ADVANCED PATHOPHYSIOLOGY WGU D115 EXAM /
WGU D115 OA ADVANCED PATHOPHYSIOLOGY ACTUAL
EXAM 2024 /2025 COMPLETE REAL QUESTIONS AND
WELL ELABORATED ANSWERS (100% CORRECT
VERIFIED ANSWERS) LATEST UPDATED VERSION |
GUARANTEED PASS. (REVISED EXAM)
An advanced practice registered nurse (APRN) is caring for an adult patient who fell
off a ladder and has a T5 compression and a compound fracture of the femur.
The following assessment data is noted:
Vital signs: BP 102/52
Apical pulse: 48
Weak peripheral pulses
Flaccid lower extremities
Severe bruising of the femur
Which type of shock should the APRN suspect? - ANSWER: Neurogenic
An advanced practice registered nurse (APRN) is caring for a patient who
experienced a 20% total body surface area (TBSA) burn injury. Current assessment
findings include massive evaporative water losses, a flux of large amounts of fluid
and electrolytes in the tissues, generalized edema, and circulatory hypovolemia. The
APRN needs to take immediate action to prevent irreversible hypovolemic shock and
death.
Which priority action should be taken by the APRN? - ANSWER: Administer up to 30 L
of lactated ringer solution over 24 hours
An adult patient has experienced a third-degree burn. An advanced practice
registered nurse (APRN) is attempting to calculate the total body surface area
affected using the rule of nines. The areas involved include the anterior and
posterior right arm and leg and the groin.
What is the estimated total body surface area that will be assigned by the APRN? -
ANSWER: 28%
An advanced practice registered nurse (APRN) assesses a school-aged child with
sepsis who is experiencing new symptoms of hyperthermia, tachycardia, and
tachypnea.
Which additional diagnosis should the APRN consider? - ANSWER: Systemic
inflammatory response syndrome
A female patient presents with abnormal hair growth on the face and body and
reports that the hair on her head is receding. An advanced practice registered nurse
(APRN) determines that the patient has hirsutism.
Which other diagnosis associated with this condition should be considered by the
APRN? - ANSWER: Polycystic ovarian syndrome
, 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? - ANSWER: Decreased melanocytes and clearance of
oxidative substances from the dermis
An advanced practice registered nurse (APRN) is working with a bedbound patient
who has an area of skin tissue obscured by slough or eschar over the left greater
trochanter.
Which way should this pressure injury be staged by the APRN for treatment? -
ANSWER: Unstageable
A five-year-old child presents to a clinic with right inner thigh and groin pain that
radiates to the knee. The parents report to an advanced practice registered nurse
(APRN) that activity aggravates the pain, but rest relieves it. The APRN notes the
child's Trendelenburg gait. Radiographic examination confirms a diagnosis of Legg-
Calvé-Perthes disease (LCPD).
What is the pathologic cause of this disorder? - ANSWER: Recurrent interruption of
the blood supply to the femoral head
A patient is discussing symptoms of fibromyalgia with an advanced practice
registered nurse (APRN) and is worried about the effect of the condition on life. The
APRN suggests treatment to help control symptoms.
Which treatment should be recommended to this patient? - ANSWER:
Antidepressants and acupuncture
A small-framed, older adult patient is having problems with mobility. The patient is
treated at a hospital after a recent fall. During a follow-up visit, an advanced practice
registered nurse (APRN) diagnoses the patient with a fragility fracture of the femur
and would like to assess for additional problems.
Which disease process should the APRN suspect in this patient? - ANSWER:
Osteoporosis
An obese, middle-aged patient presents to an advanced practice registered nurse
(APRN) with complaints of heartburn, chronic cough, frequent wheezing, laryngitis,
and sinusitis.
Which pathological mechanism is associated with the probable diagnosis? -
ANSWER: Abnormalities in lower esophageal sphincter function, esophageal motility,
and gastric motility or emptying
An advanced practice registered nurse (APRN) is assessing a patient who is
diagnosed with hepatitis B. The APRN is aware that the patient is in the icteric phase
of the infection.
Which finding led the APRN to this conclusion? - ANSWER: Jaundice
WGU D115 OA ADVANCED PATHOPHYSIOLOGY ACTUAL
EXAM 2024 /2025 COMPLETE REAL QUESTIONS AND
WELL ELABORATED ANSWERS (100% CORRECT
VERIFIED ANSWERS) LATEST UPDATED VERSION |
GUARANTEED PASS. (REVISED EXAM)
An advanced practice registered nurse (APRN) is caring for an adult patient who fell
off a ladder and has a T5 compression and a compound fracture of the femur.
The following assessment data is noted:
Vital signs: BP 102/52
Apical pulse: 48
Weak peripheral pulses
Flaccid lower extremities
Severe bruising of the femur
Which type of shock should the APRN suspect? - ANSWER: Neurogenic
An advanced practice registered nurse (APRN) is caring for a patient who
experienced a 20% total body surface area (TBSA) burn injury. Current assessment
findings include massive evaporative water losses, a flux of large amounts of fluid
and electrolytes in the tissues, generalized edema, and circulatory hypovolemia. The
APRN needs to take immediate action to prevent irreversible hypovolemic shock and
death.
Which priority action should be taken by the APRN? - ANSWER: Administer up to 30 L
of lactated ringer solution over 24 hours
An adult patient has experienced a third-degree burn. An advanced practice
registered nurse (APRN) is attempting to calculate the total body surface area
affected using the rule of nines. The areas involved include the anterior and
posterior right arm and leg and the groin.
What is the estimated total body surface area that will be assigned by the APRN? -
ANSWER: 28%
An advanced practice registered nurse (APRN) assesses a school-aged child with
sepsis who is experiencing new symptoms of hyperthermia, tachycardia, and
tachypnea.
Which additional diagnosis should the APRN consider? - ANSWER: Systemic
inflammatory response syndrome
A female patient presents with abnormal hair growth on the face and body and
reports that the hair on her head is receding. An advanced practice registered nurse
(APRN) determines that the patient has hirsutism.
Which other diagnosis associated with this condition should be considered by the
APRN? - ANSWER: Polycystic ovarian syndrome
, 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? - ANSWER: Decreased melanocytes and clearance of
oxidative substances from the dermis
An advanced practice registered nurse (APRN) is working with a bedbound patient
who has an area of skin tissue obscured by slough or eschar over the left greater
trochanter.
Which way should this pressure injury be staged by the APRN for treatment? -
ANSWER: Unstageable
A five-year-old child presents to a clinic with right inner thigh and groin pain that
radiates to the knee. The parents report to an advanced practice registered nurse
(APRN) that activity aggravates the pain, but rest relieves it. The APRN notes the
child's Trendelenburg gait. Radiographic examination confirms a diagnosis of Legg-
Calvé-Perthes disease (LCPD).
What is the pathologic cause of this disorder? - ANSWER: Recurrent interruption of
the blood supply to the femoral head
A patient is discussing symptoms of fibromyalgia with an advanced practice
registered nurse (APRN) and is worried about the effect of the condition on life. The
APRN suggests treatment to help control symptoms.
Which treatment should be recommended to this patient? - ANSWER:
Antidepressants and acupuncture
A small-framed, older adult patient is having problems with mobility. The patient is
treated at a hospital after a recent fall. During a follow-up visit, an advanced practice
registered nurse (APRN) diagnoses the patient with a fragility fracture of the femur
and would like to assess for additional problems.
Which disease process should the APRN suspect in this patient? - ANSWER:
Osteoporosis
An obese, middle-aged patient presents to an advanced practice registered nurse
(APRN) with complaints of heartburn, chronic cough, frequent wheezing, laryngitis,
and sinusitis.
Which pathological mechanism is associated with the probable diagnosis? -
ANSWER: Abnormalities in lower esophageal sphincter function, esophageal motility,
and gastric motility or emptying
An advanced practice registered nurse (APRN) is assessing a patient who is
diagnosed with hepatitis B. The APRN is aware that the patient is in the icteric phase
of the infection.
Which finding led the APRN to this conclusion? - ANSWER: Jaundice
