D027 WGU QUESTIONS WITH COMPLETE
SOLUTION
What uis uthe ugold ustandard ufor uthe ususpected udiagnosis uof uCeliac uDisease? u- uEndoscopy uwith usmall
uintestine ubiopsy
A u44-year-old uwoman uhas urecently ubeen udiagnosed uwith uadvanced umetastatic unon-small-cell ulung
ucancer. uGenetic utesting uis uordered uto udetermine uif uthe upatient's utumor uhas uany ugenomic
ualterations uand uto uguide utreatment udecisions. uA ufew uweeks ulater, uthe upatient's utest uresults ucome
uback upositive ufor ua ugenetic umutation. uThe uAPN ustarts uosimertinib u(Tagrisso). uBased uon uthis
uinformation, uwhat utype uof ugenetic umutation udoes uthis upatient uhave? u- uEGFR umutation
A u20-year-old umale umeets uwith uan uadvanced uprofessional unurse u(APN) uto udiscuss usymptoms uthat
uhave ubeen uslowly uprogressing uover uthe upast useveral uyears. uHe uis umainly uconcerned ubecause uhe
uhas ubeen ufalling ufrequently. uSince uchildhood, uhis ugait uhas uconsisted uof uwalking uon uhis utoes. uDuring
umiddle uschool, uhe uwas uable uto uparticipate uin usports ubut uwas uunable uto uparticipate uin uhigh uschool
usports udue uto udifficulty uwith urunning uand ujumping. uLately, uhe uhas unoticed uit utakes ulonger uand uis
umore udifficult uto uchange upositions ufrom usitting uto ustanding uthan uit uused uto uin uthe upast. uHe uhas
ualso ubeen uwaking uup uwith umuscle uand ujoint ustiffness. uThe uAPRN unotes uthat uhis ufamily uhistory uis
unot usignificant ufor uany uchronic uor ugenetic udiseases. uWhich ucondition uis ulikely uto ube uthe ucause uof
uthese usymptoms? u- uBecker umuscular udystrophy u
--Becker umuscular udystrophy u(often ucalled uBecker uMD uor uBMD) uis ua uform uof umuscular udystrophy, ua
ugenetic udisorder uthat ugradually umakes uthe ubody's umuscles uweaker uand usmaller. uIt ucauses uless
usevere uproblems uthan uthe umost ucommon utype, uDuchenne umuscular udystrophy.
Which ustatement ushould uthe uprovider ugive uthe upatient uregarding uthe upathophysiology uof uSLE uand
uits urelation uto uthrombocytopenia? u- uSLE udisrupts uimmune uhomeostasis uand upromotes udevelopment
uof uself-reactive uantibodies.
A ufemale upatient upresents uto uan uoffice uto uestablish ucare. uHer uprevious uprimary ucare uprovider utold
uher uto ufollow uup uregarding uan uelevated uferritin ulevel. uShe uhas uno uprevious umedical uhistory uand uis
ucurrently uasymptomatic. uShe uis uconcerned uabout uthe uelevated uferritin uand uwould ulike uto uknow uif
ushe ushould ube uworried. uWhat ushould uthe uprovider udo unext ufor uthis upatient? u- uOrder ua uliver
ufunction utest
A u75-year-old ufemale upresents uto uthe uemergency udepartment uwith uan uirregular uheart urate uof
u130.What ucan ube uascertained uabout uthis upatient's ufindings ugiven uthe ulimited uinformation? u- uShe uis
udiagnosed uwith uatrial ufibrillation uand uneeds uher uheart urate ucontrolled uwith umetoprolol u(Lopressor).
Which ucondition ufrom uthis upatient's umedical uhistory uis ucontributing uto uthe uloss uof ucontractility? u-
uAcute umyocardial uinfarction
Which ucondition uis uthis upatient usuffering ufrom? u- uDiabetic uketoacidosis
, A u45-year-old ufemale ufears uthat ushe uis uhaving ua ustroke uand utakes uherself uto uan uemergency uroom.
uAfter useveral udiagnostic uand ulaboratory utests, uthe upatient uis udiagnosed uwith uCushing udisease.
uWhich ulab uabnormality uwould ube upresent uin uthis upatient? u- uIncreased ucortisol
SOB uwhen ulying udown, uand umoving uaround u--Based uon uthe upatient's upresentation, uwhich udisease
uprocess uis uthe upatient ulikely uexhibiting? u- uAsthma
A utwo-year-old uchild upresents uwith ua uclear urunny unose uand ucough uwhich uhas ulasted u3 udays. uThe
uchild's umother ureports uthe ucough usounds ulike ua ubarking unoise. uThe uchild uis usleeping uin uthe
umother's uarms uand uappears uto uhave ustridor. uThe uchild's umother ualso ureports uan uaxillary
utemperature uof u101°F ulast unight. uWhich umanagement utechnique uis uappropriate ufor uthis uchild's
usymptoms? u- uOral usteroids uand ubreathing utreatments
Delerium, uurinary uincontinence, ufever-- uWhich ulab uand udiagnostic utests ushould ube uordered uas upart
uof uthe upatient's uassessment? u- uComplete ublood ucount, ucomplete umetabolic uprofile, uand uurinalysis
An u18-year-old umale uis uinvolved uin ua umotorcycle ucrash uwhile unot uwearing ua uhelmet. uHe uis ubrought
uinto uan uemergency uroom uand uis uimmediately utaken ufor ua uCT uscan. uThe uprovider utells uthe upatient's
uparents uhe uhas ubleeding ubetween uthe udura umater uand uthe uskull. uWhat uis uthis upatient's ucondition
ucalled? u- uEpidural uhematoma
-- uWhat uis uthe uappropriate udiagnosis ufor uthis upatient? u- uCrohn's udisease
Which udiagnostic utest uis uappropriate uto uorder ufor uthis upatient? u- uUltrasound
A u45-year-old umale uis ubeing useen uin uthe uclinic ufor ua uyearly ucheck-up uand ulab uwork. uHis uhistory
uincludes uhypertension uand uhyperlipidemia ufor uwhich uhe ucurrently utakes uNorvasc u5 umg udaily uand
uLipitor u20 umg unightly. uPatient uhas ua ufamily uhistory uof udiabetes, uhypertension, uheart udisease, uand
uhyperlipidemia. uAfter uobtaining ulab uwork, uthe uprovider unotices uthe upatient's uhgbA1c uis uelevated uat
u7.5. uThe upatient uis ualready uon ua uDASH udiet uand uwatching uthe uamount uof usweets uand
ucarbohydrates uhe ueats udaily. uThe upatient uis unot uoverweight uand uparticipates uin umoderate uphysical
uactivity uat uleast u4-5 udays ua uweek. uHe uwas ustarted uon uMetformin uthree umonths uago, uand uhis
uhemoglobin uA1c uis unow u6.9. uThe unurse uexpects uto usee ua uclass uof umedication uprescribed uwhich uis
uproven uto ureduce uthe urisk uof ucardiovascular uevents. uConsidering uthe utreatment uguidelines ufrom
uthe uAmerican uCollege uof uCardiology, uwhich umedication ushould ube urecommended ufor uthis upatien u-
uInvokana u100 umg udaily
--Invokana uis ua umedication uused uto utreat utype u2 udiabetes. uIt uis ua uthird-line umedication uto
umetformin. uIt uis uused utogether uwith uexercise uand udiet. uIt uis unot urecommended uin utype u1 udiabetes.
uIt uis utaken uby umouth.
A u78-year-old ufemale upresents uto uthe uclinic ufor ua ucheckup uand urefills uon uher umedications. uShe uis
ucurrently utaking ulisinopril u(Zestril), umetformin u(Glucophage), uand ulevothyroxine u(Synthroid). uThe
upatient uhas ua uhistory uof uhypertension, utype u2 udiabetes, uhypothyroidism, uGERD, uand ugastric uulcers.
uThe upatient uis uconcerned uabout uheart udisease uand uwants uto ustart utaking ua ulow-dose uaspirin.
uWhich uaspirin uregimen urecommendation ushould uthe uadvanced uprofessional unurse u(APN) ugive uto
uthe upatient? u- uLow-dose uenteric ucoated uaspirin u81 umg udaily
SOLUTION
What uis uthe ugold ustandard ufor uthe ususpected udiagnosis uof uCeliac uDisease? u- uEndoscopy uwith usmall
uintestine ubiopsy
A u44-year-old uwoman uhas urecently ubeen udiagnosed uwith uadvanced umetastatic unon-small-cell ulung
ucancer. uGenetic utesting uis uordered uto udetermine uif uthe upatient's utumor uhas uany ugenomic
ualterations uand uto uguide utreatment udecisions. uA ufew uweeks ulater, uthe upatient's utest uresults ucome
uback upositive ufor ua ugenetic umutation. uThe uAPN ustarts uosimertinib u(Tagrisso). uBased uon uthis
uinformation, uwhat utype uof ugenetic umutation udoes uthis upatient uhave? u- uEGFR umutation
A u20-year-old umale umeets uwith uan uadvanced uprofessional unurse u(APN) uto udiscuss usymptoms uthat
uhave ubeen uslowly uprogressing uover uthe upast useveral uyears. uHe uis umainly uconcerned ubecause uhe
uhas ubeen ufalling ufrequently. uSince uchildhood, uhis ugait uhas uconsisted uof uwalking uon uhis utoes. uDuring
umiddle uschool, uhe uwas uable uto uparticipate uin usports ubut uwas uunable uto uparticipate uin uhigh uschool
usports udue uto udifficulty uwith urunning uand ujumping. uLately, uhe uhas unoticed uit utakes ulonger uand uis
umore udifficult uto uchange upositions ufrom usitting uto ustanding uthan uit uused uto uin uthe upast. uHe uhas
ualso ubeen uwaking uup uwith umuscle uand ujoint ustiffness. uThe uAPRN unotes uthat uhis ufamily uhistory uis
unot usignificant ufor uany uchronic uor ugenetic udiseases. uWhich ucondition uis ulikely uto ube uthe ucause uof
uthese usymptoms? u- uBecker umuscular udystrophy u
--Becker umuscular udystrophy u(often ucalled uBecker uMD uor uBMD) uis ua uform uof umuscular udystrophy, ua
ugenetic udisorder uthat ugradually umakes uthe ubody's umuscles uweaker uand usmaller. uIt ucauses uless
usevere uproblems uthan uthe umost ucommon utype, uDuchenne umuscular udystrophy.
Which ustatement ushould uthe uprovider ugive uthe upatient uregarding uthe upathophysiology uof uSLE uand
uits urelation uto uthrombocytopenia? u- uSLE udisrupts uimmune uhomeostasis uand upromotes udevelopment
uof uself-reactive uantibodies.
A ufemale upatient upresents uto uan uoffice uto uestablish ucare. uHer uprevious uprimary ucare uprovider utold
uher uto ufollow uup uregarding uan uelevated uferritin ulevel. uShe uhas uno uprevious umedical uhistory uand uis
ucurrently uasymptomatic. uShe uis uconcerned uabout uthe uelevated uferritin uand uwould ulike uto uknow uif
ushe ushould ube uworried. uWhat ushould uthe uprovider udo unext ufor uthis upatient? u- uOrder ua uliver
ufunction utest
A u75-year-old ufemale upresents uto uthe uemergency udepartment uwith uan uirregular uheart urate uof
u130.What ucan ube uascertained uabout uthis upatient's ufindings ugiven uthe ulimited uinformation? u- uShe uis
udiagnosed uwith uatrial ufibrillation uand uneeds uher uheart urate ucontrolled uwith umetoprolol u(Lopressor).
Which ucondition ufrom uthis upatient's umedical uhistory uis ucontributing uto uthe uloss uof ucontractility? u-
uAcute umyocardial uinfarction
Which ucondition uis uthis upatient usuffering ufrom? u- uDiabetic uketoacidosis
, A u45-year-old ufemale ufears uthat ushe uis uhaving ua ustroke uand utakes uherself uto uan uemergency uroom.
uAfter useveral udiagnostic uand ulaboratory utests, uthe upatient uis udiagnosed uwith uCushing udisease.
uWhich ulab uabnormality uwould ube upresent uin uthis upatient? u- uIncreased ucortisol
SOB uwhen ulying udown, uand umoving uaround u--Based uon uthe upatient's upresentation, uwhich udisease
uprocess uis uthe upatient ulikely uexhibiting? u- uAsthma
A utwo-year-old uchild upresents uwith ua uclear urunny unose uand ucough uwhich uhas ulasted u3 udays. uThe
uchild's umother ureports uthe ucough usounds ulike ua ubarking unoise. uThe uchild uis usleeping uin uthe
umother's uarms uand uappears uto uhave ustridor. uThe uchild's umother ualso ureports uan uaxillary
utemperature uof u101°F ulast unight. uWhich umanagement utechnique uis uappropriate ufor uthis uchild's
usymptoms? u- uOral usteroids uand ubreathing utreatments
Delerium, uurinary uincontinence, ufever-- uWhich ulab uand udiagnostic utests ushould ube uordered uas upart
uof uthe upatient's uassessment? u- uComplete ublood ucount, ucomplete umetabolic uprofile, uand uurinalysis
An u18-year-old umale uis uinvolved uin ua umotorcycle ucrash uwhile unot uwearing ua uhelmet. uHe uis ubrought
uinto uan uemergency uroom uand uis uimmediately utaken ufor ua uCT uscan. uThe uprovider utells uthe upatient's
uparents uhe uhas ubleeding ubetween uthe udura umater uand uthe uskull. uWhat uis uthis upatient's ucondition
ucalled? u- uEpidural uhematoma
-- uWhat uis uthe uappropriate udiagnosis ufor uthis upatient? u- uCrohn's udisease
Which udiagnostic utest uis uappropriate uto uorder ufor uthis upatient? u- uUltrasound
A u45-year-old umale uis ubeing useen uin uthe uclinic ufor ua uyearly ucheck-up uand ulab uwork. uHis uhistory
uincludes uhypertension uand uhyperlipidemia ufor uwhich uhe ucurrently utakes uNorvasc u5 umg udaily uand
uLipitor u20 umg unightly. uPatient uhas ua ufamily uhistory uof udiabetes, uhypertension, uheart udisease, uand
uhyperlipidemia. uAfter uobtaining ulab uwork, uthe uprovider unotices uthe upatient's uhgbA1c uis uelevated uat
u7.5. uThe upatient uis ualready uon ua uDASH udiet uand uwatching uthe uamount uof usweets uand
ucarbohydrates uhe ueats udaily. uThe upatient uis unot uoverweight uand uparticipates uin umoderate uphysical
uactivity uat uleast u4-5 udays ua uweek. uHe uwas ustarted uon uMetformin uthree umonths uago, uand uhis
uhemoglobin uA1c uis unow u6.9. uThe unurse uexpects uto usee ua uclass uof umedication uprescribed uwhich uis
uproven uto ureduce uthe urisk uof ucardiovascular uevents. uConsidering uthe utreatment uguidelines ufrom
uthe uAmerican uCollege uof uCardiology, uwhich umedication ushould ube urecommended ufor uthis upatien u-
uInvokana u100 umg udaily
--Invokana uis ua umedication uused uto utreat utype u2 udiabetes. uIt uis ua uthird-line umedication uto
umetformin. uIt uis uused utogether uwith uexercise uand udiet. uIt uis unot urecommended uin utype u1 udiabetes.
uIt uis utaken uby umouth.
A u78-year-old ufemale upresents uto uthe uclinic ufor ua ucheckup uand urefills uon uher umedications. uShe uis
ucurrently utaking ulisinopril u(Zestril), umetformin u(Glucophage), uand ulevothyroxine u(Synthroid). uThe
upatient uhas ua uhistory uof uhypertension, utype u2 udiabetes, uhypothyroidism, uGERD, uand ugastric uulcers.
uThe upatient uis uconcerned uabout uheart udisease uand uwants uto ustart utaking ua ulow-dose uaspirin.
uWhich uaspirin uregimen urecommendation ushould uthe uadvanced uprofessional unurse u(APN) ugive uto
uthe upatient? u- uLow-dose uenteric ucoated uaspirin u81 umg udaily
