TEST BANK FOR WGU D115 OA / D115
OA PREP 2026/2027 WITH 450 REAL
EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES/ WGU
D115 ADVANCED PATHOPHYSIOLOGY OA
PREP(LATEST UPDATE)
The FNP schedules a 38-year-old primigravida (𝑓irst time pregnancy) 𝑓or an
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose
o𝑓 this procedure is to:
A)Assess 𝑓or the possibility o𝑓 twins
B)Deterime the biliruben level
C)Per𝑓orm genetic studies
D)Assess L/S ratio - CORRECT ANSWER-C) Per𝑓orm genetic studies
This womans age puts her at risk 𝑓or Down Syndrome
A 4-year old male is brought into a clinic with complaints o𝑓 𝑓ever and sore
throat 𝑓or 2 days. The Nurse Practitioner suspects a peritonsilar abscess and
re𝑓ers the patient to the ED. Which 𝑓inding is most consistent with this
diagnosis?
A)so𝑓t palate is coated with a gray- to yellow-colored pseudomembrane
B)Drooling and "hot potato" voice
C)anterior cervical lympadenopathy
,D)tonsilar swelling and exudate - CORRECT ANSWER-B) Drooling and "hot
potato" voice
Symptoms and 𝑓indings o𝑓 peritonsillar abscess generally include 𝑓ever, sore
throat, dysphagia, trismus, and a "hot potato" voice. Di𝑓𝑓iculty in swallowing
can contribute to drooling and halitosis.
A 40-year old 𝑓emale presents with complaints o𝑓 soreness when eating
spicy 𝑓oods. The Nurse Practitioner observes that the patient has a
"geographic tongue". What would be most appropriate 𝑓or the patient's plan
o𝑓 care?
A)Prescribe Nystatin swish and swallow 𝑓or 10 days
B)Tell the patient to rinse with salt water and avoid spicy 𝑓ood until symptoms
resolve
C)Re𝑓er the patient to an ENT physician
D)Encourage the patient to brush and 𝑓loss more o𝑓ten and schedule with her
Dentist – CORRECT
ANSWER-B) Tell the patient to rinse with salt water and avoid spicy 𝑓ood until
symptoms resolve Geographic tongue is a harmless condition a𝑓𝑓ecting the
sur𝑓ace o𝑓 the tongue.Symptoms include smooth, red patches on the top or
side o𝑓 the tongue. The patches may change location, size, and shape.Patches
o𝑓ten heal and move elsewhere on the tongue be𝑓ore clearing up on their own.
Pain relievers and rinses might be used in rare instances to treat symptoms.
A 2-year old boy presents to the clinic with a 𝑓ever. During the physical exam
the NP observes Koplik's spots inside o𝑓 his buccal mucosa. Which would be
,the most important to assess on this patient to aid in an appropriate
diagnosis?
A)Vaccination status
B)Rapid strep test
C)Swallowing evaluation
D)Medication allergies - CORRECT ANSWER-A) Vaccination status
Koplik spots are seen with measles. They are small, white spots (o 𝑓ten on a
reddened background) that occur on the inside o𝑓 the cheeks early in the course
o𝑓 measles.
A 26-year old presents to a clinic with complaints o 𝑓 le 𝑓t eye pain. The NP
per𝑓orms 𝑓luorescent dye staining which reveals 𝑓ern-like lines in the corneal
sur𝑓ace. Which would be the most appropriate history question to ask the
patient? A) Do you wear contact lenses?
B)Have you ever had a cold sore?
C)Have you recently had an eye injury?
D)Have you recently experienced any dizziness? - CORRECT ANSWER-B) Have
you ever had a cold sore?
Ocular herpes is a viral in𝑓ection o𝑓 the eye that causes pain and can lead to
scarring and reduced vision. A 𝑓ern-like pattern is visible under 𝑓luorescein
dye. The virus is caused by the same virus which causes oral and genital
herpes.
, A 17-year old 𝑓emale was diagnosed with angular cheilitis. She had treatment
𝑓ailure a𝑓ter a course o𝑓 topical antibiotics, topical steroids, moisture barrier
creams, and anti𝑓ungals were prescribed. What would be the most appropriate
next step in this patient's plan o𝑓 care?
A)Re𝑓er the patient to an allergist
B)Re𝑓er the patient to a dermatologist
C)Check the patient's vitamin B12 level
D)Check the patient's 𝑓erritin level - CORRECT ANSWER-C) Check the patient's
vitamin B12 level Angular cheilitis is a condition that causes red, swollen
patches in the corners o𝑓 the mouth. The most common cause is a 𝑓ungal
in𝑓ection. Other causes are vitamin B12 de𝑓iciency and bacterial in𝑓ections.
Which action is a purpose o𝑓 the in𝑓lammatory process?
A)Create immunity against subsequent tissue injury
B)Provide speci𝑓ic responses toward antigens
C)Lyse cell membranes o𝑓 microorganisms
D)Prevent in𝑓ection o𝑓 the injured tissue - CORRECT ANSWER-D) Prevent
in𝑓ection o𝑓 the injured tissue
The in𝑓lammatory response is a de𝑓ense mechanism designed to remove
damaged tissue so the body can heal.
Which leukocytes are elevated in response to acute in𝑓lammatory reactions
when considering white blood cell di𝑓𝑓erentials?
A)Neutrophils
OA PREP 2026/2027 WITH 450 REAL
EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES/ WGU
D115 ADVANCED PATHOPHYSIOLOGY OA
PREP(LATEST UPDATE)
The FNP schedules a 38-year-old primigravida (𝑓irst time pregnancy) 𝑓or an
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose
o𝑓 this procedure is to:
A)Assess 𝑓or the possibility o𝑓 twins
B)Deterime the biliruben level
C)Per𝑓orm genetic studies
D)Assess L/S ratio - CORRECT ANSWER-C) Per𝑓orm genetic studies
This womans age puts her at risk 𝑓or Down Syndrome
A 4-year old male is brought into a clinic with complaints o𝑓 𝑓ever and sore
throat 𝑓or 2 days. The Nurse Practitioner suspects a peritonsilar abscess and
re𝑓ers the patient to the ED. Which 𝑓inding is most consistent with this
diagnosis?
A)so𝑓t palate is coated with a gray- to yellow-colored pseudomembrane
B)Drooling and "hot potato" voice
C)anterior cervical lympadenopathy
,D)tonsilar swelling and exudate - CORRECT ANSWER-B) Drooling and "hot
potato" voice
Symptoms and 𝑓indings o𝑓 peritonsillar abscess generally include 𝑓ever, sore
throat, dysphagia, trismus, and a "hot potato" voice. Di𝑓𝑓iculty in swallowing
can contribute to drooling and halitosis.
A 40-year old 𝑓emale presents with complaints o𝑓 soreness when eating
spicy 𝑓oods. The Nurse Practitioner observes that the patient has a
"geographic tongue". What would be most appropriate 𝑓or the patient's plan
o𝑓 care?
A)Prescribe Nystatin swish and swallow 𝑓or 10 days
B)Tell the patient to rinse with salt water and avoid spicy 𝑓ood until symptoms
resolve
C)Re𝑓er the patient to an ENT physician
D)Encourage the patient to brush and 𝑓loss more o𝑓ten and schedule with her
Dentist – CORRECT
ANSWER-B) Tell the patient to rinse with salt water and avoid spicy 𝑓ood until
symptoms resolve Geographic tongue is a harmless condition a𝑓𝑓ecting the
sur𝑓ace o𝑓 the tongue.Symptoms include smooth, red patches on the top or
side o𝑓 the tongue. The patches may change location, size, and shape.Patches
o𝑓ten heal and move elsewhere on the tongue be𝑓ore clearing up on their own.
Pain relievers and rinses might be used in rare instances to treat symptoms.
A 2-year old boy presents to the clinic with a 𝑓ever. During the physical exam
the NP observes Koplik's spots inside o𝑓 his buccal mucosa. Which would be
,the most important to assess on this patient to aid in an appropriate
diagnosis?
A)Vaccination status
B)Rapid strep test
C)Swallowing evaluation
D)Medication allergies - CORRECT ANSWER-A) Vaccination status
Koplik spots are seen with measles. They are small, white spots (o 𝑓ten on a
reddened background) that occur on the inside o𝑓 the cheeks early in the course
o𝑓 measles.
A 26-year old presents to a clinic with complaints o 𝑓 le 𝑓t eye pain. The NP
per𝑓orms 𝑓luorescent dye staining which reveals 𝑓ern-like lines in the corneal
sur𝑓ace. Which would be the most appropriate history question to ask the
patient? A) Do you wear contact lenses?
B)Have you ever had a cold sore?
C)Have you recently had an eye injury?
D)Have you recently experienced any dizziness? - CORRECT ANSWER-B) Have
you ever had a cold sore?
Ocular herpes is a viral in𝑓ection o𝑓 the eye that causes pain and can lead to
scarring and reduced vision. A 𝑓ern-like pattern is visible under 𝑓luorescein
dye. The virus is caused by the same virus which causes oral and genital
herpes.
, A 17-year old 𝑓emale was diagnosed with angular cheilitis. She had treatment
𝑓ailure a𝑓ter a course o𝑓 topical antibiotics, topical steroids, moisture barrier
creams, and anti𝑓ungals were prescribed. What would be the most appropriate
next step in this patient's plan o𝑓 care?
A)Re𝑓er the patient to an allergist
B)Re𝑓er the patient to a dermatologist
C)Check the patient's vitamin B12 level
D)Check the patient's 𝑓erritin level - CORRECT ANSWER-C) Check the patient's
vitamin B12 level Angular cheilitis is a condition that causes red, swollen
patches in the corners o𝑓 the mouth. The most common cause is a 𝑓ungal
in𝑓ection. Other causes are vitamin B12 de𝑓iciency and bacterial in𝑓ections.
Which action is a purpose o𝑓 the in𝑓lammatory process?
A)Create immunity against subsequent tissue injury
B)Provide speci𝑓ic responses toward antigens
C)Lyse cell membranes o𝑓 microorganisms
D)Prevent in𝑓ection o𝑓 the injured tissue - CORRECT ANSWER-D) Prevent
in𝑓ection o𝑓 the injured tissue
The in𝑓lammatory response is a de𝑓ense mechanism designed to remove
damaged tissue so the body can heal.
Which leukocytes are elevated in response to acute in𝑓lammatory reactions
when considering white blood cell di𝑓𝑓erentials?
A)Neutrophils
