WGU D027 EXAM
questions and
answers[ A+]
What is the gold standard for the suspected diagnosis of Celiac Disease? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? -
ANSWERS-Acute myocardial infarction
Which condition is this patient suffering from? - ANSWERS-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? - ANSWERS-Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation, which disease process
is the patient likely exhibiting? - ANSWERS-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? - ANSWERS-Oral steroids and
breathing treatments
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as part of the
patient's assessment? - ANSWERS-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? - ANSWERS-
Epidural hematoma
, -- What is the appropriate diagnosis for this patient? - ANSWERS-Crohn's disease
Which diagnostic test is appropriate to order for this patient? - ANSWERS-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 - ANSWERS-Invokana 100 mg daily
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to metformin. It is
used together with exercise and diet. It is not recommended in type 1 diabetes. It is taken by mouth.
A 78-year-old female presents to the clinic for a checkup 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? - ANSWERS-Low-
dose enteric coated aspirin 81 mg daily
A 28-year-old married female presents to primary care 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 - ANSWERS-5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to 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?
- ANSWERS-Elevated Von Willebrand factor
questions and
answers[ A+]
What is the gold standard for the suspected diagnosis of Celiac Disease? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? -
ANSWERS-Acute myocardial infarction
Which condition is this patient suffering from? - ANSWERS-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? - ANSWERS-Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation, which disease process
is the patient likely exhibiting? - ANSWERS-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? - ANSWERS-Oral steroids and
breathing treatments
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as part of the
patient's assessment? - ANSWERS-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? - ANSWERS-
Epidural hematoma
, -- What is the appropriate diagnosis for this patient? - ANSWERS-Crohn's disease
Which diagnostic test is appropriate to order for this patient? - ANSWERS-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 - ANSWERS-Invokana 100 mg daily
--Invokana is a medication used to treat type 2 diabetes. It is a third-line medication to metformin. It is
used together with exercise and diet. It is not recommended in type 1 diabetes. It is taken by mouth.
A 78-year-old female presents to the clinic for a checkup 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? - ANSWERS-Low-
dose enteric coated aspirin 81 mg daily
A 28-year-old married female presents to primary care 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 - ANSWERS-5.31 mIU/L
A 74- year-old male with Cushing syndrome presents to 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?
- ANSWERS-Elevated Von Willebrand factor
