WGU D027 OA EXAM
2025/2026 ACTUAL EXAM TEST BANK 100 QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
1. What is the gold standard for the suspected diagnosis of Celiac Disease?-
so so so so so so so so so so so
Ans>> :Endoscopy with small intestine biopsy
so o
s so so so so
2. A44-year-oldwomanhasrecentlybeendiagnosedwithadvancedmetasta- tic
o
s o
s o
s o
s o
s o
s o
s o
s o
s so
non-small-cell lung cancer. Genetic testing is ordered to determine if the
so so so so so so so so so so so
patient'stumorhasanygenomicalterationsandtoguidetreatmentdecisions. A
so o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
few weeks later,the patient's test results come back positive for a genetic
so so so so so so so so so so so so so
mutation.The APN starts osimertinib (Tagrisso). Based on this information,
so o
s so so so so so so so so
what type of genetic mutation does this patient have?
so so so so so so so so so
Ans>>: EGFR mutation so so
3. A 20-year-old male meets with an advanced professional nurse (APN) to
so so so so so so so so so so
discuss symptoms that have been slowly progressing over the past several
so so so so so so so so so so so
years.He is mainly concerned because he has been falling frequently.Since
so so so so so so so so so so so so
childhood,hisgaithasconsistedofwalkingonhistoes.Duringmiddleschool, he
so o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
was able to participate in sports but was unable to participate in high school
so so so so so so so so so so so so so so
sports due to difficulty with running and jumping. Lately, he has noticedittakes
so so so so so so so so so so so so o
s o
s
longerandismoredifficulttochangepositionsfromsittingto standing than it used
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so so so so
to in the past.He has also been waking up with muscle and joint stiffness.The
so so so so o
s so so so so so so so so so so o
s
APRN notes that his family history is not significant for any chronic or genetic
so so so so so so so so so so so so so so
diseases.Which condition is likely to be the cause of these symptoms?
so o
s so so so so so so so so so so
1/35 so so
,Ans>>: Becker muscular dystrophy so so so
--Beckermusculardystrophy(oftencalledBeckerMDorBMD)isaformofmuscular
so so so so so so so so so so so so so
dystrophy,ageneticdisorderthatgraduallymakesthebody'smusclesweakerand smalle
so so so so so so so so so so so so
It causes less severe problems than the most common type, Duchenne muscular
so so so so so so so so so so so so
dystrophy.
so
4. Which statement should the provider give the patient regarding the patho-
so so so so so so so so so so
physiologyofSLEanditsrelationtothrombocytopenia?
so o
s o
s o
s o
s o
s o
s o
s
Ans>>:SLEdisruptsimmune homeostasis and promotes development of self-reactive
o
s so so so so so so so so
antibodies.
so
5. A female patient presents to an office to establish care.Her previous pri- mary
so so so so so so so so so o
s so so so
careprovidertoldhertofollowupregarding anelevatedferritinlevel. She has no
so so so so so so so so so so so so so so so
previous medical history and is currently asymptomatic.She is concerned
so so so so so so so o
s so so
about the elevated ferritin and would like to know if she should be worried.
so so so so so so so so so so so so so so
What should the provider do next for this patient?
o
s so so so so so so so so
Ans>>:Order a liver function test o
s so so so so
6. A 75-year-old female presents to the emergency department with an irreg- ular
so so so so so so so so so so so
heart rate of 130.What can be ascertained about this patient's findings given the
so so so so so so so so so so so so so
limited information?
so so
Ans>>:She is diagnosed withatrial fibrillation and needs her heart rate controlled with
o
s so so so so so so so so so so so so
metoprolol (Lopressor).
so so
7. Which condition from this patient's medical history is contributing to the loss
so so so so so so so so so so so
of contractility?
so so
Ans>>: Acute myocardial infarction so so so
2/35 so so
,8. Which condition is this patient suffering from? so so so so so so
Ans>>:Diabetic ketoacidosis o
s so
9. A 45-year-old female fears that she is having a stroke and takes herself to an
so so so so so so so so so so so so so so
emergencyroom.Afterseveraldiagnosticandlaboratorytests,thepatient is
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
diagnosed with Cushing disease.Which lab abnormality would be present in this
so so so so o
s so so so so so so so
patient?
so
Ans>>: Increased cortisol so so
10. SOBwhen lyingdown,andmovingaround--Basedon the patient'spre-
so so so o
s so so so so so so so
sentation, which disease process is the patient likely exhibiting?
so so so so so so so so so
Ans>>: Asthma so
11. A two-year-old child presents with a clear runny nose and cough which has
so so so so so so so so so so so so
lasted3days.Thechild'smotherreportsthecoughsoundslikeabarking noise.The
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so o
s
childis sleepinginthe mother's armsandappearstohave stridor. The child's
so so so so so so so so so so so so so so
mother also reports an axillary temperature of 101°F last night. Which
so so so so so so so so so so so
managementtechniqueisappropriateforthischild'ssymptoms?
o
s o
s o
s o
s o
s o
s o
s o
s
Ans>>:Oral steroids and breathing treatmentso
s so so so so
12. Delerium, urinary incontinence, fever--Which lab and diagnostic tests so so so o
s so so so so
shouldbeorderedaspartofthepatient'sassessment?:Completebloodcount,
so o
s o
s o
s o
s o
s o
s o
s o
s o
s so so
complete metabolic profile, and urinalysis
so so so so so
13. An18-year-oldmaleis involvedina motorcyclecrashwhilenotwearinga
so so so so so so so so so so so so
helmet. He is brought into an emergency room and is immediately taken for a CT
so so so so so so so so so so so so so so so
scan.The provider tells the patient's parents he has bleeding between thedura
so o
s so so so so so so so so so so so
mater and the skull.What is this patient's condition called?
so so so so o
s so so so so so
Ans>>:Epidural hematoma o
s so
14. -- What is the appropriate diagnosis for this patient?
so so so so so so so so
Ans>>:Crohn's disease o
s so
15. Which diagnostic test is appropriate to order for this patient? so so so so so so so so so
3/35 so so
, Ans>>:Ultrasound o
s
16. A 45-year-old male is being seen in the clinic for a yearly check-up and lab
so so so so so so so so so so so so so so
work.His history includes hypertension and hyperlipidemia for which he
so so so so so so so so so so
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly.Patient has a family
so so so so so so so so so so so so so so so
history of diabetes, hypertension, heart disease, and hyperlipidemia. After
so so so so so so so so so
obtaininglabwork,theprovidernoticesthepatient'shgbA1ciselevated at7.5.The
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so o
s o
s
patientisalreadyonaDASHdietandwatchingtheamountofsweets and
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
carbohydratesheeatsdaily.Thepatientisnotoverweightandparticipates in
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
moderate physical activity at least 4-5 days a week. He was started on Metformin
so so so so so so so so so so so so so so
three months ago, and his hemoglobin A1c is now 6.9.The nurse expectstoseea
so so so so so so so so so so o
s so so o
s o
s o
s
classofmedicationprescribedwhichisproventoreducethe risk of
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so so
cardiovascular events.Considering the treatment guidelines from the American
so so so so so so so so so
College of Cardiology,which medication should be recommended for this patien
so so so so so so so so so so so
Ans>>: Invokana 100 mg daily so so so so
--Invokanaisamedicationusedto treattype2 diabetes.Itisathird-linemedication
so so so so so so so so so so so so so so
4/35
so so
2025/2026 ACTUAL EXAM TEST BANK 100 QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
1. What is the gold standard for the suspected diagnosis of Celiac Disease?-
so so so so so so so so so so so
Ans>> :Endoscopy with small intestine biopsy
so o
s so so so so
2. A44-year-oldwomanhasrecentlybeendiagnosedwithadvancedmetasta- tic
o
s o
s o
s o
s o
s o
s o
s o
s o
s so
non-small-cell lung cancer. Genetic testing is ordered to determine if the
so so so so so so so so so so so
patient'stumorhasanygenomicalterationsandtoguidetreatmentdecisions. A
so o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
few weeks later,the patient's test results come back positive for a genetic
so so so so so so so so so so so so so
mutation.The APN starts osimertinib (Tagrisso). Based on this information,
so o
s so so so so so so so so
what type of genetic mutation does this patient have?
so so so so so so so so so
Ans>>: EGFR mutation so so
3. A 20-year-old male meets with an advanced professional nurse (APN) to
so so so so so so so so so so
discuss symptoms that have been slowly progressing over the past several
so so so so so so so so so so so
years.He is mainly concerned because he has been falling frequently.Since
so so so so so so so so so so so so
childhood,hisgaithasconsistedofwalkingonhistoes.Duringmiddleschool, he
so o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
was able to participate in sports but was unable to participate in high school
so so so so so so so so so so so so so so
sports due to difficulty with running and jumping. Lately, he has noticedittakes
so so so so so so so so so so so so o
s o
s
longerandismoredifficulttochangepositionsfromsittingto standing than it used
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so so so so
to in the past.He has also been waking up with muscle and joint stiffness.The
so so so so o
s so so so so so so so so so so o
s
APRN notes that his family history is not significant for any chronic or genetic
so so so so so so so so so so so so so so
diseases.Which condition is likely to be the cause of these symptoms?
so o
s so so so so so so so so so so
1/35 so so
,Ans>>: Becker muscular dystrophy so so so
--Beckermusculardystrophy(oftencalledBeckerMDorBMD)isaformofmuscular
so so so so so so so so so so so so so
dystrophy,ageneticdisorderthatgraduallymakesthebody'smusclesweakerand smalle
so so so so so so so so so so so so
It causes less severe problems than the most common type, Duchenne muscular
so so so so so so so so so so so so
dystrophy.
so
4. Which statement should the provider give the patient regarding the patho-
so so so so so so so so so so
physiologyofSLEanditsrelationtothrombocytopenia?
so o
s o
s o
s o
s o
s o
s o
s
Ans>>:SLEdisruptsimmune homeostasis and promotes development of self-reactive
o
s so so so so so so so so
antibodies.
so
5. A female patient presents to an office to establish care.Her previous pri- mary
so so so so so so so so so o
s so so so
careprovidertoldhertofollowupregarding anelevatedferritinlevel. She has no
so so so so so so so so so so so so so so so
previous medical history and is currently asymptomatic.She is concerned
so so so so so so so o
s so so
about the elevated ferritin and would like to know if she should be worried.
so so so so so so so so so so so so so so
What should the provider do next for this patient?
o
s so so so so so so so so
Ans>>:Order a liver function test o
s so so so so
6. A 75-year-old female presents to the emergency department with an irreg- ular
so so so so so so so so so so so
heart rate of 130.What can be ascertained about this patient's findings given the
so so so so so so so so so so so so so
limited information?
so so
Ans>>:She is diagnosed withatrial fibrillation and needs her heart rate controlled with
o
s so so so so so so so so so so so so
metoprolol (Lopressor).
so so
7. Which condition from this patient's medical history is contributing to the loss
so so so so so so so so so so so
of contractility?
so so
Ans>>: Acute myocardial infarction so so so
2/35 so so
,8. Which condition is this patient suffering from? so so so so so so
Ans>>:Diabetic ketoacidosis o
s so
9. A 45-year-old female fears that she is having a stroke and takes herself to an
so so so so so so so so so so so so so so
emergencyroom.Afterseveraldiagnosticandlaboratorytests,thepatient is
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
diagnosed with Cushing disease.Which lab abnormality would be present in this
so so so so o
s so so so so so so so
patient?
so
Ans>>: Increased cortisol so so
10. SOBwhen lyingdown,andmovingaround--Basedon the patient'spre-
so so so o
s so so so so so so so
sentation, which disease process is the patient likely exhibiting?
so so so so so so so so so
Ans>>: Asthma so
11. A two-year-old child presents with a clear runny nose and cough which has
so so so so so so so so so so so so
lasted3days.Thechild'smotherreportsthecoughsoundslikeabarking noise.The
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so o
s
childis sleepinginthe mother's armsandappearstohave stridor. The child's
so so so so so so so so so so so so so so
mother also reports an axillary temperature of 101°F last night. Which
so so so so so so so so so so so
managementtechniqueisappropriateforthischild'ssymptoms?
o
s o
s o
s o
s o
s o
s o
s o
s
Ans>>:Oral steroids and breathing treatmentso
s so so so so
12. Delerium, urinary incontinence, fever--Which lab and diagnostic tests so so so o
s so so so so
shouldbeorderedaspartofthepatient'sassessment?:Completebloodcount,
so o
s o
s o
s o
s o
s o
s o
s o
s o
s so so
complete metabolic profile, and urinalysis
so so so so so
13. An18-year-oldmaleis involvedina motorcyclecrashwhilenotwearinga
so so so so so so so so so so so so
helmet. He is brought into an emergency room and is immediately taken for a CT
so so so so so so so so so so so so so so so
scan.The provider tells the patient's parents he has bleeding between thedura
so o
s so so so so so so so so so so so
mater and the skull.What is this patient's condition called?
so so so so o
s so so so so so
Ans>>:Epidural hematoma o
s so
14. -- What is the appropriate diagnosis for this patient?
so so so so so so so so
Ans>>:Crohn's disease o
s so
15. Which diagnostic test is appropriate to order for this patient? so so so so so so so so so
3/35 so so
, Ans>>:Ultrasound o
s
16. A 45-year-old male is being seen in the clinic for a yearly check-up and lab
so so so so so so so so so so so so so so
work.His history includes hypertension and hyperlipidemia for which he
so so so so so so so so so so
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly.Patient has a family
so so so so so so so so so so so so so so so
history of diabetes, hypertension, heart disease, and hyperlipidemia. After
so so so so so so so so so
obtaininglabwork,theprovidernoticesthepatient'shgbA1ciselevated at7.5.The
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so o
s o
s
patientisalreadyonaDASHdietandwatchingtheamountofsweets and
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
carbohydratesheeatsdaily.Thepatientisnotoverweightandparticipates in
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so
moderate physical activity at least 4-5 days a week. He was started on Metformin
so so so so so so so so so so so so so so
three months ago, and his hemoglobin A1c is now 6.9.The nurse expectstoseea
so so so so so so so so so so o
s so so o
s o
s o
s
classofmedicationprescribedwhichisproventoreducethe risk of
o
s o
s o
s o
s o
s o
s o
s o
s o
s o
s so so
cardiovascular events.Considering the treatment guidelines from the American
so so so so so so so so so
College of Cardiology,which medication should be recommended for this patien
so so so so so so so so so so so
Ans>>: Invokana 100 mg daily so so so so
--Invokanaisamedicationusedto treattype2 diabetes.Itisathird-linemedication
so so so so so so so so so so so so so so
4/35
so so
