, tx avoid agents that might trigger: henna,
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
