D027 WGU Final Exam
What is the gold standard for the suspected diagnosis of Endoscopy with small intestine biopsy
Celiac Disease?
A 44-year-old woman has recently been diagnosed with EGFR mutation
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?
A 20-year-old male meets with an advanced professional Becker muscular dystrophy
nurse (APN) to discuss symptoms that have been slowly --Becker muscular dystrophy (often called Becker MD or BMD) is a form of
progressing over the past several years. He is mainly muscular dystrophy, a genetic disorder that gradually makes the body's muscles
concerned because he has been falling frequently. Since weaker and smaller. It causes less severe problems than the most common type,
childhood, his gait has consisted of walking on his toes. Duchenne muscular dystrophy.
During middle school, he was able to participate in sports
but was unable to participate in high school sports due to
difficulty with running and jumping. Lately, he has noticed
it takes longer and is more difficult to change positions
from sitting to standing than it used to in the past. He has
also been waking up with muscle and joint stiffness. The
APRN notes that his family history is not significant for
any chronic or genetic diseases. Which condition is likely
to be the cause of these symptoms?
Which statement should the provider give the patient SLE disrupts immune homeostasis and promotes development of self-reactive
regarding the pathophysiology of SLE and its relation to antibodies.
thrombocytopenia?
A female patient presents to an office to establish care. Order a liver function test
Her previous primary care provider told her to follow up
regarding an 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?
A 75-year-old female presents to the emergency She is diagnosed with atrial fibrillation and needs her heart rate controlled with
department with an irregular heart rate of 130.What can metoprolol (Lopressor).
be ascertained about this patient's findings given the
limited information?
Which condition from this patient's medical history is Acute myocardial infarction
contributing to the loss of contractility?
Which condition is this patient suffering from? Diabetic ketoacidosis
A 45-year-old female fears that she is having a stroke Increased cortisol
and takes herself to an emergency room. After several
diagnostic and laboratory tests, the patient is diagnosed
with Cushing disease. Which lab abnormality would be
present in this patient?
SOB when lying down, and moving around --Based on Asthma
the patient's presentation, which disease process is the
patient likely exhibiting?
A two-year-old child presents with a clear runny nose Oral steroids and breathing treatments
and cough which has lasted 3 days. The child's mother
reports the cough sounds like a barking noise. The child
is sleeping in the mother's arms and appears to have
stridor. The child's mother also reports an axillary
temperature of 101°F last night. Which management
technique is appropriate for this child's symptoms?
, D027 WGU Final Exam
Delerium, urinary incontinence, fever-- Which lab and Complete blood count, complete metabolic profile, and urinalysis
diagnostic tests should be ordered as part of the
patient's assessment?
An 18-year-old male is involved in a motorcycle crash Epidural hematoma
while not wearing a helmet. He is brought into an
emergency room and is immediately taken for a CT
scan. The provider tells the patient's parents he has
bleeding between the dura mater and the skull. What is
this patient's condition called?
-- What is the appropriate diagnosis for this patient? Crohn's disease
Which diagnostic test is appropriate to order for this Ultrasound
patient?
A 45-year-old male is being seen in the clinic for a yearly Invokana 100 mg daily
check-up and lab work. His history includes hypertension --Invokana is a medication used to treat type 2 diabetes. It is a third-line
and hyperlipidemia for which he currently takes Norvasc medication to metformin. It is used together with exercise and diet. It is not
5 mg daily and Lipitor 20 mg nightly. Patient has a family recommended in type 1 diabetes. It is taken by mouth.
history of diabetes, hypertension, heart disease, and
hyperlipidemia. After obtaining lab work, the provider
notices the patient's hgbA1c is elevated at 7.5. The
patient is already on a DASH diet and watching the
amount of sweets and carbohydrates he eats daily. The
patient is not overweight and participates in moderate
physical activity at least 4-5 days a week. He was started
on Metformin three months ago, and his hemoglobin A1c
is now 6.9. The nurse expects to see a class of
medication prescribed which is proven to reduce the risk
of cardiovascular events. Considering the treatment
guidelines from the American College of Cardiology,
which medication should be recommended for this patien
A 78-year-old female presents to the clinic for a checkup Low-dose enteric coated aspirin 81 mg daily
and refills on her medications. She is currently taking
lisinopril (Zestril), metformin (Glucophage), and
levothyroxine (Synthroid). The patient has a history of
hypertension, type 2 diabetes, hypothyroidism, GERD,
and gastric ulcers. The patient is concerned about heart
disease and wants to start taking a low-dose aspirin.
Which aspirin regimen recommendation should the
advanced professional nurse (APN) give to the patient?
A 28-year-old married female presents to primary care 5.31 mIU/L
accompanied by her husband with complaints of weight
gain, fatigue, muscle aches, bloating, constipation, and
difficulty concentrating. The patient explains that she has
been experiencing these symptoms with increasing
frequency over the last two months and reports feeling
upset that she has gained 10 pounds over the past
month despite no significant changes in dietary intake or
activity level. The patient holds a bachelor's degree and
is employed full time as an accountant. The patient
reports feeling frustrated with her poor concentration and
identifies recent work errors to be due to this symptom.
The patient explains that she and her spouse plan to
start trying to conceive soon, and she is worried that she
may have trouble becoming pregnant. The patient
reports using over-the-counter laxative products over the
last week to combat constipation. The patient repo
A 74- year-old male with Cushing syndrome presents to Elevated Von Willebrand factor
the emergency department (ED) with pain in his left leg,
and is diagnosed with a deep vein thrombosis
(DVT).What is this patient's symptoms related to?
What is the gold standard for the suspected diagnosis of Endoscopy with small intestine biopsy
Celiac Disease?
A 44-year-old woman has recently been diagnosed with EGFR mutation
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?
A 20-year-old male meets with an advanced professional Becker muscular dystrophy
nurse (APN) to discuss symptoms that have been slowly --Becker muscular dystrophy (often called Becker MD or BMD) is a form of
progressing over the past several years. He is mainly muscular dystrophy, a genetic disorder that gradually makes the body's muscles
concerned because he has been falling frequently. Since weaker and smaller. It causes less severe problems than the most common type,
childhood, his gait has consisted of walking on his toes. Duchenne muscular dystrophy.
During middle school, he was able to participate in sports
but was unable to participate in high school sports due to
difficulty with running and jumping. Lately, he has noticed
it takes longer and is more difficult to change positions
from sitting to standing than it used to in the past. He has
also been waking up with muscle and joint stiffness. The
APRN notes that his family history is not significant for
any chronic or genetic diseases. Which condition is likely
to be the cause of these symptoms?
Which statement should the provider give the patient SLE disrupts immune homeostasis and promotes development of self-reactive
regarding the pathophysiology of SLE and its relation to antibodies.
thrombocytopenia?
A female patient presents to an office to establish care. Order a liver function test
Her previous primary care provider told her to follow up
regarding an 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?
A 75-year-old female presents to the emergency She is diagnosed with atrial fibrillation and needs her heart rate controlled with
department with an irregular heart rate of 130.What can metoprolol (Lopressor).
be ascertained about this patient's findings given the
limited information?
Which condition from this patient's medical history is Acute myocardial infarction
contributing to the loss of contractility?
Which condition is this patient suffering from? Diabetic ketoacidosis
A 45-year-old female fears that she is having a stroke Increased cortisol
and takes herself to an emergency room. After several
diagnostic and laboratory tests, the patient is diagnosed
with Cushing disease. Which lab abnormality would be
present in this patient?
SOB when lying down, and moving around --Based on Asthma
the patient's presentation, which disease process is the
patient likely exhibiting?
A two-year-old child presents with a clear runny nose Oral steroids and breathing treatments
and cough which has lasted 3 days. The child's mother
reports the cough sounds like a barking noise. The child
is sleeping in the mother's arms and appears to have
stridor. The child's mother also reports an axillary
temperature of 101°F last night. Which management
technique is appropriate for this child's symptoms?
, D027 WGU Final Exam
Delerium, urinary incontinence, fever-- Which lab and Complete blood count, complete metabolic profile, and urinalysis
diagnostic tests should be ordered as part of the
patient's assessment?
An 18-year-old male is involved in a motorcycle crash Epidural hematoma
while not wearing a helmet. He is brought into an
emergency room and is immediately taken for a CT
scan. The provider tells the patient's parents he has
bleeding between the dura mater and the skull. What is
this patient's condition called?
-- What is the appropriate diagnosis for this patient? Crohn's disease
Which diagnostic test is appropriate to order for this Ultrasound
patient?
A 45-year-old male is being seen in the clinic for a yearly Invokana 100 mg daily
check-up and lab work. His history includes hypertension --Invokana is a medication used to treat type 2 diabetes. It is a third-line
and hyperlipidemia for which he currently takes Norvasc medication to metformin. It is used together with exercise and diet. It is not
5 mg daily and Lipitor 20 mg nightly. Patient has a family recommended in type 1 diabetes. It is taken by mouth.
history of diabetes, hypertension, heart disease, and
hyperlipidemia. After obtaining lab work, the provider
notices the patient's hgbA1c is elevated at 7.5. The
patient is already on a DASH diet and watching the
amount of sweets and carbohydrates he eats daily. The
patient is not overweight and participates in moderate
physical activity at least 4-5 days a week. He was started
on Metformin three months ago, and his hemoglobin A1c
is now 6.9. The nurse expects to see a class of
medication prescribed which is proven to reduce the risk
of cardiovascular events. Considering the treatment
guidelines from the American College of Cardiology,
which medication should be recommended for this patien
A 78-year-old female presents to the clinic for a checkup Low-dose enteric coated aspirin 81 mg daily
and refills on her medications. She is currently taking
lisinopril (Zestril), metformin (Glucophage), and
levothyroxine (Synthroid). The patient has a history of
hypertension, type 2 diabetes, hypothyroidism, GERD,
and gastric ulcers. The patient is concerned about heart
disease and wants to start taking a low-dose aspirin.
Which aspirin regimen recommendation should the
advanced professional nurse (APN) give to the patient?
A 28-year-old married female presents to primary care 5.31 mIU/L
accompanied by her husband with complaints of weight
gain, fatigue, muscle aches, bloating, constipation, and
difficulty concentrating. The patient explains that she has
been experiencing these symptoms with increasing
frequency over the last two months and reports feeling
upset that she has gained 10 pounds over the past
month despite no significant changes in dietary intake or
activity level. The patient holds a bachelor's degree and
is employed full time as an accountant. The patient
reports feeling frustrated with her poor concentration and
identifies recent work errors to be due to this symptom.
The patient explains that she and her spouse plan to
start trying to conceive soon, and she is worried that she
may have trouble becoming pregnant. The patient
reports using over-the-counter laxative products over the
last week to combat constipation. The patient repo
A 74- year-old male with Cushing syndrome presents to Elevated Von Willebrand factor
the emergency department (ED) with pain in his left leg,
and is diagnosed with a deep vein thrombosis
(DVT).What is this patient's symptoms related to?
