WGU D027 EXAM ACTUAL
QUESTIONS AND ANSWERS 2026
What organ does cystic fibrosis affect? - ANSWER-Affects the pancreas causing
secretions into the lungs
What is Klinefelter syndrome? - ANSWER-An extra X chromosome for males so
example XXY causing female-like qualities
What is Turner Syndrome? - ANSWER-females. missing or deformed x chromosome.
right hemisphere dysfunction, hearing loss, ear infection, language and articulation
disorders, visual spatial and attentional problems
What is beta thalassemia? - ANSWER-a condition in which the synthesis of the beta-
globin chains is decreased or absent. Causes low hemoglobin.
Which medication is contraindicated in a patient with Beta Thalassemia? - ANSWER-
Ferrous Sulfate
What drug is used in combination with other agent to treat lymphoid tissue (leukemia).
Directly toxic to lymphoid tissues Selective estrogen receptor modulators (SERM) - for
hormone receptor positive and advanced breast cancer. (Tomaxafin - reduces risk and
recurrence risk) - ANSWER-Glucocorticoids
What is the normal ejection fraction? - ANSWER-55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or preserved? - ANSWER-Preserved
What are symptoms of left sided heart failure? - ANSWER-Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
What are symptoms of right sided heart failure? - ANSWER-Think peripheral vascular.
Lower extremity edema, abdominal distension.
What is the gold standard lab test for heart failure? - ANSWER-BNP. Heart failure is a
result greater than 100
What heart disease is worse with exertion? - ANSWER-Ischemic heart disease because
the demand requirements are higher.
What should you assess before giving Digoxin? - ANSWER-Apical pulse
How should Warfarin be started? - ANSWER-Start initial dose at half to monitor the
effects
, What causes the destruction of alveolar walls? Air goes in but can't get out which leads
to hyperinflation - ANSWER-Emphysema
What causes excess mucus production and smooth muscle hypertrophy? - ANSWER-
Bronchitis
What is a chronic inflammatory obstruction of bronchi? - ANSWER-Asthma, Triggers
cause mucus to clog bronchial tubes.
What causes an overbite and buffalo hump? - ANSWER-Endocrine disorder called
acromegaly (overproduction of growth hormone)
What causes Addison's disease? - ANSWER-Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? - ANSWER-excess cortisol
What causes Grave's disease? - ANSWER-overproduction of thyroid hormone.
HYPERthyroidism.
When should you instruct the patient to take their FIRST dose of antihypertensive? -
ANSWER-At night to avoid orthostatic hypotension. Educate slow position changes and
lay down if needed.
What are side effects of ACE inhibitors? - ANSWER-dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with Asthma? -
ANSWER-Nonselective beta blocker (-lol) because both beta-2 receptors are effected
What is the first choice of calcium channel blocker? - ANSWER-Verapamil
What side effect should you watch for in a patient taking a statin drug? - ANSWER-
Muscle pain which can lead to rhabdomyolysis, kidney failure, and death.
Which diuretic is NOT used in patients with kidney failure and sickle cell disease? -
ANSWER-Thiazide diuretics
What type of drug is spironolactone? - ANSWER-potassium sparing diuretic
Which type of insulin is the most painful during injection? - ANSWER-Lantus (long-
acting)
QUESTIONS AND ANSWERS 2026
What organ does cystic fibrosis affect? - ANSWER-Affects the pancreas causing
secretions into the lungs
What is Klinefelter syndrome? - ANSWER-An extra X chromosome for males so
example XXY causing female-like qualities
What is Turner Syndrome? - ANSWER-females. missing or deformed x chromosome.
right hemisphere dysfunction, hearing loss, ear infection, language and articulation
disorders, visual spatial and attentional problems
What is beta thalassemia? - ANSWER-a condition in which the synthesis of the beta-
globin chains is decreased or absent. Causes low hemoglobin.
Which medication is contraindicated in a patient with Beta Thalassemia? - ANSWER-
Ferrous Sulfate
What drug is used in combination with other agent to treat lymphoid tissue (leukemia).
Directly toxic to lymphoid tissues Selective estrogen receptor modulators (SERM) - for
hormone receptor positive and advanced breast cancer. (Tomaxafin - reduces risk and
recurrence risk) - ANSWER-Glucocorticoids
What is the normal ejection fraction? - ANSWER-55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or preserved? - ANSWER-Preserved
What are symptoms of left sided heart failure? - ANSWER-Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
What are symptoms of right sided heart failure? - ANSWER-Think peripheral vascular.
Lower extremity edema, abdominal distension.
What is the gold standard lab test for heart failure? - ANSWER-BNP. Heart failure is a
result greater than 100
What heart disease is worse with exertion? - ANSWER-Ischemic heart disease because
the demand requirements are higher.
What should you assess before giving Digoxin? - ANSWER-Apical pulse
How should Warfarin be started? - ANSWER-Start initial dose at half to monitor the
effects
, What causes the destruction of alveolar walls? Air goes in but can't get out which leads
to hyperinflation - ANSWER-Emphysema
What causes excess mucus production and smooth muscle hypertrophy? - ANSWER-
Bronchitis
What is a chronic inflammatory obstruction of bronchi? - ANSWER-Asthma, Triggers
cause mucus to clog bronchial tubes.
What causes an overbite and buffalo hump? - ANSWER-Endocrine disorder called
acromegaly (overproduction of growth hormone)
What causes Addison's disease? - ANSWER-Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? - ANSWER-excess cortisol
What causes Grave's disease? - ANSWER-overproduction of thyroid hormone.
HYPERthyroidism.
When should you instruct the patient to take their FIRST dose of antihypertensive? -
ANSWER-At night to avoid orthostatic hypotension. Educate slow position changes and
lay down if needed.
What are side effects of ACE inhibitors? - ANSWER-dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with Asthma? -
ANSWER-Nonselective beta blocker (-lol) because both beta-2 receptors are effected
What is the first choice of calcium channel blocker? - ANSWER-Verapamil
What side effect should you watch for in a patient taking a statin drug? - ANSWER-
Muscle pain which can lead to rhabdomyolysis, kidney failure, and death.
Which diuretic is NOT used in patients with kidney failure and sickle cell disease? -
ANSWER-Thiazide diuretics
What type of drug is spironolactone? - ANSWER-potassium sparing diuretic
Which type of insulin is the most painful during injection? - ANSWER-Lantus (long-
acting)
