WGU D115 - OA readiness
Exam Study Guide – Practice
Questions with Verified
Answers With Rationales.
GRADED A+. Latest 2026/2027
Update
What is the most common indication for genetic counseling?
A) maternal age
B) drug exposure during the first trimester?
C) Increased maternal alpha-fetoprotein
D) history of previous still birth - Answer✔✔-A) maternal age
The largest group of women who benefit from genetic counseling are those
over the age of 35
The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose
of this procedure is to:
A) Assess for the possibility of twins
B) Deterime the biliruben level
,C) Perform genetic studies
D) Assess L/S ratio - Answer✔✔-C) Perform genetic studies
This womans age puts her at risk for Down Syndrome
In the most commonly seen form of Turner Syndrome, how is the X
chromosome affected?
A) Each cell has only one X chromosome?
B) Some cells have two X chromsomes, while the other cells have only one.
C) Each cell has two X chromsomes, but part of the chromosome is missing.
D) Each cell has an extra X chromosome - Answer✔✔-A) Each cell has only one
X chromsome
45% of persons with Turner Syndrome have monosomy X meaning there is only
one copy of the X chromosome in each cell.
The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP
would suspect which of the following genetic conditions?
A) Down Syndrome
B) Cri du chat
C) Charge syndrome
D) Duncan disease - Answer✔✔-B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a high-pitched
cat-like cry, mental retardation, delayed development, distinctive facial
features, small head size (microcephaly), widely-spaced eyes (hypertelorism),
low birth weight and weak muscle tone (hypotonia) in infancy.
,When explaining the types of adaptive immunity, the FNP student is aware
that:
A) Adaptive immunity is a cell-mediated immune response which is
B) Adaptive immunity is the level of immunity that all persons are born with.
C) Adaptive immunity occurs when antibodies are passed from the mother to
the fetus.
D) Adaptive immunity occurs through immunization. - Answer✔✔-A) Adaptive
immunity is a cell-mediated immune response which is carried out by T cells
and B cells.
There are two types of adaptive immunity responses: the cell-mediated
immune response, which is carried out by T cells, and the humoral immune
response, which is controlled by activated B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
A) Coma
B) Persistent vegetative state
C) Minimally conscious
D) Locked-in syndrome - Answer✔✔-C) Minimally conscious
When responses to the environment are seen, the patient is said to be in a
minimally conscious state
Age and the admission of the Glasgow Coma Scale (GCS) are important
diagnostic factors in TBI. Which GCS score describes a severe TBI?
A) 13-15
B) 12-13
C) 9-12
, D) 3-8 - Answer✔✔-D) 3-8
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
Which term describes recurrent, intrusive thoughts or impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that
cause distressing emotions such as anxiety or disgust.
D) Delusions - Answer✔✔-C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that
cause distressing emotions such as anxiety or disgust.
During an intake interview with a 26-year-old man diagnosed with generalized
anxiety disorder, the FNP might observe what type of behavior?
A) An inflated sense of self
B) Constant relation to future events
C) Inability to concentrate and irritability when questioned
Impaired concentration and irritability are major characteristics of GAD.
D) Nervousness and fear of the FNP during the interview - Answer✔✔-C)
Inability to concentrate and irritability when questioned
Impaired concentration and irritability are major characteristics of GAD.
The FNP would expect which symptoms in a patient with a diagnosis of
schizophrenia?
A) High energy with varying sleep patterns and non stop conversation.
Exam Study Guide – Practice
Questions with Verified
Answers With Rationales.
GRADED A+. Latest 2026/2027
Update
What is the most common indication for genetic counseling?
A) maternal age
B) drug exposure during the first trimester?
C) Increased maternal alpha-fetoprotein
D) history of previous still birth - Answer✔✔-A) maternal age
The largest group of women who benefit from genetic counseling are those
over the age of 35
The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose
of this procedure is to:
A) Assess for the possibility of twins
B) Deterime the biliruben level
,C) Perform genetic studies
D) Assess L/S ratio - Answer✔✔-C) Perform genetic studies
This womans age puts her at risk for Down Syndrome
In the most commonly seen form of Turner Syndrome, how is the X
chromosome affected?
A) Each cell has only one X chromosome?
B) Some cells have two X chromsomes, while the other cells have only one.
C) Each cell has two X chromsomes, but part of the chromosome is missing.
D) Each cell has an extra X chromosome - Answer✔✔-A) Each cell has only one
X chromsome
45% of persons with Turner Syndrome have monosomy X meaning there is only
one copy of the X chromosome in each cell.
The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP
would suspect which of the following genetic conditions?
A) Down Syndrome
B) Cri du chat
C) Charge syndrome
D) Duncan disease - Answer✔✔-B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a high-pitched
cat-like cry, mental retardation, delayed development, distinctive facial
features, small head size (microcephaly), widely-spaced eyes (hypertelorism),
low birth weight and weak muscle tone (hypotonia) in infancy.
,When explaining the types of adaptive immunity, the FNP student is aware
that:
A) Adaptive immunity is a cell-mediated immune response which is
B) Adaptive immunity is the level of immunity that all persons are born with.
C) Adaptive immunity occurs when antibodies are passed from the mother to
the fetus.
D) Adaptive immunity occurs through immunization. - Answer✔✔-A) Adaptive
immunity is a cell-mediated immune response which is carried out by T cells
and B cells.
There are two types of adaptive immunity responses: the cell-mediated
immune response, which is carried out by T cells, and the humoral immune
response, which is controlled by activated B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
A) Coma
B) Persistent vegetative state
C) Minimally conscious
D) Locked-in syndrome - Answer✔✔-C) Minimally conscious
When responses to the environment are seen, the patient is said to be in a
minimally conscious state
Age and the admission of the Glasgow Coma Scale (GCS) are important
diagnostic factors in TBI. Which GCS score describes a severe TBI?
A) 13-15
B) 12-13
C) 9-12
, D) 3-8 - Answer✔✔-D) 3-8
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
Which term describes recurrent, intrusive thoughts or impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that
cause distressing emotions such as anxiety or disgust.
D) Delusions - Answer✔✔-C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that
cause distressing emotions such as anxiety or disgust.
During an intake interview with a 26-year-old man diagnosed with generalized
anxiety disorder, the FNP might observe what type of behavior?
A) An inflated sense of self
B) Constant relation to future events
C) Inability to concentrate and irritability when questioned
Impaired concentration and irritability are major characteristics of GAD.
D) Nervousness and fear of the FNP during the interview - Answer✔✔-C)
Inability to concentrate and irritability when questioned
Impaired concentration and irritability are major characteristics of GAD.
The FNP would expect which symptoms in a patient with a diagnosis of
schizophrenia?
A) High energy with varying sleep patterns and non stop conversation.
