WGU D115 OA CERTIFICATION SCRIPT
2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS
◉A patient is seen by an advanced practice registered nurse (APRN)
at a primary care clinic for follow-up to discuss abnormal results of
testing for peripheral nervous system impairment.
Which diagnosis should the APRN suspect? Answer: Demyelinating
polyneuropathy
◉A patient is seen in the clinic after being a restrained passenger in
a car accident the previous week. The patient continues to have
intermittent headaches and has noticed periods of forgetfulness.
Assessment findings include a BP of 130/82 mm Hg and an apical
pulse rate of 72 bpm. An advanced practice registered nurse (APRN)
is concerned that the symptoms might stem from a specific process.
Which process should the APRN be concerned about? Answer:
Cerebral concussion
◉An advanced practice registered nurse (APRN) is examining an
adolescent patient who describes hearing voices telling her to gather
weapons because the government is trying to control her. The
patient also describes feelings of happiness related to a tragic
personal event.
,What is the probable diagnosis? Answer: Schizophrenia
◉A patient is seeing an advanced practice registered nurse (APRN)
in an occupational health setting. The patient has been referred by
employee assistance for reckless and self-destructive behaviors and
a violent incident at work regarding a fellow employee. The APRN
suspects post-traumatic stress disorder (PTSD).
Which diagnostic cluster of PTSD is the patient exhibiting? Answer:
Arousal
◉A 45-year-old male patient with altered testosterone levels needs
treatment. An advanced practice registered nurse (APRN) is aware
that three factors affect hormone target cell responses when
determining a treatment approach.
Which factor should be considered by the APRN? Answer: Affinity of
receptor for the hormones
◉A patient is being admitted to an ICU after a traumatic brain injury.
During the first few hours, the patient develops polydipsia, and his
urinary catheter is draining large volumes of dilute urine. An
advanced practice registered nurse (APRN) runs some tests, and the
serum lab values show hypernatremia and hyperosmolarity.
Which diagnosis should the APRN identify for this patient? Answer:
Diabetes insipidus
, ◉An advanced practice registered nurse (APRN) examines a patient
and notes the following findings:
adipose tissue in the trunk, facial, and cervical areas
striae of skin
easy bruising
thin extremities
hypertension
cardiac hypertrophy
increased facial hair
hypercortisolism
Which pathological mechanism of the disease process is associated
with these symptoms? Answer: Secretion of both cortisol and
adrenal androgens is increased and inhibition of corticotropin-
releasing hormone (CRH) secretion
◉A patient presents to the emergency department complaining of
difficulty swallowing, drooling, and pain radiating to the left ear.
During the assessment, an advanced practice registered nurse
(APRN) notes unilateral redness, left swollen tonsil, and a displaced
uvula.
Which diagnosis should the APRN make for this patient? Answer:
Retropharyngeal abscess
2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS
◉A patient is seen by an advanced practice registered nurse (APRN)
at a primary care clinic for follow-up to discuss abnormal results of
testing for peripheral nervous system impairment.
Which diagnosis should the APRN suspect? Answer: Demyelinating
polyneuropathy
◉A patient is seen in the clinic after being a restrained passenger in
a car accident the previous week. The patient continues to have
intermittent headaches and has noticed periods of forgetfulness.
Assessment findings include a BP of 130/82 mm Hg and an apical
pulse rate of 72 bpm. An advanced practice registered nurse (APRN)
is concerned that the symptoms might stem from a specific process.
Which process should the APRN be concerned about? Answer:
Cerebral concussion
◉An advanced practice registered nurse (APRN) is examining an
adolescent patient who describes hearing voices telling her to gather
weapons because the government is trying to control her. The
patient also describes feelings of happiness related to a tragic
personal event.
,What is the probable diagnosis? Answer: Schizophrenia
◉A patient is seeing an advanced practice registered nurse (APRN)
in an occupational health setting. The patient has been referred by
employee assistance for reckless and self-destructive behaviors and
a violent incident at work regarding a fellow employee. The APRN
suspects post-traumatic stress disorder (PTSD).
Which diagnostic cluster of PTSD is the patient exhibiting? Answer:
Arousal
◉A 45-year-old male patient with altered testosterone levels needs
treatment. An advanced practice registered nurse (APRN) is aware
that three factors affect hormone target cell responses when
determining a treatment approach.
Which factor should be considered by the APRN? Answer: Affinity of
receptor for the hormones
◉A patient is being admitted to an ICU after a traumatic brain injury.
During the first few hours, the patient develops polydipsia, and his
urinary catheter is draining large volumes of dilute urine. An
advanced practice registered nurse (APRN) runs some tests, and the
serum lab values show hypernatremia and hyperosmolarity.
Which diagnosis should the APRN identify for this patient? Answer:
Diabetes insipidus
, ◉An advanced practice registered nurse (APRN) examines a patient
and notes the following findings:
adipose tissue in the trunk, facial, and cervical areas
striae of skin
easy bruising
thin extremities
hypertension
cardiac hypertrophy
increased facial hair
hypercortisolism
Which pathological mechanism of the disease process is associated
with these symptoms? Answer: Secretion of both cortisol and
adrenal androgens is increased and inhibition of corticotropin-
releasing hormone (CRH) secretion
◉A patient presents to the emergency department complaining of
difficulty swallowing, drooling, and pain radiating to the left ear.
During the assessment, an advanced practice registered nurse
(APRN) notes unilateral redness, left swollen tonsil, and a displaced
uvula.
Which diagnosis should the APRN make for this patient? Answer:
Retropharyngeal abscess
