WGU D115 OBJECTIVE ASSESSMENT EXAM LATEST 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
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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?
A) Full-thickness
B) Partial-thickness
C) Unstageable
D) Deep tissue - ANSWER-C) Unstageable
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?
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A) Lowered vascular compliance and loss of vasoreactive
responses
B) Decreased melanocytes and clearance of oxidative substances
from the dermis
C) Atrophy of eccrine, apocrine, and sebaceous glands
D) Reduced cell proliferation and depressed immune responses -
ANSWER-B) Decreased melanocytes and clearance of oxidative
substances from the dermis
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?
A) Telangiectasias
B) Polycystic ovarian syndrome
C) Keratoacanthoma
D) Actinic keratosis - ANSWER-B) Polycystic ovarian syndrome
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Keratoacanthoma (KA) - ANSWER--low grade tumor that
originates in the pilosebaceous glands.
-dermatopathologists refer to the lesion as "squamous cell
carcinoma, keratoacanthoma-type."
-Round, firm, flesh-colored nodule with a central necrotic crater.
Rapidly growing; resembles a "volcano" in appearance.
actinic keratosis - ANSWER-a precancerous skin growth that
occurs on sun-damaged skin
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?
A) Multiple organ dysfunction syndrome (MODS)
B) Toxic shock syndrome (TSS)
C) Systemic inflammatory response syndrome (SIRS)
D) Acute respiratory distress syndrome (ARDS) - ANSWER-C)
Systemic inflammatory response syndrome (SIRS)
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Systemic Inflammatory Response Syndrome (SIRS) - ANSWER-
Systemic inflammation that leads to organ dysfunction, organ
failure, death; exaggerated defense response of the body to
infection, trauma, burns, pancreatitis
Multiple Organ Dysfunction Syndrome (MODS) - ANSWER-
Progressive impairment of two or more organ systems resulting
from an uncontrolled inflammatory response to a severe illness or
injury in those that have sustained SIRS.
toxic shock syndrome (TSS) - ANSWER-a severe illness
characterized by high fever, rash, vomiting, diarrhea, and myalgia,
followed by hypotension and, in severe cases, shock and death;
usually affects menstruating women using tampons; caused by
Staphylococcus aureus and Streptococcus pyogenes
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.