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WGU D115 OA AND PRE-OA EXAM ACTUAL TEST FINAL
EXAM AND PRACTICE EXAM 20262027 BANK 2 VERSIONS
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
An advanced practice registered nurse (APRN) is consulting with a teen
patient who has recently learned that she is pregnant. The APRN knows
that a certain medication taken by the patient can contribute to the
development of congenital malformations in the fetus. The APRN
reviews the patient's current medication list and finds one medication
that is a concern.
Which medication is the APRN concerned about? - ANSWERS--Retinoic
acid
A newborn's screening for cystic fibrosis is positive. An advanced
practice registered nurse (APRN) is reviewing screening results and
taking a comprehensive genetic screening of the parents. The APRN
asks the parents questions to help determine the transmission of this
disease.
Which question should the APRN ask? - ANSWERS--"Are you both the
genetic donor parents?"
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A 30-day-old infant presents to the emergency room with decreased
oral intake, decreased urine output, and a fever of 101.8. The infant is
admitted for further evaluation with a workup to include a blood
culture, a urine culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern?
- ANSWERS--Relative deficiency of factor B
A 12-year-old African American patient presents with unilateral eye
swelling and lower lip swelling. The patient's parent reports that the
swelling is spontaneous and resolves over several days. The patient
does not have complaints of fever, hives, or vomiting. Serum lab results
show hyperactivation of three plasma protein systems. The APRN
suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation? -
ANSWERS--C1 esterase inhibitor
The parent of a child diagnosed with Down syndrome expresses
concerns about the child's recurrent respiratory tract infections to an
advanced practice registered nurse (APRN). The infections have
occurred regularly since birth.
What should the APRN tell the parent is the underlying cause of this
illness? - ANSWERS--Gastroesophageal reflux disease causes aspiration
of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered
nurse (APRN) in a primary care clinic for the first time. The patient
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reports feeling depressed due to a major life change. Additional
symptoms include weight gain, sedentary activity, and insomnia. The
APRN plans on providing the patient with several exercises to reduce
the physiological effect of stress.
Why is the APRN concerned about relieving this emotional response? -
ANSWERS--It decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine
medical appointment. The patient has moderate chronic obstructive
pulmonary disease (COPD) and is concerned about developing
pneumonia because of its increased incidence at the senior center.
What should the nurse practitioner recommend for this patient? -
ANSWERS--Getting an annual influenza vaccine
An advanced practice nurse (APRN) is working with a patient who is
choosing to undergo breast removal due to family history of breast
cancer. The patient's genetic testing revealed an abnormal BRCA1. The
patient shares with the APRN that she is relieved that she will not need
to worry about cancer once the breast tissue is removed. The APRN
proceeds to educate the patient about additional risks.
Which other type of cancer is the patient at risk for developing? -
ANSWERS--Ovarian
A patient presents to the hospital complaining of blurred vision, muscle
weaknesses, impaired gait, and fatigue lasting more than 24 hours. The
patient has a history of smoking and vitamin D deficiency. Extensive
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diagnostic testing and a comprehensive neurological assessment
reveals a diagnosis of multiple sclerosis.
Which pathological mechanism will support this diagnosis? - ANSWERS-
-A loss of myelin sheaths, causing a disruption of nerve conduction
A child presents to a clinic with a white pupillary reflex noted in the
right eye. The child is constantly crying and rubbing her eyes. An
advanced practice registered nurse (APRN) performs a complete
ophthalmologic examination and orders several diagnostic tests. Based
on the findings, a diagnosis of retinoblastoma is confirmed.
What is the pathological mechanism of this disorder? - ANSWERS--
Mutations of a gene on chromosome 13q14 lead to neoplastic
proliferation of cells
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? - ANSWERS--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.
WGU D115 OA AND PRE-OA EXAM ACTUAL TEST FINAL
EXAM AND PRACTICE EXAM 20262027 BANK 2 VERSIONS
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
An advanced practice registered nurse (APRN) is consulting with a teen
patient who has recently learned that she is pregnant. The APRN knows
that a certain medication taken by the patient can contribute to the
development of congenital malformations in the fetus. The APRN
reviews the patient's current medication list and finds one medication
that is a concern.
Which medication is the APRN concerned about? - ANSWERS--Retinoic
acid
A newborn's screening for cystic fibrosis is positive. An advanced
practice registered nurse (APRN) is reviewing screening results and
taking a comprehensive genetic screening of the parents. The APRN
asks the parents questions to help determine the transmission of this
disease.
Which question should the APRN ask? - ANSWERS--"Are you both the
genetic donor parents?"
,2|Page
A 30-day-old infant presents to the emergency room with decreased
oral intake, decreased urine output, and a fever of 101.8. The infant is
admitted for further evaluation with a workup to include a blood
culture, a urine culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern?
- ANSWERS--Relative deficiency of factor B
A 12-year-old African American patient presents with unilateral eye
swelling and lower lip swelling. The patient's parent reports that the
swelling is spontaneous and resolves over several days. The patient
does not have complaints of fever, hives, or vomiting. Serum lab results
show hyperactivation of three plasma protein systems. The APRN
suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation? -
ANSWERS--C1 esterase inhibitor
The parent of a child diagnosed with Down syndrome expresses
concerns about the child's recurrent respiratory tract infections to an
advanced practice registered nurse (APRN). The infections have
occurred regularly since birth.
What should the APRN tell the parent is the underlying cause of this
illness? - ANSWERS--Gastroesophageal reflux disease causes aspiration
of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered
nurse (APRN) in a primary care clinic for the first time. The patient
,3|Page
reports feeling depressed due to a major life change. Additional
symptoms include weight gain, sedentary activity, and insomnia. The
APRN plans on providing the patient with several exercises to reduce
the physiological effect of stress.
Why is the APRN concerned about relieving this emotional response? -
ANSWERS--It decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine
medical appointment. The patient has moderate chronic obstructive
pulmonary disease (COPD) and is concerned about developing
pneumonia because of its increased incidence at the senior center.
What should the nurse practitioner recommend for this patient? -
ANSWERS--Getting an annual influenza vaccine
An advanced practice nurse (APRN) is working with a patient who is
choosing to undergo breast removal due to family history of breast
cancer. The patient's genetic testing revealed an abnormal BRCA1. The
patient shares with the APRN that she is relieved that she will not need
to worry about cancer once the breast tissue is removed. The APRN
proceeds to educate the patient about additional risks.
Which other type of cancer is the patient at risk for developing? -
ANSWERS--Ovarian
A patient presents to the hospital complaining of blurred vision, muscle
weaknesses, impaired gait, and fatigue lasting more than 24 hours. The
patient has a history of smoking and vitamin D deficiency. Extensive
, 4|Page
diagnostic testing and a comprehensive neurological assessment
reveals a diagnosis of multiple sclerosis.
Which pathological mechanism will support this diagnosis? - ANSWERS-
-A loss of myelin sheaths, causing a disruption of nerve conduction
A child presents to a clinic with a white pupillary reflex noted in the
right eye. The child is constantly crying and rubbing her eyes. An
advanced practice registered nurse (APRN) performs a complete
ophthalmologic examination and orders several diagnostic tests. Based
on the findings, a diagnosis of retinoblastoma is confirmed.
What is the pathological mechanism of this disorder? - ANSWERS--
Mutations of a gene on chromosome 13q14 lead to neoplastic
proliferation of cells
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? - ANSWERS--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.
