WGU D027 Pre-Assessment | Questions and Answers | Latest 2026
Updates | 100% Correct.
1.
A 26-year-old female presents to urgent care with complaints of
extreme fatigue, muscle aches, abdominal pain, numbness and
tingling in her extremities, and bloating. She explains that she has
been experiencing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She reports using
over-the-counter, anti-diarrheal products last week to combat
diarrhea. She denies having any chronic diseases. The assessment
findings include a blood pressure of 108/71 mm Hg, pulse of 82
beats per minute, and respirations of 20 breaths per minute. The
abdomen is distended and firm. Bowel sounds are present in all four
quadrants. The patient has a steady gait, though verbally complains
of feeling weak and off balance upon ambulation. Following antibody
testing, Celiac disease is suspected.
Which follow-up tissue test, the gold standard for this
suspected diagnosis, should be ordered?
Endoscopy with small intestine biopsy
2.
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 types of genetic mutation does
this patient have? Choose 2 answers.
ALK mutation
EGFR mutation
3.
,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?
Becker muscular dystrophy
4.
A patient with systemic lupus erythematosus (SLE) is diagnosed with
idiopathic thrombocytopenic purpura (ITP).
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia?
SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
5.
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?
Order a liver function test
6.
, 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?
She is diagnosed with atrial fibrillation and needs her heart rate controlled
with metoprolol (Lopressor).
7.
A 75-year-old male presents with a history of transient ischemic
attack, acute myocardial infarction, angina, and atrial fibrillation.
The patient's echocardiogram shows low cardiac output and loss of
contractility.
Which condition from this patient's medical history is contributing
to the loss of contractility?
Acute myocardial infarction
8.
A patient presents to an emergency room with blurred vision,
fatigue, shortness of breath, and disorientation. Some of the
preliminary lab results reveal the following: glucose >400 mg/dL,
sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.
Which condition is this patient suffering from?
Diabetic ketoacidosis
9.
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?
Updates | 100% Correct.
1.
A 26-year-old female presents to urgent care with complaints of
extreme fatigue, muscle aches, abdominal pain, numbness and
tingling in her extremities, and bloating. She explains that she has
been experiencing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She reports using
over-the-counter, anti-diarrheal products last week to combat
diarrhea. She denies having any chronic diseases. The assessment
findings include a blood pressure of 108/71 mm Hg, pulse of 82
beats per minute, and respirations of 20 breaths per minute. The
abdomen is distended and firm. Bowel sounds are present in all four
quadrants. The patient has a steady gait, though verbally complains
of feeling weak and off balance upon ambulation. Following antibody
testing, Celiac disease is suspected.
Which follow-up tissue test, the gold standard for this
suspected diagnosis, should be ordered?
Endoscopy with small intestine biopsy
2.
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 types of genetic mutation does
this patient have? Choose 2 answers.
ALK mutation
EGFR mutation
3.
,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?
Becker muscular dystrophy
4.
A patient with systemic lupus erythematosus (SLE) is diagnosed with
idiopathic thrombocytopenic purpura (ITP).
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia?
SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
5.
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?
Order a liver function test
6.
, 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?
She is diagnosed with atrial fibrillation and needs her heart rate controlled
with metoprolol (Lopressor).
7.
A 75-year-old male presents with a history of transient ischemic
attack, acute myocardial infarction, angina, and atrial fibrillation.
The patient's echocardiogram shows low cardiac output and loss of
contractility.
Which condition from this patient's medical history is contributing
to the loss of contractility?
Acute myocardial infarction
8.
A patient presents to an emergency room with blurred vision,
fatigue, shortness of breath, and disorientation. Some of the
preliminary lab results reveal the following: glucose >400 mg/dL,
sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12
mEq/L, serum creatinine 3 mg/dL.
Which condition is this patient suffering from?
Diabetic ketoacidosis
9.
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?
