D027 WGU Advanced Patho-pharm
Test | Questions and Verified Answers
| 100% Correct | Grade A
This WGU D027 Advanced Patho-pharmacological Foundations Newest exam. It
assesses your ability to apply advanced pathophysiology and pharmacology
concepts to clinical nursing practice. The objective assessment (OA) typically
features around 350 multiple-choice questions focusing on disease mechanisms,
drug classifications, pharmacokinetics, and evidence-based prescribing.
Key Exam Topics
• Cellular Biology: Tumor staging, genetics, and malignancy.
• Cardiovascular: Heart failure mechanics, ejection fractions, and
hypertension medications.
• Endocrine: Thyroid disorders, diabetes management, and insulin actions.
• Gastrointestinal: Celiac disease markers, Crohn's disease, and ulcer
treatments.
• Immunology: Autoimmune conditions, immune responses, and
immunosuppressants.
• Pharmacokinetics: Drug absorption, distribution, metabolism, and
excretion (ADME).
Quiz_________________?
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? -
1
, Answers
A genetic or a carrier test
Quiz_________________?
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? -
Answers
kleinfelters
Quiz_________________?
sign of becker muscle dystrophy in kids? -
Answers
may begin to waddle, walk on their toes or push their abdomen forward when
walking
Quiz_________________?
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.
2
,What is the likelihood of incidence of these parent's future children having alpha
thalassemia? -
Answers
100%
Quiz_________________?
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? -
Answers
Doppler U/S
Quiz_________________?
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? -
Answers
Completing an ambulatory blood pressure assessment
3
, Quiz_________________?
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
inflammatory changes. An ultrasound is performed, and she is diagnosed with an
acute pericarditis.
Which condition would make pericarditis more likely in this patient? -
Answers
Lupus
Quiz_________________?
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? -
Answers
Lipitor 20 mg
Quiz_________________?
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.
4
Test | Questions and Verified Answers
| 100% Correct | Grade A
This WGU D027 Advanced Patho-pharmacological Foundations Newest exam. It
assesses your ability to apply advanced pathophysiology and pharmacology
concepts to clinical nursing practice. The objective assessment (OA) typically
features around 350 multiple-choice questions focusing on disease mechanisms,
drug classifications, pharmacokinetics, and evidence-based prescribing.
Key Exam Topics
• Cellular Biology: Tumor staging, genetics, and malignancy.
• Cardiovascular: Heart failure mechanics, ejection fractions, and
hypertension medications.
• Endocrine: Thyroid disorders, diabetes management, and insulin actions.
• Gastrointestinal: Celiac disease markers, Crohn's disease, and ulcer
treatments.
• Immunology: Autoimmune conditions, immune responses, and
immunosuppressants.
• Pharmacokinetics: Drug absorption, distribution, metabolism, and
excretion (ADME).
Quiz_________________?
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? -
1
, Answers
A genetic or a carrier test
Quiz_________________?
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? -
Answers
kleinfelters
Quiz_________________?
sign of becker muscle dystrophy in kids? -
Answers
may begin to waddle, walk on their toes or push their abdomen forward when
walking
Quiz_________________?
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.
2
,What is the likelihood of incidence of these parent's future children having alpha
thalassemia? -
Answers
100%
Quiz_________________?
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? -
Answers
Doppler U/S
Quiz_________________?
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? -
Answers
Completing an ambulatory blood pressure assessment
3
, Quiz_________________?
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
inflammatory changes. An ultrasound is performed, and she is diagnosed with an
acute pericarditis.
Which condition would make pericarditis more likely in this patient? -
Answers
Lupus
Quiz_________________?
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? -
Answers
Lipitor 20 mg
Quiz_________________?
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.
4
