WGU D027 Exam Questions With Correct Answers Latest GRADED
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Course
NU1426
Institution
NU1426
WGU D027 Exam Questions With Correct Answers | Latest 2023/2024 | GRADED
What is the gold standard for the suspected diagnosis of Celiac Disease?
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 pat...
1). What is the gold standard for the suspected diagnosis of celiac disease?
Ans: Endoscopy with small intestine biopsy
2). 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?
Ans: EGFR mutation
3). 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?
Ans: 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.
4). Which statement should the provider give the patient regarding the pathophysiology of sle
and its relation to thrombocytopenia?
Ans: SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
5). 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
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, 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?
Ans: Order a liver function test
6). 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?
Ans: She is diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
7). Which condition from this patient's medical history is contributing to the loss of
contractility?
Ans: Acute myocardial infarction
8). Which condition is this patient suffering from?
Ans: Diabetic ketoacidosis
9). 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?
Ans: Increased cortisol
10). Sob when lying down, and moving around --based on the patient's presentation, which
disease process is the patient likely exhibiting?
Ans: Asthma
11). 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?
Ans: Oral steroids and breathing treatments
12). Delerium, urinary incontinence, fever-- which lab and diagnostic tests should be ordered as
part of the patient's assessment?
13). 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?
Ans: Epidural hematoma
14). -- what is the appropriate diagnosis for this patient?
Ans: Crohn's disease
15). Which diagnostic test is appropriate to order for this patient?
Ans: Ultrasound
16). 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 patient?
Ans: 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.
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