Page 1 Of 25
WGU D027 OA ACTUAL EXAM QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED A+|
LATEST UPDATE 2026
What is the gold standard for the suspected diagnosis of Celiac Disease?
ANSWER- Endoscopy with small intestine biopsy
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 (Tagrisso). Based on this information, what type of genetic mutation
does this patient have? ANSWER- EGFR mutation
An advanced professional nurse (APN) is administering medications on the
pediatric floor and treating an infant with thrush who is currently taking Nystatin
oral suspension (Mycostatin). The APN knows the infant is unable to follow the
directions of swishing the medication and swallowing. How should the APN
administer this infant's suspension? ANSWER- Swab the infected area
A two-week-old newborn presents to the pediatric clinic with her mother for a
check-up. The nurse discusses the recommended vaccination guidelines from the
Centers for Disease Control and Prevention (CDC), including the hepatitis B
vaccine.What is the recommended schedule for this patient receiving the hepatitis
B vaccination? ANSWER- Three immunizations with one injection now (if not
given at birth), one injection at two months, and one injection at six months
On a follow-up appointment, a mother of a newborn reports the infant draws up the
legs, clenches fists, and cries as if in pain. The mother reports the symptoms
usually occur during the evening but the baby tolerates formula well. The nurse
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tells the mother that the baby has infantile colic. The mother inquires about the
child's prognosis. How should the nurse describe the prognosis of infantile colic to
the patient's mother? ANSWER- Children usually outgrow the condition at about
three months of age.
-- infantile colic: Predictable periods of significant distress in an otherwise well-
fed, healthy baby.
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest
pain, indigestion, nausea, and belching after eating certain foods. He is a single
father living and working in New York City. He recently obtained his green card
after living in the United States for more than 10 years. He has a GED and works
as an IT help desk technician earning $42,000 a year. He has health insurance
through the New York health marketplace because it is cheaper than his employer's
plan. Because of the high cost of living in New York, the patient is unable to afford
an apartment on his own; therefore, he and his child share a home with his mother
and older sister. As the nurse begins to explore his social history regarding his
alcohol use, the patient states, "I have two to three beers every night to help me
sleep. I have been doing this for the past year." The patient also states he has
trouble falling asleep ANSWER- The patient's lifestyle structure
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest
pain, indigestion, nausea, and belching after eating certain foods. He is a single
father living and working in New York City. He recently obtained his green card
after living in the United States for more than 10 years. He has a GED and works
as an IT help desk technician earning $42,000 a year. He has health insurance
through the New York health marketplace because it is cheaper than his employer's
plan. Because of the high cost of living in New York, the patient is unable to afford
an apartment on his own; therefore, he and his son share a home with his mother
and older sister. As the nurse begins to explore his social history regarding his
alcohol use, the patient states, "I have two to three beers every night to help me
sleep. I have been doing this for the past year." The patient also states he has
trouble falling asleep and staying ANSWER- Seeking higher or advanced
education in his field
, Page 3 of 25
A 72-year-old male patient comes into the clinic complaining of shortness of
breath, wheezing, chills, and hot flashes at night for over three weeks. He is
currently only prescribed a blood pressure medication but is unsure of the name
and has not had any refills in the last several months. He reports being unsure if he
has been exposed to any respiratory illnesses. He continues to report he is
homeless and lives in different shelters or outside. He is unemployed but does
receive assistance money from an unknown donor which averages $300 per month.
He states he does not have any family or social support. The patient states he only
has an eighth-grade education and is unable to read very well. He is unable to write
his name, although he has always learned easily by watching and interacting with
live instructions. He denies illegal drug use and uses public transportation.The
assessment findings include a blood pressure ANSWER- Lack of income and
poverty level
A 32-year-old female presents to the emergency room (ER) with headache, fatigue,
and shortness of breath on exertion. A complete blood count reveals a hemoglobin
of 4.4g/dl. During the gynecological review of systems, she reports a change of a
fully saturated pad every two hours for the first three out of six days of a 28-day
menstrual cycle. She states she thought this was normal and has never sought
gynecological care. She does not follow with a primary care physician.Which
factor in the "health and healthcare" domain of the social determinants of health
contributed to this patient's hemoglobin of 4.4g/dl? ANSWER- Health literacy
An emergency room (ER) nurse is in a room caring for a patient when the ER
suddenly becomes very busy and fills all available rooms. When the nurse
completes the care of the current patient, he finds an emergency medical technician
(EMT) ready to report on each of the new patients. Which patient from the report
should be seen first? ANSWER- The 40-year-old male with crushing chest pain
who denies any injury or prior history of heart disease
An advanced professional nurse (APN) on the float team was assigned to provide
care of four postoperative patients on the medical-surgical unit. Which patient
should the APN see first? ANSWER- The patient who is four days post right
lobectomy with a heart rate of 120, cold sweats, and lightheadedness
WGU D027 OA ACTUAL EXAM QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED A+|
LATEST UPDATE 2026
What is the gold standard for the suspected diagnosis of Celiac Disease?
ANSWER- Endoscopy with small intestine biopsy
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 (Tagrisso). Based on this information, what type of genetic mutation
does this patient have? ANSWER- EGFR mutation
An advanced professional nurse (APN) is administering medications on the
pediatric floor and treating an infant with thrush who is currently taking Nystatin
oral suspension (Mycostatin). The APN knows the infant is unable to follow the
directions of swishing the medication and swallowing. How should the APN
administer this infant's suspension? ANSWER- Swab the infected area
A two-week-old newborn presents to the pediatric clinic with her mother for a
check-up. The nurse discusses the recommended vaccination guidelines from the
Centers for Disease Control and Prevention (CDC), including the hepatitis B
vaccine.What is the recommended schedule for this patient receiving the hepatitis
B vaccination? ANSWER- Three immunizations with one injection now (if not
given at birth), one injection at two months, and one injection at six months
On a follow-up appointment, a mother of a newborn reports the infant draws up the
legs, clenches fists, and cries as if in pain. The mother reports the symptoms
usually occur during the evening but the baby tolerates formula well. The nurse
,Page 2 of 25
tells the mother that the baby has infantile colic. The mother inquires about the
child's prognosis. How should the nurse describe the prognosis of infantile colic to
the patient's mother? ANSWER- Children usually outgrow the condition at about
three months of age.
-- infantile colic: Predictable periods of significant distress in an otherwise well-
fed, healthy baby.
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest
pain, indigestion, nausea, and belching after eating certain foods. He is a single
father living and working in New York City. He recently obtained his green card
after living in the United States for more than 10 years. He has a GED and works
as an IT help desk technician earning $42,000 a year. He has health insurance
through the New York health marketplace because it is cheaper than his employer's
plan. Because of the high cost of living in New York, the patient is unable to afford
an apartment on his own; therefore, he and his child share a home with his mother
and older sister. As the nurse begins to explore his social history regarding his
alcohol use, the patient states, "I have two to three beers every night to help me
sleep. I have been doing this for the past year." The patient also states he has
trouble falling asleep ANSWER- The patient's lifestyle structure
A 40-year-old Trinidadian male comes into a clinic complaining of burning chest
pain, indigestion, nausea, and belching after eating certain foods. He is a single
father living and working in New York City. He recently obtained his green card
after living in the United States for more than 10 years. He has a GED and works
as an IT help desk technician earning $42,000 a year. He has health insurance
through the New York health marketplace because it is cheaper than his employer's
plan. Because of the high cost of living in New York, the patient is unable to afford
an apartment on his own; therefore, he and his son share a home with his mother
and older sister. As the nurse begins to explore his social history regarding his
alcohol use, the patient states, "I have two to three beers every night to help me
sleep. I have been doing this for the past year." The patient also states he has
trouble falling asleep and staying ANSWER- Seeking higher or advanced
education in his field
, Page 3 of 25
A 72-year-old male patient comes into the clinic complaining of shortness of
breath, wheezing, chills, and hot flashes at night for over three weeks. He is
currently only prescribed a blood pressure medication but is unsure of the name
and has not had any refills in the last several months. He reports being unsure if he
has been exposed to any respiratory illnesses. He continues to report he is
homeless and lives in different shelters or outside. He is unemployed but does
receive assistance money from an unknown donor which averages $300 per month.
He states he does not have any family or social support. The patient states he only
has an eighth-grade education and is unable to read very well. He is unable to write
his name, although he has always learned easily by watching and interacting with
live instructions. He denies illegal drug use and uses public transportation.The
assessment findings include a blood pressure ANSWER- Lack of income and
poverty level
A 32-year-old female presents to the emergency room (ER) with headache, fatigue,
and shortness of breath on exertion. A complete blood count reveals a hemoglobin
of 4.4g/dl. During the gynecological review of systems, she reports a change of a
fully saturated pad every two hours for the first three out of six days of a 28-day
menstrual cycle. She states she thought this was normal and has never sought
gynecological care. She does not follow with a primary care physician.Which
factor in the "health and healthcare" domain of the social determinants of health
contributed to this patient's hemoglobin of 4.4g/dl? ANSWER- Health literacy
An emergency room (ER) nurse is in a room caring for a patient when the ER
suddenly becomes very busy and fills all available rooms. When the nurse
completes the care of the current patient, he finds an emergency medical technician
(EMT) ready to report on each of the new patients. Which patient from the report
should be seen first? ANSWER- The 40-year-old male with crushing chest pain
who denies any injury or prior history of heart disease
An advanced professional nurse (APN) on the float team was assigned to provide
care of four postoperative patients on the medical-surgical unit. Which patient
should the APN see first? ANSWER- The patient who is four days post right
lobectomy with a heart rate of 120, cold sweats, and lightheadedness
