WGU D027 PRE-ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS 2025/2026
1. A Y26-year-old Yfemale Ypresents Yto Yurgent Ycare Ywith Ycomplaints Yof Yextreme Yfatigue,
Ymuscle Yaches, Yabdominal Ypain, Ynumbness Yand Ytingling Yin Yher Yextremities, Yand
Ybloating. YShe Yexplains Ythat Yshe Yhas Ybeen Yexperiencing Ygastrointestinal Yupset
Yafter Ymeals Yand Yhas Ynot Yhad Ya Ybowel Ymovement Yfor Ythe Ypast Yfour Ydays. YShe
Yreports Yusing Yover-the-counter, Yanti- Ydiarrheal Yproducts Ylast Yweek Yto Ycombat
Ydiarrhea. YShe Ydenies Yhaving Yany Ychronic
diseases. YThe Yassessment Yfindings Yinclude Ya Yblood Ypressure Yof Y108/71 Ymm YHg,
Ypulse Yof Y82 Ybeats Yper Yminute, Yand Yrespirations Yof Y20 Ybreaths Yper Yminute. YThe
Yabdomen Yis Ydistended Yand Yfirm. YBowel Ysounds Yare Ypresent Yin Yall Yfour
Yquadrants. YThe Ypatient Yhas Ya
steady Ygait, Ythough Yverbally Ycomplains Yof Yfeeling Yweak Yand Yoff Ybalance Yupon
Yambulation. YFollowing Yantibody Ytesting, YCeliac Ydisease Yis Ysuspected. YWhich
Yfollow-up Ytissue Ytest, Ythe Ygold Ystandard Yfor Ythis Ysuspected Ydiagnosis, Yshould Ybe
Yordered? Y- YCORRECT YANSWER Y- YEndoscopy Ywith Ysmall Yintestine Ybiopsy
2. A Y44-year-old Ywoman Yhas Yrecently Ybeen Ydiagnosed Ywith Yadvanced Ymetastatic
Ynon-small- Ycell Ylung Ycancer. YGenetic Ytesting Yis Yordered Yto Ydetermine Yif Ythe
Ypatient's Ytumor Yhas Yany Ygenomic Yalterations Yand Yto Yguide Ytreatment Ydecisions.
YA Yfew Yweeks Ylater, Ythe Ypatient's Ytest Yresults Ycome Yback Ypositive Yfor Ya Ygenetic
Ymutation. YThe YAPN Ystarts Yosimertinib Y(Tagrisso). YBased Yon Ythis Yinformation,
Ywhat Ytypes Yof Ygenetic Ymutation Ydoes Ythis Ypatient Yhave? YChoose Y2 Yanswers. Y-
YCORRECT YANSWER Y-ALK Y& YEGFR Ymutation
3. A Y20-year-old Ymale Ymeets Ywith Yan Yadvanced Yprofessional Ynurse Y(APN) Yto
Ydiscuss Ysymptoms Ythat Yhave Ybeen Yslowly Yprogressing Yover Ythe Ypast Yseveral
Yyears. YHe Yis Ymainly
concerned Ybecause Yhe Yhas Ybeen Yfalling Yfrequently. YSince Ychildhood, Yhis Ygait Yhas
Yconsisted Yof Ywalking Yon Yhis Ytoes. YDuring Ymiddle Yschool, Yhe Ywas Yable Yto
Yparticipate Yin Ysports Ybut Ywas Yunable Yto Yparticipate Yin Yhigh Yschool Ysports Ydue
Yto Ydifficulty Ywith Yrunning Yand Yjumping.
Lately, Yhe Yhas Ynoticed Yit Ytakes Ylonger Yand Yis Ymore Ydifficult Yto Ychange Ypositions
Yfrom Ysitting Yto Ystanding Ythan Yit Yused Yto Yin Ythe Ypast. YHe Yhas Yalso Ybeen Ywaking
Yup Ywith Ymuscle Yand Yjoint Ystiffness. YThe YAPRN Ynotes Ythat Yhis Yfamily Yhistory Yis
, Ynot Ysignificant Yfor Yany Ychronic Yor Ygenetic Ydiseases. YWhich Ycondition Yis Ylikely Yto
Ybe Ythe Ycause Yof Ythese Ysymptoms? Y-
CORRECT YANSWER Y-Becker YMuscular YDystrophy
WITH CORRECT ANSWERS 2025/2026
1. A Y26-year-old Yfemale Ypresents Yto Yurgent Ycare Ywith Ycomplaints Yof Yextreme Yfatigue,
Ymuscle Yaches, Yabdominal Ypain, Ynumbness Yand Ytingling Yin Yher Yextremities, Yand
Ybloating. YShe Yexplains Ythat Yshe Yhas Ybeen Yexperiencing Ygastrointestinal Yupset
Yafter Ymeals Yand Yhas Ynot Yhad Ya Ybowel Ymovement Yfor Ythe Ypast Yfour Ydays. YShe
Yreports Yusing Yover-the-counter, Yanti- Ydiarrheal Yproducts Ylast Yweek Yto Ycombat
Ydiarrhea. YShe Ydenies Yhaving Yany Ychronic
diseases. YThe Yassessment Yfindings Yinclude Ya Yblood Ypressure Yof Y108/71 Ymm YHg,
Ypulse Yof Y82 Ybeats Yper Yminute, Yand Yrespirations Yof Y20 Ybreaths Yper Yminute. YThe
Yabdomen Yis Ydistended Yand Yfirm. YBowel Ysounds Yare Ypresent Yin Yall Yfour
Yquadrants. YThe Ypatient Yhas Ya
steady Ygait, Ythough Yverbally Ycomplains Yof Yfeeling Yweak Yand Yoff Ybalance Yupon
Yambulation. YFollowing Yantibody Ytesting, YCeliac Ydisease Yis Ysuspected. YWhich
Yfollow-up Ytissue Ytest, Ythe Ygold Ystandard Yfor Ythis Ysuspected Ydiagnosis, Yshould Ybe
Yordered? Y- YCORRECT YANSWER Y- YEndoscopy Ywith Ysmall Yintestine Ybiopsy
2. A Y44-year-old Ywoman Yhas Yrecently Ybeen Ydiagnosed Ywith Yadvanced Ymetastatic
Ynon-small- Ycell Ylung Ycancer. YGenetic Ytesting Yis Yordered Yto Ydetermine Yif Ythe
Ypatient's Ytumor Yhas Yany Ygenomic Yalterations Yand Yto Yguide Ytreatment Ydecisions.
YA Yfew Yweeks Ylater, Ythe Ypatient's Ytest Yresults Ycome Yback Ypositive Yfor Ya Ygenetic
Ymutation. YThe YAPN Ystarts Yosimertinib Y(Tagrisso). YBased Yon Ythis Yinformation,
Ywhat Ytypes Yof Ygenetic Ymutation Ydoes Ythis Ypatient Yhave? YChoose Y2 Yanswers. Y-
YCORRECT YANSWER Y-ALK Y& YEGFR Ymutation
3. A Y20-year-old Ymale Ymeets Ywith Yan Yadvanced Yprofessional Ynurse Y(APN) Yto
Ydiscuss Ysymptoms Ythat Yhave Ybeen Yslowly Yprogressing Yover Ythe Ypast Yseveral
Yyears. YHe Yis Ymainly
concerned Ybecause Yhe Yhas Ybeen Yfalling Yfrequently. YSince Ychildhood, Yhis Ygait Yhas
Yconsisted Yof Ywalking Yon Yhis Ytoes. YDuring Ymiddle Yschool, Yhe Ywas Yable Yto
Yparticipate Yin Ysports Ybut Ywas Yunable Yto Yparticipate Yin Yhigh Yschool Ysports Ydue
Yto Ydifficulty Ywith Yrunning Yand Yjumping.
Lately, Yhe Yhas Ynoticed Yit Ytakes Ylonger Yand Yis Ymore Ydifficult Yto Ychange Ypositions
Yfrom Ysitting Yto Ystanding Ythan Yit Yused Yto Yin Ythe Ypast. YHe Yhas Yalso Ybeen Ywaking
Yup Ywith Ymuscle Yand Yjoint Ystiffness. YThe YAPRN Ynotes Ythat Yhis Yfamily Yhistory Yis
, Ynot Ysignificant Yfor Yany Ychronic Yor Ygenetic Ydiseases. YWhich Ycondition Yis Ylikely Yto
Ybe Ythe Ycause Yof Ythese Ysymptoms? Y-
CORRECT YANSWER Y-Becker YMuscular YDystrophy