WGU D115 OA Study Guide Unit 6 Latest Update
2025-2026 Actual Exam 80 Questions with 100%
Verified Correct Answers Guaranteed A+ Verified
by Professor
A 2 year old child presents to a clinic with acute pyelo for the third time in four months.
An APRN suspects vesicourethral reflux and orders a voiding cystourethrograph scan.
Results indicate reflux into dilated ureter or blunting of calyceal fornices. What grade
should the APRN document? - CORRECT ANSWER: Grade 3*: reflux into dilated ureter
or blunting of calyceal fornices
Grade 1: reflux into a nondilated distal ureter
Grade 2: reflux into the upper collecting system without dilation
Grade 4: Reflux into a grossly dilated ureter
A 21-year-old white college female complains of fatigue, RLQ pain, and diarrhea for the
last 2 months. She has lost 10lbs and notes chills periodically. She denies rectal
bleeding. She notes she is stressed about final exam. The FNP would be most
concerned about: - CORRECT ANSWER: Chron disease
Most commonly in the small intestine
Peak age of onset is 15-25 years old with females and whites most affected
A 35-year-old man presents with edema of the face, hands, and ankles, and a blood
pressure of 175/115 mmHg. He reports urine that is darkly colored and foamy. The APN
suspects acute glomerulonephritis and would expect UA results to include all of the
following findings except: - CORRECT ANSWER: abnormally elevated glucose levels
, A 54 year-old female complains fo intermittent crampy abdominal pain over the last 18
hours, loss of appetite, vomiting, abdominal bloating, and inability to have a bowel
movement. She has a history of hysterectomy 20 years ago, cholecystectomy 5 years
ago, and tow laparoscopies for abdominal pain over the last 4 years. The FNP send her
to the ER because she suspects: - CORRECT ANSWER: SBO
hx of having multiple abd surgeries increases adhesions which can cause a small bowel
obstruction
A 65-year-old male presents to the FNP for evaluation of years of "heartburn" and
recent weight loss of 30lbs over the last month. He has been taking antacids and an
oral histamine 2 receptor antagonist for years "off and on". He has a 60 pack per year
smoking history and drinks alcohol daily. What differential diagnoses should the FNP
consider? - CORRECT ANSWER: Esophageal cancer
Long-term GERD without tx increases risk for barret esophagus and cancer
Rapid weight loss is concerning
A 74-year-old male complains of rectal bleeding for the past year. He has not change in
bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen
blood in the toilet water and when wiping approximately once every few weeks, but
lately the bleeding has increased. He had colonoscopy 5 year ago. The FNP should: -
CORRECT ANSWER: Schedule a colonoscopy to look for colon polyps and/or cancer
A child whose kidneys are enlarged presents with chills, fever, and abd pain. What is the
most likely diagnosis? - CORRECT ANSWER: Acute pyelonephritis
A patient involved in a motor vehicle accident is brought into the ED with an abdominal
wound with acute blood loss and hypotension. Which of the following mechanisms best
describes control of renal blood flow? * - CORRECT ANSWER: increased sympathetic
vasoconstrictor activity
2025-2026 Actual Exam 80 Questions with 100%
Verified Correct Answers Guaranteed A+ Verified
by Professor
A 2 year old child presents to a clinic with acute pyelo for the third time in four months.
An APRN suspects vesicourethral reflux and orders a voiding cystourethrograph scan.
Results indicate reflux into dilated ureter or blunting of calyceal fornices. What grade
should the APRN document? - CORRECT ANSWER: Grade 3*: reflux into dilated ureter
or blunting of calyceal fornices
Grade 1: reflux into a nondilated distal ureter
Grade 2: reflux into the upper collecting system without dilation
Grade 4: Reflux into a grossly dilated ureter
A 21-year-old white college female complains of fatigue, RLQ pain, and diarrhea for the
last 2 months. She has lost 10lbs and notes chills periodically. She denies rectal
bleeding. She notes she is stressed about final exam. The FNP would be most
concerned about: - CORRECT ANSWER: Chron disease
Most commonly in the small intestine
Peak age of onset is 15-25 years old with females and whites most affected
A 35-year-old man presents with edema of the face, hands, and ankles, and a blood
pressure of 175/115 mmHg. He reports urine that is darkly colored and foamy. The APN
suspects acute glomerulonephritis and would expect UA results to include all of the
following findings except: - CORRECT ANSWER: abnormally elevated glucose levels
, A 54 year-old female complains fo intermittent crampy abdominal pain over the last 18
hours, loss of appetite, vomiting, abdominal bloating, and inability to have a bowel
movement. She has a history of hysterectomy 20 years ago, cholecystectomy 5 years
ago, and tow laparoscopies for abdominal pain over the last 4 years. The FNP send her
to the ER because she suspects: - CORRECT ANSWER: SBO
hx of having multiple abd surgeries increases adhesions which can cause a small bowel
obstruction
A 65-year-old male presents to the FNP for evaluation of years of "heartburn" and
recent weight loss of 30lbs over the last month. He has been taking antacids and an
oral histamine 2 receptor antagonist for years "off and on". He has a 60 pack per year
smoking history and drinks alcohol daily. What differential diagnoses should the FNP
consider? - CORRECT ANSWER: Esophageal cancer
Long-term GERD without tx increases risk for barret esophagus and cancer
Rapid weight loss is concerning
A 74-year-old male complains of rectal bleeding for the past year. He has not change in
bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen
blood in the toilet water and when wiping approximately once every few weeks, but
lately the bleeding has increased. He had colonoscopy 5 year ago. The FNP should: -
CORRECT ANSWER: Schedule a colonoscopy to look for colon polyps and/or cancer
A child whose kidneys are enlarged presents with chills, fever, and abd pain. What is the
most likely diagnosis? - CORRECT ANSWER: Acute pyelonephritis
A patient involved in a motor vehicle accident is brought into the ED with an abdominal
wound with acute blood loss and hypotension. Which of the following mechanisms best
describes control of renal blood flow? * - CORRECT ANSWER: increased sympathetic
vasoconstrictor activity
