WGU D027 OBJECTIVE ASSESSMENTS FINAL
CERTIFICATION EVALUATION SCRIPT
◉ 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
◉ A 20-year-old male meets with an advanced professional nurse
(APN) to discuss symptoms that have been slowly progressing over
the past several years. He is mainly concerned because he has been
falling frequently. Since childhood, his gait has consisted of walking
on his toes. 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? Answer: Becker
muscular dystrophy
,--Becker muscular dystrophy (often called Becker MD or BMD) is a
form of muscular dystrophy, a genetic disorder that gradually makes
the body's muscles weaker and smaller. It causes less severe
problems than the most common type, Duchenne muscular
dystrophy.
◉ Which statement should the provider give the patient regarding
the pathophysiology of SLE and its relation to thrombocytopenia?
Answer: SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
◉ A female patient presents to an office to establish care. 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? Answer: Order a liver function test
◉ A 75-year-old female presents to the emergency department with
an irregular heart rate of 130.What can be ascertained about this
patient's findings given the limited information? Answer: She is
diagnosed with atrial fibrillation and needs her heart rate controlled
with metoprolol (Lopressor).
◉ Which condition from this patient's medical history is
contributing to the loss of contractility? Answer: Acute myocardial
infarction
,◉ Which condition is this patient suffering from? Answer: Diabetic
ketoacidosis
◉ A 45-year-old female fears that she is having a stroke 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? Answer:
Increased cortisol
◉ SOB when lying down, and moving around --Based on the
patient's presentation, which disease process is the patient likely
exhibiting? Answer: Asthma
◉ A two-year-old child presents with a clear runny nose 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? Answer: Oral
steroids and breathing treatments
◉ Delerium, urinary incontinence, fever-- Which lab and diagnostic
tests should be ordered as part of the patient's assessment? Answer:
Complete blood count, complete metabolic profile, and urinalysis
, ◉ An 18-year-old male is involved in a motorcycle crash 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? Answer: Epidural hematoma
◉ -- What is the appropriate diagnosis for this patient? Answer:
Crohn's disease
◉ Which diagnostic test is appropriate to order for this patient?
Answer: Ultrasound
◉ A 45-year-old male is being seen in the clinic for a yearly check-up
and lab work. His history includes hypertension and hyperlipidemia
for which he currently takes Norvasc 5 mg daily and Lipitor 20 mg
nightly. Patient has a family 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 Answer: Invokana 100 mg daily
CERTIFICATION EVALUATION SCRIPT
◉ 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
◉ A 20-year-old male meets with an advanced professional nurse
(APN) to discuss symptoms that have been slowly progressing over
the past several years. He is mainly concerned because he has been
falling frequently. Since childhood, his gait has consisted of walking
on his toes. 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? Answer: Becker
muscular dystrophy
,--Becker muscular dystrophy (often called Becker MD or BMD) is a
form of muscular dystrophy, a genetic disorder that gradually makes
the body's muscles weaker and smaller. It causes less severe
problems than the most common type, Duchenne muscular
dystrophy.
◉ Which statement should the provider give the patient regarding
the pathophysiology of SLE and its relation to thrombocytopenia?
Answer: SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
◉ A female patient presents to an office to establish care. 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? Answer: Order a liver function test
◉ A 75-year-old female presents to the emergency department with
an irregular heart rate of 130.What can be ascertained about this
patient's findings given the limited information? Answer: She is
diagnosed with atrial fibrillation and needs her heart rate controlled
with metoprolol (Lopressor).
◉ Which condition from this patient's medical history is
contributing to the loss of contractility? Answer: Acute myocardial
infarction
,◉ Which condition is this patient suffering from? Answer: Diabetic
ketoacidosis
◉ A 45-year-old female fears that she is having a stroke 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? Answer:
Increased cortisol
◉ SOB when lying down, and moving around --Based on the
patient's presentation, which disease process is the patient likely
exhibiting? Answer: Asthma
◉ A two-year-old child presents with a clear runny nose 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? Answer: Oral
steroids and breathing treatments
◉ Delerium, urinary incontinence, fever-- Which lab and diagnostic
tests should be ordered as part of the patient's assessment? Answer:
Complete blood count, complete metabolic profile, and urinalysis
, ◉ An 18-year-old male is involved in a motorcycle crash 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? Answer: Epidural hematoma
◉ -- What is the appropriate diagnosis for this patient? Answer:
Crohn's disease
◉ Which diagnostic test is appropriate to order for this patient?
Answer: Ultrasound
◉ A 45-year-old male is being seen in the clinic for a yearly check-up
and lab work. His history includes hypertension and hyperlipidemia
for which he currently takes Norvasc 5 mg daily and Lipitor 20 mg
nightly. Patient has a family 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 Answer: Invokana 100 mg daily
