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Exam (elaborations)

WGU D027 OA Exam – 2026/2027 – Actual Exam Test Bank and Practice Questions

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This document covers preparation material for the WGU D027 Objective Assessment (OA) exam for the 2026/2027 academic period. It includes exam-style test bank questions designed to reflect the structure, topics, and difficulty of the D027 OA, supporting focused and effective exam preparation.

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WGU D027WGU
OA D027
EXAM OA 2024-2025 ACTUAL
EXAM 2026-2027 ACTUAL EXAM TESTBANK
EXAM TEST BANK 100 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES|AGRADE
Study online at https://quizlet.com/_fxevma

1. What is the gold standard for the suspected diagnosis Endoscopy with small in-
of Celiac Disease? testine biopsy

2. A 44-year-old woman has recently been diagnosed EGFR mutation
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 treat-
ment 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 infor-
mation, what type of genetic mutation does this pa-
tient have?

3. A 20-year-old male meets with an advanced profes- Becker muscular dystro-
sional nurse (APN) to discuss symptoms that have phy
been slowly progressing over the past several years. --Becker muscular dystro-
He is mainly concerned because he has been falling phy (often called Becker
frequently. Since childhood, his gait has consisted of MD or BMD) is a form of
walking on his toes. During middle school, he was able muscular dystrophy, a ge-
to participate in sports but was unable to participate netic disorder that gradu-
in high school sports due to difficulty with running ally makes the body's mus-
and jumping. Lately, he has noticed it takes longer and cles weaker and smaller. It
is more difficult to change positions from sitting to causes less severe prob-
standing than it used to in the past. He has also been lems than the most com-
waking up with muscle and joint stiffness. The APRN mon type, Duchenne mus-
notes that his family history is not significant for any cular dystrophy.
chronic or genetic diseases. Which condition is likely
to be the cause of these symptoms?

4. SLE disrupts immune
homeostasis and pro-
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, WGU D027WGU
OA D027
EXAM OA 2024-2025 ACTUAL
EXAM 2025-2026 ACTUAL EXAM TESTBANK
EXAM TEST BANK 100 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES|AGRADE
Study online at https://quizlet.com/_fxevma
Which statement should the provider give the patient motes development of
regarding the pathophysiology of SLE and its relation self-reactive antibodies.
to thrombocytopenia?

5. A female patient presents to an office to establish care. Order a liver function test
Her previous primary care provider told her to follow
up regarding an elevated ferritin level. She has no pre-
vious 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?

6. A 75-year-old female presents to the emergency de- She is diagnosed with atri-
partment with an irregular heart rate of 130.What can al fibrillation and needs
be ascertained about this patient's findings given the her heart rate controlled
limited information? with metoprolol (Lopres-
sor).

7. Which condition from this patient's medical history is Acute myocardial infarc-
contributing to the loss of contractility? tion

8. Which condition is this patient suffering from? Diabetic ketoacidosis

9. A 45-year-old female fears that she is having a stroke Increased cortisol
and takes herself to an emergency room. After several
diagnostic and laboratory tests, the patient is diag-
nosed with Cushing disease. Which lab abnormality
would be present in this patient?

10. SOB when lying down, and moving around --Based on Asthma
the patient's presentation, which disease process is
the patient likely exhibiting?
www.stuvia.com


, WGU D027WGU
OA D027
EXAM OA 2024-2025 ACTUAL
EXAM 2025-2026 ACTUAL EXAM TESTBANK
EXAM TEST BANK 100 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES|AGRADE
Study online at https://quizlet.com/_fxevma
11. A two-year-old child presents with a clear runny nose Oral steroids and breath-
and cough which has lasted 3 days. The child's mother ing treatments
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?

12. Delerium, urinary incontinence, fever-- Which lab and Complete blood count,
diagnostic tests should be ordered as part of the pa- complete metabolic pro-
tient's assessment? file, and urinalysis

13. An 18-year-old male is involved in a motorcycle crash Epidural hematoma
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?

14. -- What is the appropriate diagnosis for this patient? Crohn's disease

15. Which diagnostic test is appropriate to order for this Ultrasound
patient?

16. A 45-year-old male is being seen in the clinic for a Invokana 100 mg daily
yearly check-up and lab work. His history includes hy- --Invokana is a medication
pertension and hyperlipidemia for which he currently used to treat type 2 di-
takes Norvasc 5 mg daily and Lipitor 20 mg nightly. abetes. It is a third-line
Patient has a family history of diabetes, hypertension, medication to metformin.
heart disease, and hyperlipidemia. After obtaining lab It is used together with ex-
work, the provider notices the patient's hgbA1c is ele- vated at 7.5.
www.stuvia.com


, The patient is already on a DASH diet and ercise and diet. It is not
recommended in type 1




www.stuvia.com

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