WGU D027 OA EXAM 2024-v v v v
2025 ACTUAL EXAM TEST BANK 100 QUE
v v v v v v
STIONS AND CORRECT DETAILED ANSW
v v v v
ERS WITH RATIONALES |A GRADE
v v v v
WhatvisvthevgoldvstandardvforvthevsuspectedvdiagnosisvofvCeliacvDisease?v–
vAnswerv endoscopyv withvsmallv intestinevbiopsy
Av44-year-oldvwomanvhasvrecentlyvbeenvdiagnosedvwithvadvancedvmetastaticvnon-small-
cellvlungvcancer.vGeneticvtestingvisvorderedvtovdeterminevifvthevpatient'svtumorvhasvanyvgen
omicvalterationsvandvtovguidevtreatmentvdecisions.vAvfewvweeksvlater,vthevpatient'svtestvres
ultsvcomevbackvpositivevforvavgeneticvmutation.vThevAPNvstartsvosimertinibv(Tagrisso).vBas
edvonvthisvinformation,vwhatvtypevofvgeneticvmutationvdoesvthisvpatientvhave?v–
vanswerv EGFRvmutation
Av20-year-
oldvmalevmeetsvwithvanvadvancedvprofessionalvnursev(APN)vtovdiscussvsymptomsvthatvhav
evbeenvslowlyvprogressingvovervthevpastvseveralvyears.vHevisvmainlyvconcernedvbecausevh
evhasvbeenvfallingvfrequently.vSincevchildhood,vhisvgaitvhasvconsistedvofvwalkingvonvhisvtoe
s.vDuringvmiddlevschool,vhevwasvablevtovparticipatevinvsportsvbutvwasvunablevtovparticipatevi
nvhighvschoolvsportsvduevtovdifficultyvwithvrunningvandvjumping.vLately,vhevhasvnoticedvitvtak
esvlongervandvisvmorevdifficultvtovchangevpositionsvfromvsittingvtovstandingvthanvitvusedvtovinv
thevpast.vHevhasvalsovbeenvwakingvupvwithvmusclevandvjointvstiffness.vThevAPRNvnotesvtha
tvhisvfamilyvhistoryvisvnotvsignificantvforvanyvchronicvorvgeneticvdiseases.vWhichvconditionvisv
likelyvtovbevthevcausevofvthesevsymptoms?v–vanswervBeckervmuscularvdystrophyv
--
Beckervmuscularvdystrophyv(oftenvcalledvBeckervMDvorvBMD)visvavformvofvmuscularvdystro
phy,vavgeneticvdisordervthatvgraduallyvmakesvthevbody'svmusclesvweakervandvsmaller.vItvca
usesvlessvseverevproblemsvthanvthevmostvcommonvtype,vDuchennevmuscularvdystrophy.
WhichvstatementvshouldvthevprovidervgivevthevpatientvregardingvthevpathophysiologyvofvSL
Evandvitsvrelationvtovthrombocytopenia?v–
vanswerv SLEvdisruptsvimmunevhomeostasisvandvpromotesvdevelopmentvofvself-
reactivevantibodies.
Avfemalevpatientvpresentsvtovanvofficevtovestablishvcare.vHervpreviousvprimaryvcarevprovide
rvtoldvhervtovfollowvupvregardingvanvelevatedvferritinvlevel.vShevhasvnovpreviousvmedicalvhist
oryvandvisvcurrentlyvasymptomatic.vShevisvconcernedvaboutvthevelevatedvferritinvandvwouldv
likevtovknowvifvshevshouldvbevworried.vWhatvshouldvthevprovidervdovnextvforvthisvpatient?v–
vanswerv Ordervavlivervfunctionvtest
1
,Av75-year-
oldvfemalevpresentsvtovthevemergencyvdepartmentvwithvanvirregularvheartvratevofv130.Whatv
canvbevascertainedvaboutvthisvpatient'svfindingsvgivenvthevlimitedvinformation?v–
vanswerv Shevisvdiagnosedv withvatrialvfibrillationvandvneedsvhervheartvratevcontrolledv withvme
toprololv(Lopressor).
Whichvconditionvfromvthisvpatient'svmedicalvhistoryvisvcontributingvtovthevlossvofvcontractility
?v–vanswervAcutevmyocardialvinfarction
Whichvconditionvisvthisvpatientvsufferingvfrom?v–vanswervDiabeticvketoacidosis
Av45-year-
oldvfemalevfearsvthatvshevisvhavingvavstrokevandvtakesvherselfvtovanvemergencyvroom.vAfterv
severalvdiagnosticvandvlaboratoryvtests,vthevpatientvisvdiagnosedvwithvCushingvdisease.vW
hichvlabvabnormalityvwouldvbevpresentvinvthisvpatient?v–vanswervIncreasedvcortisol
SOBvwhenvlyingvdown,vandvmovingvaroundv--
Basedvonvthevpatient'svpresentation,vwhichvdiseasevprocessvisvthevpatientvlikelyvexhibiting?
v–vanswervAsthma
Avtwo-year-
oldvchildvpresentsvwithvavclearvrunnyvnosevandvcoughvwhichvhasvlastedv3vdays.vThevchild'sv
mothervreportsvthevcoughvsoundsvlikevavbarkingvnoise.vThevchildvisvsleepingvinvthevmother's
varmsvandvappearsvtovhavev stridor.vThevchild'svmothervalsov reportsvanvaxillaryv temperaturev
ofv101°Fvlastvnight.vWhichvmanagementvtechniquevisvappropriatevforvthisvchild'svsymptoms
?v–vanswervOralvsteroidsvandvbreathingvtreatments
Delerium,vurinaryvincontinence,vfever--
vWhichvlabvandvdiagnosticv testsvshouldvbevorderedvasvpartvofvthevpatient'svassessment?v–
vanswerv Completevbloodvcount,vcompletevmetabolicvprofile,vandvurinalysis
Anv18-year-
oldvmalevisvinvolvedvinvavmotorcyclevcrashvwhilevnotvwearingvavhelmet.vHevisvbroughtvintova
nvemergencyvroomvandvisvimmediatelyvtakenvforvavCTvscan.vThevprovidervtellsvthevpatient'sv
parentsvhevhasvbleedingvbetweenvthevduravmatervandvthevskull.vWhatvisvthisvpatient'svcondi
tionvcalled?v–vanswervEpiduralvhematoma
--vWhatvisvthevappropriatevdiagnosisvforvthisvpatient?v–vanswervCrohn'svdisease
Whichvdiagnosticvtestvisvappropriatevtovordervforvthisvpatient?v–vanswervUltrasound
Av45-year-oldvmalevisvbeingvseenvinvthevclinicvforvavyearlyvcheck-
upvandvlabvwork.vHisvhistoryvincludesvhypertensionvandvhyperlipidemiavforvwhichvhevcurren
tlyvtakesvNorvascv5vmgvdailyvandvLipitorv20vmgvnightly.vPatientvhasvavfamilyvhistoryvofvdiabe
tes,vhypertension,vheartvdisease,vandvhyperlipidemia.vAftervobtainingvlabvwork,vthevprovide
rvnoticesvthevpatient'svhgbA1cvisvelevatedvatv7.5.vThevpatientvisvalreadyvonvavDASHvdietvand
2
, vwatchingvthevamountvofvsweetsvandvcarbohydratesvheveatsvdaily.vThevpatientvisvnotvoverw
eightvandvparticipatesvinvmoderatevphysicalvactivityvatvleastv4-
5vdaysvavweek.vHevwasvstartedvonvMetforminvthreevmonthsvago,vandvhisvhemoglobinvA1cvis
vnowv 6.9.vThevnursevexpectsvtovseevavclassvofvmedicationvprescribedvwhichv isvprovenvtov red
ucevthevriskvofvcardiovascularvevents.vConsideringvthevtreatmentvguidelinesvfromvthevAmer
icanvCollegevofvCardiology,vwhichvmedicationvshouldvbevrecommendedvforvthisvpatienv–
vanswerv Invokanav100vmgvdaily
--Invokanavisvavmedicationvusedvtovtreatvtypev2vdiabetes.vItvisvavthird-
linevmedicationvtovmetformin.vItvisvusedvtogethervwithvexercisevandvdiet.vItvisvnotvrecommen
dedvinvtypev1vdiabetes.vItvisvtakenvbyvmouth.
Av78-year-
oldvfemalevpresentsvtovthevclinicvforvavcheckupvandvrefillsvonvhervmedications.vShevisvcurren
tlyvtakingvlisinoprilv(Zestril),vmetforminv(Glucophage),vandvlevothyroxinev(Synthroid).vThevp
atientvhasvavhistoryvofvhypertension,vtypev2vdiabetes,vhypothyroidism,vGERD,vandvgastricvu
lcers.vThevpatientvisvconcernedvaboutvheartvdiseasevandvwantsvtovstartvtakingvavlow-
dosevaspirin.vWhichvaspirinvregimenvrecommendationvshouldvthevadvancedvprofessionalvn
ursev(APN)vgivevtovthevpatient?v–vanswervLow-doseventericvcoatedvaspirinv81vmgvdaily
Av28-year-
oldvmarriedvfemalevpresentsvtovprimaryvcarevaccompaniedvbyvhervhusbandvwithvcomplaint
svofvweightvgain,vfatigue,vmusclevaches,vbloating,vconstipation,vandvdifficultyvconcentrating
.vThevpatientvexplainsvthatvshevhasvbeenvexperiencingvthesevsymptomsvwithvincreasingvfre
quencyvovervthevlastvtwovmonthsvandvreportsvfeelingvupsetvthatvshevhasvgainedv10vpoundsv
overvthevpastvmonthvdespitevnovsignificantvchangesvinvdietaryvintakevorvactivityvlevel.vThevp
atientvholdsvavbachelor'svdegreevandvisvemployedvfullvtimevasvanvaccountant.vThevpatientvr
eportsvfeelingvfrustratedvwithvhervpoorvconcentrationvandvidentifiesvrecentvworkverrorsvtovbe
vduevtovthisvsymptom.vThevpatientvexplainsvthatvshevandvhervspousevplanvtovstartvtryingv tovc
onceivevsoon,vandvshevisvworriedvthatvshevmayvhavevtroublevbecomingvpregnant.vThevpatie
ntvreportsvusingvover-the-
countervlaxativevproductsvovervthevlastvweekvtovcombatvconstipation.vThevpatientvrepov–
vanswerv 5.31vmIU/L
Av74-vyear-
oldvmalevwithvCushingvsyndromevpresentsvtovthevemergencyvdepartmentv(ED)vwithvpainvinv
hisvleftvleg,vandvisvdiagnosedvwithvavdeepvveinvthrombosisv(DVT).Whatvisvthisvpatient'svsym
ptomsvrelatedvto?v–vanswervElevatedvVonvWillebrandvfactor
Av42-year-oldvasthmaticvwhovhasvbeenvusingvbeta-
adrenergicvagonistsvforvseveralvyearsvbeganvtovexperiencevprematurevatrialvcontractionsv(
PACs).vTovtreatvthevPACs,vmetoprololv(ToprolvXL)vtherapyvwasvstarted.Whatvisvavlikelyvcon
sequencevofvthisvpatientvtakingvmetoprololv(ToprolvXL)?v–
vanswerv Metoprololv(Toprolv XL)v worsenedvasthmavsymptoms,vbutvimprovedvthevPACs.
--
vBetavblockersvarev widelyv usedvinvthevmanagementvofvcardiacvconditionsvandvthyrotoxicosi
s,vandvtovreducevperioperativevcomplications.vAsthmavandvchronicvobstructivevpulmonaryv
3
2025 ACTUAL EXAM TEST BANK 100 QUE
v v v v v v
STIONS AND CORRECT DETAILED ANSW
v v v v
ERS WITH RATIONALES |A GRADE
v v v v
WhatvisvthevgoldvstandardvforvthevsuspectedvdiagnosisvofvCeliacvDisease?v–
vAnswerv endoscopyv withvsmallv intestinevbiopsy
Av44-year-oldvwomanvhasvrecentlyvbeenvdiagnosedvwithvadvancedvmetastaticvnon-small-
cellvlungvcancer.vGeneticvtestingvisvorderedvtovdeterminevifvthevpatient'svtumorvhasvanyvgen
omicvalterationsvandvtovguidevtreatmentvdecisions.vAvfewvweeksvlater,vthevpatient'svtestvres
ultsvcomevbackvpositivevforvavgeneticvmutation.vThevAPNvstartsvosimertinibv(Tagrisso).vBas
edvonvthisvinformation,vwhatvtypevofvgeneticvmutationvdoesvthisvpatientvhave?v–
vanswerv EGFRvmutation
Av20-year-
oldvmalevmeetsvwithvanvadvancedvprofessionalvnursev(APN)vtovdiscussvsymptomsvthatvhav
evbeenvslowlyvprogressingvovervthevpastvseveralvyears.vHevisvmainlyvconcernedvbecausevh
evhasvbeenvfallingvfrequently.vSincevchildhood,vhisvgaitvhasvconsistedvofvwalkingvonvhisvtoe
s.vDuringvmiddlevschool,vhevwasvablevtovparticipatevinvsportsvbutvwasvunablevtovparticipatevi
nvhighvschoolvsportsvduevtovdifficultyvwithvrunningvandvjumping.vLately,vhevhasvnoticedvitvtak
esvlongervandvisvmorevdifficultvtovchangevpositionsvfromvsittingvtovstandingvthanvitvusedvtovinv
thevpast.vHevhasvalsovbeenvwakingvupvwithvmusclevandvjointvstiffness.vThevAPRNvnotesvtha
tvhisvfamilyvhistoryvisvnotvsignificantvforvanyvchronicvorvgeneticvdiseases.vWhichvconditionvisv
likelyvtovbevthevcausevofvthesevsymptoms?v–vanswervBeckervmuscularvdystrophyv
--
Beckervmuscularvdystrophyv(oftenvcalledvBeckervMDvorvBMD)visvavformvofvmuscularvdystro
phy,vavgeneticvdisordervthatvgraduallyvmakesvthevbody'svmusclesvweakervandvsmaller.vItvca
usesvlessvseverevproblemsvthanvthevmostvcommonvtype,vDuchennevmuscularvdystrophy.
WhichvstatementvshouldvthevprovidervgivevthevpatientvregardingvthevpathophysiologyvofvSL
Evandvitsvrelationvtovthrombocytopenia?v–
vanswerv SLEvdisruptsvimmunevhomeostasisvandvpromotesvdevelopmentvofvself-
reactivevantibodies.
Avfemalevpatientvpresentsvtovanvofficevtovestablishvcare.vHervpreviousvprimaryvcarevprovide
rvtoldvhervtovfollowvupvregardingvanvelevatedvferritinvlevel.vShevhasvnovpreviousvmedicalvhist
oryvandvisvcurrentlyvasymptomatic.vShevisvconcernedvaboutvthevelevatedvferritinvandvwouldv
likevtovknowvifvshevshouldvbevworried.vWhatvshouldvthevprovidervdovnextvforvthisvpatient?v–
vanswerv Ordervavlivervfunctionvtest
1
,Av75-year-
oldvfemalevpresentsvtovthevemergencyvdepartmentvwithvanvirregularvheartvratevofv130.Whatv
canvbevascertainedvaboutvthisvpatient'svfindingsvgivenvthevlimitedvinformation?v–
vanswerv Shevisvdiagnosedv withvatrialvfibrillationvandvneedsvhervheartvratevcontrolledv withvme
toprololv(Lopressor).
Whichvconditionvfromvthisvpatient'svmedicalvhistoryvisvcontributingvtovthevlossvofvcontractility
?v–vanswervAcutevmyocardialvinfarction
Whichvconditionvisvthisvpatientvsufferingvfrom?v–vanswervDiabeticvketoacidosis
Av45-year-
oldvfemalevfearsvthatvshevisvhavingvavstrokevandvtakesvherselfvtovanvemergencyvroom.vAfterv
severalvdiagnosticvandvlaboratoryvtests,vthevpatientvisvdiagnosedvwithvCushingvdisease.vW
hichvlabvabnormalityvwouldvbevpresentvinvthisvpatient?v–vanswervIncreasedvcortisol
SOBvwhenvlyingvdown,vandvmovingvaroundv--
Basedvonvthevpatient'svpresentation,vwhichvdiseasevprocessvisvthevpatientvlikelyvexhibiting?
v–vanswervAsthma
Avtwo-year-
oldvchildvpresentsvwithvavclearvrunnyvnosevandvcoughvwhichvhasvlastedv3vdays.vThevchild'sv
mothervreportsvthevcoughvsoundsvlikevavbarkingvnoise.vThevchildvisvsleepingvinvthevmother's
varmsvandvappearsvtovhavev stridor.vThevchild'svmothervalsov reportsvanvaxillaryv temperaturev
ofv101°Fvlastvnight.vWhichvmanagementvtechniquevisvappropriatevforvthisvchild'svsymptoms
?v–vanswervOralvsteroidsvandvbreathingvtreatments
Delerium,vurinaryvincontinence,vfever--
vWhichvlabvandvdiagnosticv testsvshouldvbevorderedvasvpartvofvthevpatient'svassessment?v–
vanswerv Completevbloodvcount,vcompletevmetabolicvprofile,vandvurinalysis
Anv18-year-
oldvmalevisvinvolvedvinvavmotorcyclevcrashvwhilevnotvwearingvavhelmet.vHevisvbroughtvintova
nvemergencyvroomvandvisvimmediatelyvtakenvforvavCTvscan.vThevprovidervtellsvthevpatient'sv
parentsvhevhasvbleedingvbetweenvthevduravmatervandvthevskull.vWhatvisvthisvpatient'svcondi
tionvcalled?v–vanswervEpiduralvhematoma
--vWhatvisvthevappropriatevdiagnosisvforvthisvpatient?v–vanswervCrohn'svdisease
Whichvdiagnosticvtestvisvappropriatevtovordervforvthisvpatient?v–vanswervUltrasound
Av45-year-oldvmalevisvbeingvseenvinvthevclinicvforvavyearlyvcheck-
upvandvlabvwork.vHisvhistoryvincludesvhypertensionvandvhyperlipidemiavforvwhichvhevcurren
tlyvtakesvNorvascv5vmgvdailyvandvLipitorv20vmgvnightly.vPatientvhasvavfamilyvhistoryvofvdiabe
tes,vhypertension,vheartvdisease,vandvhyperlipidemia.vAftervobtainingvlabvwork,vthevprovide
rvnoticesvthevpatient'svhgbA1cvisvelevatedvatv7.5.vThevpatientvisvalreadyvonvavDASHvdietvand
2
, vwatchingvthevamountvofvsweetsvandvcarbohydratesvheveatsvdaily.vThevpatientvisvnotvoverw
eightvandvparticipatesvinvmoderatevphysicalvactivityvatvleastv4-
5vdaysvavweek.vHevwasvstartedvonvMetforminvthreevmonthsvago,vandvhisvhemoglobinvA1cvis
vnowv 6.9.vThevnursevexpectsvtovseevavclassvofvmedicationvprescribedvwhichv isvprovenvtov red
ucevthevriskvofvcardiovascularvevents.vConsideringvthevtreatmentvguidelinesvfromvthevAmer
icanvCollegevofvCardiology,vwhichvmedicationvshouldvbevrecommendedvforvthisvpatienv–
vanswerv Invokanav100vmgvdaily
--Invokanavisvavmedicationvusedvtovtreatvtypev2vdiabetes.vItvisvavthird-
linevmedicationvtovmetformin.vItvisvusedvtogethervwithvexercisevandvdiet.vItvisvnotvrecommen
dedvinvtypev1vdiabetes.vItvisvtakenvbyvmouth.
Av78-year-
oldvfemalevpresentsvtovthevclinicvforvavcheckupvandvrefillsvonvhervmedications.vShevisvcurren
tlyvtakingvlisinoprilv(Zestril),vmetforminv(Glucophage),vandvlevothyroxinev(Synthroid).vThevp
atientvhasvavhistoryvofvhypertension,vtypev2vdiabetes,vhypothyroidism,vGERD,vandvgastricvu
lcers.vThevpatientvisvconcernedvaboutvheartvdiseasevandvwantsvtovstartvtakingvavlow-
dosevaspirin.vWhichvaspirinvregimenvrecommendationvshouldvthevadvancedvprofessionalvn
ursev(APN)vgivevtovthevpatient?v–vanswervLow-doseventericvcoatedvaspirinv81vmgvdaily
Av28-year-
oldvmarriedvfemalevpresentsvtovprimaryvcarevaccompaniedvbyvhervhusbandvwithvcomplaint
svofvweightvgain,vfatigue,vmusclevaches,vbloating,vconstipation,vandvdifficultyvconcentrating
.vThevpatientvexplainsvthatvshevhasvbeenvexperiencingvthesevsymptomsvwithvincreasingvfre
quencyvovervthevlastvtwovmonthsvandvreportsvfeelingvupsetvthatvshevhasvgainedv10vpoundsv
overvthevpastvmonthvdespitevnovsignificantvchangesvinvdietaryvintakevorvactivityvlevel.vThevp
atientvholdsvavbachelor'svdegreevandvisvemployedvfullvtimevasvanvaccountant.vThevpatientvr
eportsvfeelingvfrustratedvwithvhervpoorvconcentrationvandvidentifiesvrecentvworkverrorsvtovbe
vduevtovthisvsymptom.vThevpatientvexplainsvthatvshevandvhervspousevplanvtovstartvtryingv tovc
onceivevsoon,vandvshevisvworriedvthatvshevmayvhavevtroublevbecomingvpregnant.vThevpatie
ntvreportsvusingvover-the-
countervlaxativevproductsvovervthevlastvweekvtovcombatvconstipation.vThevpatientvrepov–
vanswerv 5.31vmIU/L
Av74-vyear-
oldvmalevwithvCushingvsyndromevpresentsvtovthevemergencyvdepartmentv(ED)vwithvpainvinv
hisvleftvleg,vandvisvdiagnosedvwithvavdeepvveinvthrombosisv(DVT).Whatvisvthisvpatient'svsym
ptomsvrelatedvto?v–vanswervElevatedvVonvWillebrandvfactor
Av42-year-oldvasthmaticvwhovhasvbeenvusingvbeta-
adrenergicvagonistsvforvseveralvyearsvbeganvtovexperiencevprematurevatrialvcontractionsv(
PACs).vTovtreatvthevPACs,vmetoprololv(ToprolvXL)vtherapyvwasvstarted.Whatvisvavlikelyvcon
sequencevofvthisvpatientvtakingvmetoprololv(ToprolvXL)?v–
vanswerv Metoprololv(Toprolv XL)v worsenedvasthmavsymptoms,vbutvimprovedvthevPACs.
--
vBetavblockersvarev widelyv usedvinvthevmanagementvofvcardiacvconditionsvandvthyrotoxicosi
s,vandvtovreducevperioperativevcomplications.vAsthmavandvchronicvobstructivevpulmonaryv
3
