WGU D115 OA AND PRE-OA EXAM
COMPREHENSIVE QUESTIONS AND CORRECT
ANSWERS
A child with Down's syndrome has had frequent respiratory tract infections
since birth. What should the APRN tell the parent is the underlying cause of this
illness?
Gastroesophageal reflux disease causes aspiration of thin fluids.
Feedback: Gastroesophageal reflux is commonly seen in children with Down
syndrome and can be severe enough to result in aspiration of stomach contents,
causing respiratory symptoms such as persistent coughing, wheezing, and
pneumonia
The FNP understands that a female patient with a complete or partial absence of
the second sex chromosome may also display which of the following physical
signs?
Ovarian failure
Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is
diagnosed by complete or partial absence of the second sex chromosome (45, X).
Patients may also demonstrate congenital lymphedema of hands and feet,
webbed neck, high-arched palate, and short fourth metacarpal. Short stature,
Ovarian failure, cardiovascular and renal issues, ear malformations, and other
health problems, as well as amenorrhea due to premature ovarian failure
,An example of a disease that is caused by a chromosomal deletion is cri du chat
syndrome. Children affected with this disorder commonly display which of the
following symptoms?
Symptoms associated with cri du chat include low birth weight, severe intellectual
disability, microcephaly, and heart defects.
What type of immunity is the body's 3rd line of defense and includes the
primary characteristics of specificity and memory.
Adaptive
Feedback: The third line of defense in the human body is adaptive (acquired)
immunity.
The local manifestations of inflammation result from vascular changes and the
circulation of associated components into the tissue. The 4 cardinal signs of
inflammation include all of the following:
Swelling, pain, heat, and redness are the cardinal signs of inflammation.
Patients with trisomy of the 21st chromosome are also predisposed to which of
the following diseases, which is also affected by alterations in the 21st
chromosome?
Alzheimer Disease
Which assessment findings are typically associated with a diagnosis of systemic
lupus erythematous?
Joint pain, malar rash, and photosensitivity
, Feedback: The symptoms most often experiences with SLE are arthritis, arthralgias,
fatigue, Reynaud phenomenon, chronic low-grade fever, sun sensitivity, hair loss,
weakness, malar facial rash, and weight loss.
The FNP understands the most common form of facial paralysis is bells palsy.
This disorder primarily affects which cranial nerve?
Bell palsy may be caused by reactivation of herpesviruses in cranial nerve VII
A patient presents with symptoms of fever, tachycardia, chills, throbbing
headache, severe photophobia, and nuchal rigidity. Based on the presumed
diagnosis, the FNP understands that the following symptoms may also occur in
response to irritation and inflammation of the cranial nerves:
deafness, tinnitus, and vertigo
Feedback: These symptoms can occur due to damage to cranial nerve VIII.
The clinical manifestations of myasthenia gravis include diplopia, ptosis, ocular
palsies, facial droop, and difficulty swallowing and chewing. The symptoms are a
direct result of a defect in nerve impulse transmission at the neuromuscular
junction. These symptoms usually have an insidious onset and can commonly
occur during which significant life event?
Pregnancy
When prescribing an antibiotic to treat acute otitis media, the FNP is aware that
there are 4 common bacteria that cause AOM. Which of the following is not a
common cause?
COMPREHENSIVE QUESTIONS AND CORRECT
ANSWERS
A child with Down's syndrome has had frequent respiratory tract infections
since birth. What should the APRN tell the parent is the underlying cause of this
illness?
Gastroesophageal reflux disease causes aspiration of thin fluids.
Feedback: Gastroesophageal reflux is commonly seen in children with Down
syndrome and can be severe enough to result in aspiration of stomach contents,
causing respiratory symptoms such as persistent coughing, wheezing, and
pneumonia
The FNP understands that a female patient with a complete or partial absence of
the second sex chromosome may also display which of the following physical
signs?
Ovarian failure
Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is
diagnosed by complete or partial absence of the second sex chromosome (45, X).
Patients may also demonstrate congenital lymphedema of hands and feet,
webbed neck, high-arched palate, and short fourth metacarpal. Short stature,
Ovarian failure, cardiovascular and renal issues, ear malformations, and other
health problems, as well as amenorrhea due to premature ovarian failure
,An example of a disease that is caused by a chromosomal deletion is cri du chat
syndrome. Children affected with this disorder commonly display which of the
following symptoms?
Symptoms associated with cri du chat include low birth weight, severe intellectual
disability, microcephaly, and heart defects.
What type of immunity is the body's 3rd line of defense and includes the
primary characteristics of specificity and memory.
Adaptive
Feedback: The third line of defense in the human body is adaptive (acquired)
immunity.
The local manifestations of inflammation result from vascular changes and the
circulation of associated components into the tissue. The 4 cardinal signs of
inflammation include all of the following:
Swelling, pain, heat, and redness are the cardinal signs of inflammation.
Patients with trisomy of the 21st chromosome are also predisposed to which of
the following diseases, which is also affected by alterations in the 21st
chromosome?
Alzheimer Disease
Which assessment findings are typically associated with a diagnosis of systemic
lupus erythematous?
Joint pain, malar rash, and photosensitivity
, Feedback: The symptoms most often experiences with SLE are arthritis, arthralgias,
fatigue, Reynaud phenomenon, chronic low-grade fever, sun sensitivity, hair loss,
weakness, malar facial rash, and weight loss.
The FNP understands the most common form of facial paralysis is bells palsy.
This disorder primarily affects which cranial nerve?
Bell palsy may be caused by reactivation of herpesviruses in cranial nerve VII
A patient presents with symptoms of fever, tachycardia, chills, throbbing
headache, severe photophobia, and nuchal rigidity. Based on the presumed
diagnosis, the FNP understands that the following symptoms may also occur in
response to irritation and inflammation of the cranial nerves:
deafness, tinnitus, and vertigo
Feedback: These symptoms can occur due to damage to cranial nerve VIII.
The clinical manifestations of myasthenia gravis include diplopia, ptosis, ocular
palsies, facial droop, and difficulty swallowing and chewing. The symptoms are a
direct result of a defect in nerve impulse transmission at the neuromuscular
junction. These symptoms usually have an insidious onset and can commonly
occur during which significant life event?
Pregnancy
When prescribing an antibiotic to treat acute otitis media, the FNP is aware that
there are 4 common bacteria that cause AOM. Which of the following is not a
common cause?
