WGU D027 Practice Test Exam 2025
With 100% Correct Answers
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?
aa. Endoscopy CORRECT ANSWER Colonoscopy with rectal
biopsy
1. 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.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation CORRECT ANSWER ALK
mutation and EGFR mutation
1. 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
, c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy CORRECT ANSWER
Becker muscular dystrophy
1. 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?
a. SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet
antigens.
c. SLE causes a defect in the number and function of regulatory
B cells.
d. SLE increases megakaryocyte maturation. CORRECT
ANSWER SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
1. 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?
With 100% Correct Answers
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?
aa. Endoscopy CORRECT ANSWER Colonoscopy with rectal
biopsy
1. 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.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation CORRECT ANSWER ALK
mutation and EGFR mutation
1. 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
, c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy CORRECT ANSWER
Becker muscular dystrophy
1. 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?
a. SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet
antigens.
c. SLE causes a defect in the number and function of regulatory
B cells.
d. SLE increases megakaryocyte maturation. CORRECT
ANSWER SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
1. 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?
