D027 WGU EXAM 2025 WITH 100%
CORRECT ANSWERS
What is the gold standard for the suspected diagnosis of Celiac
Disease? CORRECT ANSWER 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 ANSWER EGFR 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 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.
Which statement should the provider give the patient regarding
the pathophysiology of SLE and its relation to
thrombocytopenia? CORRECT ANSWER 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 ANSWER 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
ANSWER She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
Which condition from this patient's medical history is
contributing to the loss of contractility? CORRECT ANSWER
Acute myocardial infarction
Which condition is this patient suffering from? CORRECT
ANSWER 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 ANSWER Increased cortisol
SOB when lying down, and moving around --Based on the
patient's presentation, which disease process is the patient likely
exhibiting? CORRECT ANSWER 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
ANSWER Oral steroids and breathing treatments
Delerium, urinary incontinence, fever-- Which lab and
diagnostic tests should be ordered as part of the patient's
assessment? CORRECT ANSWER Complete blood count,
complete metabolic profile, and urinalysis
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? CORRECT ANSWER
Epidural hematoma
-- What is the appropriate diagnosis for this patient? CORRECT
ANSWER Crohn's disease
Which diagnostic test is appropriate to order for this patient?
CORRECT ANSWER Ultrasound
CORRECT ANSWERS
What is the gold standard for the suspected diagnosis of Celiac
Disease? CORRECT ANSWER 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 ANSWER EGFR 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 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.
Which statement should the provider give the patient regarding
the pathophysiology of SLE and its relation to
thrombocytopenia? CORRECT ANSWER 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 ANSWER 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
ANSWER She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
Which condition from this patient's medical history is
contributing to the loss of contractility? CORRECT ANSWER
Acute myocardial infarction
Which condition is this patient suffering from? CORRECT
ANSWER 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 ANSWER Increased cortisol
SOB when lying down, and moving around --Based on the
patient's presentation, which disease process is the patient likely
exhibiting? CORRECT ANSWER 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
ANSWER Oral steroids and breathing treatments
Delerium, urinary incontinence, fever-- Which lab and
diagnostic tests should be ordered as part of the patient's
assessment? CORRECT ANSWER Complete blood count,
complete metabolic profile, and urinalysis
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? CORRECT ANSWER
Epidural hematoma
-- What is the appropriate diagnosis for this patient? CORRECT
ANSWER Crohn's disease
Which diagnostic test is appropriate to order for this patient?
CORRECT ANSWER Ultrasound
