WGU D027 Exam Questions with
Verified Answers
1. cystic fibrosis - ANSWER effects pancreas, increased mucus
2. Klinefelter syndrome - ANSWER A chromosomal disorder in which males
have an extra X chromosome
3. Turner Syndrome - ANSWER A chromosomal disorder in females in which
either an X chromosome is missing, making the person XO instead of XX,
or part of one X chromosome is deleted.
4. Alpha Thalassemia - ANSWER Severe anemia, do not give ferrous sulfate
5. What is the gold standard for the suspected diagnosis of Celiac Disease? -
ANSWER Endoscopy with small intestine biopsy
6. 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? - ANSWER EGFR
mutation
7. 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? - ANSWER 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.
8. Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - ANSWER
SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
9. 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? - ANSWER
Order a liver function test
10.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? - ANSWER She is diagnosed with
atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
11.Which condition from this patient's medical history is contributing to the
loss of contractility? - ANSWER Acute myocardial infarction
,12.Which condition is this patient suffering from? - ANSWER Diabetic
ketoacidosis
13.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? - ANSWER Increased cortisol
14.SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting? -
ANSWER Asthma
15.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? -
ANSWER Oral steroids and breathing treatments
16.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment? - ANSWER Complete
blood count, complete metabolic profile, and urinalysis
17.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? -
ANSWER Epidural hematoma
, What is the appropriate diagnosis for this patient? - ANSWER
Crohn's disease
18.Which diagnostic test is appropriate to order for this patient? - ANSWER
Ultrasound
19.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 - ANSWER 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.
20.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? - ANSWER Low-dose enteric
coated aspirin 81 mg daily
Verified Answers
1. cystic fibrosis - ANSWER effects pancreas, increased mucus
2. Klinefelter syndrome - ANSWER A chromosomal disorder in which males
have an extra X chromosome
3. Turner Syndrome - ANSWER A chromosomal disorder in females in which
either an X chromosome is missing, making the person XO instead of XX,
or part of one X chromosome is deleted.
4. Alpha Thalassemia - ANSWER Severe anemia, do not give ferrous sulfate
5. What is the gold standard for the suspected diagnosis of Celiac Disease? -
ANSWER Endoscopy with small intestine biopsy
6. 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? - ANSWER EGFR
mutation
7. 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? - ANSWER 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.
8. Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - ANSWER
SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
9. 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? - ANSWER
Order a liver function test
10.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? - ANSWER She is diagnosed with
atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
11.Which condition from this patient's medical history is contributing to the
loss of contractility? - ANSWER Acute myocardial infarction
,12.Which condition is this patient suffering from? - ANSWER Diabetic
ketoacidosis
13.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? - ANSWER Increased cortisol
14.SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting? -
ANSWER Asthma
15.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? -
ANSWER Oral steroids and breathing treatments
16.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment? - ANSWER Complete
blood count, complete metabolic profile, and urinalysis
17.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? -
ANSWER Epidural hematoma
, What is the appropriate diagnosis for this patient? - ANSWER
Crohn's disease
18.Which diagnostic test is appropriate to order for this patient? - ANSWER
Ultrasound
19.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 - ANSWER 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.
20.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? - ANSWER Low-dose enteric
coated aspirin 81 mg daily
