WGU D027 OBJECTIVE ASSESMENT
EXAM LATEST 2024-2025 VERSION A, B, C
AND D WITH A PRACTICE TEST
What is the gold standard for the suspected diagnosis of Celiac Disease? - -----------
CORRECT 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? - -----------CORRECT
ANSWERS--------EGFR mutation and ALK 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? - -----------CORRECT 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? - -----------CORRECT 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? - -----------
CORRECT 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? - ----
-------CORRECT ANSWERS--------She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
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?
- -----------CORRECT ANSWERS--------Acute myocardial infarction
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? - -----------CORRECT 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? - -----------CORRECT ANSWERS--
------Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation, which
disease process is the patient likely exhibiting?
A 16-year-old female presents to the clinic with complaints of coughing and wheezing. The
symptoms have been going on for several months, and she reports that her coughing and
wheezing becomes worse during soccer practice. Occasionally, she wakes up at night and
feels short of breath. She has a history of seasonal allergies but has no personal or family
history of respiratory diseases.Based on the patient's presentation, which disease process is
the patient likely exhibiting? - -----------CORRECT 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? - -----------
CORRECT ANSWERS--------Oral steroids and breathing treatments
Delirium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as
part of the patient's assessment? - -----------CORRECT ANSWERS--------Complete blood
count, complete metabolic profile, and urinalysis
EXAM LATEST 2024-2025 VERSION A, B, C
AND D WITH A PRACTICE TEST
What is the gold standard for the suspected diagnosis of Celiac Disease? - -----------
CORRECT 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? - -----------CORRECT
ANSWERS--------EGFR mutation and ALK 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? - -----------CORRECT 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? - -----------CORRECT 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? - -----------
CORRECT 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? - ----
-------CORRECT ANSWERS--------She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
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?
- -----------CORRECT ANSWERS--------Acute myocardial infarction
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? - -----------CORRECT 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? - -----------CORRECT ANSWERS--
------Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation, which
disease process is the patient likely exhibiting?
A 16-year-old female presents to the clinic with complaints of coughing and wheezing. The
symptoms have been going on for several months, and she reports that her coughing and
wheezing becomes worse during soccer practice. Occasionally, she wakes up at night and
feels short of breath. She has a history of seasonal allergies but has no personal or family
history of respiratory diseases.Based on the patient's presentation, which disease process is
the patient likely exhibiting? - -----------CORRECT 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? - -----------
CORRECT ANSWERS--------Oral steroids and breathing treatments
Delirium, urinary incontinence, fever-- Which lab and diagnostic tests should be ordered as
part of the patient's assessment? - -----------CORRECT ANSWERS--------Complete blood
count, complete metabolic profile, and urinalysis
