D115/ WGU D115 - Assessment Advanced
Pathophysiology for the Advanced Practice Nurse |
Objective EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {60 Q & A}
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An advanced practice registered nurse (APRN) is evaluating a 12-
month-old patient in a clinic. The child's parents are worried that
the child has had frequent respiratory problems including
persistent cough, wheezing, and thick sputum production. They
also report frequent greasy-looking, bulky stools and
constipation. The APRN finds that the child has been to the clinic
with chronic bacterial infections every month since birth.
Which abnormal pathological finding of the pulmonary system
should be of concern to the APRN? - ✔✔✔ Correct Answer > Defective
chloride secretion and excess sodium absorption
When discussing sun protection with an older patient, an
advanced practice registered nurse recommends the importance
of using sunblock to protect aging skin from ultraviolet exposure
when the patient will be in the sun.
Which pathologic changes due to aging of the integumentary
system is this recommendation based on? - ✔✔✔ Correct Answer >
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Decreased melanocytes and clearance of oxidative substances
from the dermis
A patient presents to an emergency department complaining of
coughing, salty-tasting skin, bulky stools, and frequent
respiratory infections. On examination, an advanced practice
registered nurse (APRN) notes nasal polyps and a barrel chest. A
diagnosis of cystic fibrosis is confirmed.
What is the pathological mechanism of this disorder? - ✔✔✔ Correct
Answer > Thick mucus causing progressive clogging of the bronchi
and bronchioles
An older adult patient presents with an exacerbation of chronic
obstructive pulmonary disease (COPD). An advanced practice
registered nurse (APRN) notes that despite using medications as
prescribed, the patient feels much worse during these
exacerbations than in the past.
Which response should the APRN provide to this patient? - ✔✔✔
Correct Answer > The effects of aging contribute to decreased lung
function.
A patient with severe chronic obstructive pulmonary disease
(COPD) is admitted to a hospital with pneumonia and acute
respiratory failure. The patient has a history of CO2 retention. An
advanced practice registered nurse (APRN) needs to assess for
rising CO2 levels.
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Which form of monitoring should the APRN use for this purpose?
- ✔✔✔ Correct Answer > Continuous capnography monitoring
An advanced practice registered nurse (APRN) examines an
older adult patient diagnosed with a bronchial tumor and notes
the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella
pneumoniae
Which treatment should the APRN prescribe for this condition? -
✔✔✔ Correct Answer > Antimicrobials and chest tube
An advanced practice registered nurse (APRN) assesses a
patient with a long history of infections, mood swings, and
gastrointestinal complaints. The patient complains of increasing
fatigue, difficulty walking, and a sore tongue. Lab results indicate
a hemoglobin of 7.8 g/dL.
Which type of anemia should the APRN consider? - ✔✔✔ Correct
Answer > Pernicious anemia