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WGU D236 Pathophysiology Study Guide and Practice Questions (Updated 2026/2027)

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WGU D236 Patho StUDy GUiDe QUeStioNS aND CoRReCt aNSWeRS (VeRiFieD) | LateSt UPDate 2026/2027 | GRaDeD a+ | BRaND NeW | 100% GUaRaNteeD PaSS

Institution
WGU D236 Patho
Course
WGU D236 Patho

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WGU D236 Patho StUDy GUiDe QUeStioNS aND CoRReCt
aNSWeRS (VeRiFieD) | LateSt UPDate 2026/2027 | GRaDeD
a+ | BRaND NeW | 100% GUaRaNteeD PaSS




Pressure that is due to albumin in the bloodstream? - aNSWeR-Oncotic



Oncotic - aNSWeR-a form of osmotic pressure exerted by proteins


In the blood, _____ is the most common plasma protein and is, therefore, a primary
determinant of oncotic pressure - aNSWeR-albumin



_____ controls osmotic pressure in vascular system, builds volume - aNSWeR-Albumin



One question was about the difference in children and adult immunity - aNSWeR-
Possible answer: naive T cells


Learning check question: Which differences in immunity make children and older adult
patients more susceptible to infections? Choose 2 answers


Younger patients have fewer memory cells to combat infection


Older adult patients have a dwindling population of naive T cells


Older adult patients have more memory cells to combat infection


Younger patients have a large population of naive T cells

,Older adult patients have a large population of naive T cells - aNSWeR-Younger patients
have fewer memory cells to combat infection


Older adult patients have a dwindling population of naive T cells


Rationale: younger patients have not been exposed to many pathogens, which means
that they have fewer memory cells than adults. The primary immune response is
relatively weak compared to a secondary response mediated by memory cells.


Older adult patients do not have as many T cells compared to younger patients. When
these patients encounter novel pathogens, the reduced number of naive T cells gives
clonal selection fewer opportunities to "find" T cells that will be effective.


Fluid and electrolyte levels are regulated by _______, which regulates actions such as
thirst, ADH, the kidneys, and RAAS. - aNSWeR-osmoreceptors



Fluid deficit causes - aNSWeR--Excessive loss
-Inadequate intake
-Or combination of both



Fluid deficit risk factors - aNSWeR--Vomiting/diarrhea
-Excessive sweating
-Insufficient water intake



Fluid deficit manifestations - aNSWeR--dry mucous membranes
-decreased skin turgor
-decreased urine output
-low blood pressure
-tachycardia
-confusion

,ROME for ABGs - aNSWeR-Respiratory Opposite Metabolic Equal


If pH and pCO2 are moving in opposite directions, then it is pCO2 levels that are
causing the imbalance and it is respiratory in nature
If they are moving the same direction then it is metabolic in nature


Buffers, renal compensation, and respiratory compensation help to maintain a blood pH
of _______ - aNSWeR-7.35-7.45


A patient with a viral illness and severe vomiting has an elevated CO2 level and a blood
pH of 7.53. She is breathing slowly. What condition does the patient have?


Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis

Respiratory acidosis - aNSWeR-Metabolic alkalosis


The patient's pH and CO2 level are both elevating (moving in the same direction). This
indicates metabolic alkalosis. The CO2 level is high because her respiratory system is
attempting to compensate for the high pH by exhaling less and retaining more CO2


To prevent changes in pH, the body employs buffer systems. The body utilizes 3 buffer
systems: - aNSWeR-proteins, phosphates, and the carbonic acid-bicarbonate system


Carbonic acid-bicarbonate system first line of defense is _____, second line of defense
is _____ - aNSWeR-respirations; kidneys



Carbonic acid-bicarbonate system equation - aNSWeR-The equation moves in both
directions


CABS Equation:

, When CO2 levels are elevated, the equation moves ________, forming more H+ and
HCO3- ions - aNSWeR-toward the right


CABS Equation:
When H+ ions are elevated, the equation moves _____, as H+ ions are converted to CO2
and the CO2 is exhaled. - aNSWeR-toward the left



CO2 levels - aNSWeR-35-45



HCO3 levels - aNSWeR-22-26


Michael's pulmonary edema leads to respiratory acidosis. How does pH impact
Michael's basal metabolic panel? Choose 3 answers.


His CO2 level is increased because his lungs have difficulty removing it from the
bloodstream.


His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the
bloodstream, K+ moves from cells into the bloodstream.


His sodium level is decreased due to hypervolemia.


His calcium level is reduced because the elevated concentration of H+ makes it easier
for Ca+ to bind to albumin.


His CO2 level is decreased because his lungs have difficulty adding it into the
bloodstream - aNSWeR-His CO2 level is increased because his lungs have difficulty
removing it from the bloodstream.


His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the
bloodstream, K+ moves from cells into the bloodstream.


His sodium level is decreased due to hypervolemia.

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WGU D236 Patho

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