D115 OA / WGU D115 OA PREP TEST BANK 2026/202
v v v v v v v v v
7 WITH 450 REAL EXAM QUESTIONS AND CORRECT
v v v v v v v v
ANSWERS WITH RATIONALES/ WGU D115 ADVANC
v v v v v
ED PATHOPHYSIOLOGY OA PREP(NEW!)
v v v
ThevFNPvschedulesvav38-year-
v
oldvprimigravidav(firstvtimevpregnancy)vforvanvamniocentesisvatv16vweeksvgestation.vThevFNPvwouldvex
plainvthatvthevpurposevofvthisvprocedurevisvto:
A) Assessvforvthev possibilityvofvtwins
B) Deterimev thev bilirubenvlevel
C) Performvgeneticvstudies
D) AssessvL/Svratiov-vCORRECTvANSWER-
C)vPerformvgeneticvstudiesvThisvwomansvagevputsvhervatv riskvforvDo
wnvSyndrome
Av4-
yearvoldvmalevisvbroughtvintovavclinicvwithvcomplaintsvofvfevervandvsorevthroatvforv2vdays.vThevNursevP
ractitionervsuspectsvavperitonsilarvabscessvandvrefersvthevpatientvtovthevED.vWhichvfindingvisvmostvcon
sistentvwithvthisvdiagnosis?
A) softvpalatevisv coatedvwithvavgray-vtov yellow-coloredvpseudomembrane
B) Droolingvandv"hotvpotato"v voice
C) anteriorvcervicalv lympadenopathy
D) tonsilarvswellingvandvexudatev -vCORRECTvANSWER-B)vDroolingvandv"hotvpotato"vvoice
Symptomsvandvfindingsvofvperitonsillarvabscessvgenerallyvincludevfever,vsorevthroat,vdysphagia,vtrism
us,vandvav"hotvpotato"vvoice.vDifficultyvinvswallowingvcanvcontributevtovdroolingvandvhalitosis.
Av40-
yearvoldvfemalevpresentsvwithvcomplaintsvofvsorenessvwhenveatingvspicyvfoods.vThevNursevPractitione
rvobservesvthatvthevpatientvhasvav"geographicvtongue".vWhatvwouldvbevmostvappropriatevforvthevpatie
nt'svplanvofvcare?
A) PrescribevNystatinvswishvandvswallowvforv10vdays
B) Tellvthevpatientvtovrinsevwithvsaltvwatervandvavoidvspicyvfoodvuntilvsymptomsvresolve
C) Refervthevpatientvtovanv ENTvphysician
D) EncouragevthevpatientvtovbrushvandvflossvmorevoftenvandvschedulevwithvhervDentistv-
vCORRECTvANSWER-
B)vTellvthevpatientvtovrinsevwithvsaltvwatervandvavoidvspicyvfoodvuntilvsymptomsvresolve
,Geographicvtonguevisvavharmlessvconditionvaffectingvthevsurfacevofvthevtongue.Symptomsvincludevsm
ooth,vredvpatchesvonvthevtopvorvsidevofvthevtongue.vThevpatchesvmayvchangevlocation,vsize,vandvshape
.Patchesvoftenvhealvandvmovevelsewherevonvthevtonguevbeforevclearingvupvonvtheirvown.vPainvreliever
svandvrinsesvmightvbevusedvinvrarevinstancesvtovtreatvsymptoms.
Av2-
yearvoldvboyvpresentsvtovthevclinicvwithvavfever.vDuringvthevphysicalvexamvthevNPvobservesvKoplik'svsp
otsvinsidevofvhisvbuccalvmucosa.vWhichvwouldvbevthevmostvimportantvtovassessvonvthisvpatientvtovaidvi
nvanvappropriatevdiagnosis?
A) Vaccinationv status
B) Rapidvstrepvtest
C) Swallowingvevaluation
D) Medicationvallergiesv -vCORRECTvANSWER-A)vVaccinationvstatus
Koplikvspotsvarevseenvwithvmeasles.vTheyvarevsmall,vwhitevspotsv(oftenvonvavreddenedvbackground)vth
atvoccurvonvthevinsidevofvthevcheeksvearlyvinvthevcoursevofvmeasles.
Av26-
yearvoldvpresentsvtovavclinicvwithvcomplaintsvofvleftveyevpain.vThevNPvperformsvfluorescentvdyevstainin
gvwhichvrevealsvfern-
likevlinesvinvthevcornealvsurface.vWhichvwouldvbevthevmostvappropriatevhistoryvquestionvtovaskvthevpa
tient?
A) Dovyouvwearvcontactvlenses?
B) Havevyouv evervhadvavcoldv sore?
C) Havevyouvrecentlyvhadvanv eyevinjury?
D) Havevyouvrecentlyvexperiencedvanyvdizziness?v-vCORRECTvANSWER-
B)vHavevyouvevervhadvavcoldvsore?
Ocularvherpesvisvavviralvinfectionvofvtheveyevthatvcausesvpainvandvcanvleadvtovscarringvandvreducedvvisi
on.vAvfern-
likevpatternvisvvisiblevundervfluoresceinvdye.vThevvirusvisvcausedvbyvthevsamevvirusvwhichvcausesvoralv
andvgenitalvherpes.
Av17-
yearvoldvfemalevwasvdiagnosedvwithvangularvcheilitis.vShevhadvtreatmentvfailurevaftervavcoursevofvtopi
calvantibiotics,vtopicalvsteroids,vmoisturevbarriervcreams,vandvantifungalsvwerevprescribevd.vWhatvwo
uldvbevthevmostvappropriatevnextvstepvinvthisvpatient'svplanvofvcare?
A) Refervthevpatientvtovanv allergist
B) Refervthevpatientvtovav dermatologist
C) Checkvthevpatient'svvitaminvB12vlevel
D) Checkvthevpatient'svferritinvlevelv-vCORRECTvANSWER-C)vCheckvthevpatient'svvitaminvB12vlevel
,Angularvcheilitisvisvavconditionvthatvcausesvred,vswollenvpatchesvinvthevcornersvofvthevmouth.vThev
mostvcommonv causevisvav fungalvinfection.vOthervcausesvarevvitaminvB12vdeficiencyvandvbacterialvi
nfections.
Whichvactionv isvavpurposevofvthev inflammatoryvprocess?
A) Createv immunityvagainstvsubsequentvtissuevinjury
B) Providev specificvresponsesvtowardvantigens
C) Lysevcellvmembranesvofvmicroorganisms
D) Preventvinfectionvofvthevinjuredvtissuev-vCORRECTvANSWER-
D)vPreventvinfectionvofvthevinjuredvtissue
Thevinflammatoryvresponsevisvavdefensevmechanismvdesignedvtovremovevdamagedvtissuevsovthevbodyvc
anvheal.
Whichvleukocytesvarevelevatedvinvresponsevtovacutevinflammatoryvreactionsvwhenvconsideringvwhitevb
loodvcellvdifferentials?
A) Neutrophils
B) Eosinophils
C) Basophils
D) Monocytesv-vCORRECTvANSWER-A)vNeutrophils
Neutrophilsvarevonevofvthevfirstvrespondersvtovacutevinflammation,vandvanvincreasevinvneutrophilsvde
monstratesvanvacutevinflammatoryvresponse.
Whichvtypevofvimmunityvisvproducedvbyvanvindividualvafterveithervnaturalvexposurevtovthevantigenvorva
ftervimmunizationvagainstvthevantigen?
A) Active-acquiredvimmunity
B) Passive-innatev immunity
C) Active-innatevimmunity
D) Passive-acquiredvimmunityv-vCORRECTvANSWER-A)vActive-acquiredvimmunity
Active-
acquiredvimmunityvorvnaturallyvacquiredvactivevimmunityvoccursvwhenvanvindividualvisvexposedvtovavli
vevpathogenvandvdevelopsvthevdiseasevorvbecomesvimmunevasvavresultvofv avvaccine.
Whichvcharacteristicsvdovatopicvindividualsvhavevthatvmakevthemvgeneticallyvpredisposedvtovdevelopva
llergies?
A) Deficiencyv invepinephrine
B) Greatervquantitiesvofv IgE
, C) Greatervquantitiesvofv histamine
D) Morev histaminevreceptorsv-vCORRECTvANSWER-B)vGreatervquantitiesvofvIgE
ThevgreatervquantitiesvofvIgEvinvatopicvindividualsvmakevthemvgeneticallyvpredisposedvtovdevelopvalle
rgies.vIgEvmediatesvthevimmunevresponsevtovallergens;vtherefore,vthevmorevIgEvonevhas,vthevstrongerv
thevresponsevcanvbevtov anvallergen.vThinkvofvitvasvhavingvmorevsoldiersvinvthevarmyvtovfightvthevwar.
Av healthcarev professionalv isvconductingvcommunityveducationvonvvaccinations.v Whic
hvstatementvaboutvvaccinesvshouldvthevprofessionalvincludevinvthevpresentation?
A) Mostv bacterialvvaccinesvcontainvattenuatedvorganisms.
B) Vaccinesvrequirev boostervinjectionsvtovmaintainvlife-longvprotection.
C) Mostvviralvvaccinesvarevmadevbyv usingvdeadvorganisms.
D) Vaccinesvprovideveffectivevprotectionvagainstvmostvinfections.v-vCORRECTvANSWER-
B)vVaccinesvrequirevboostervinjectionsvtovmaintainvlife-longvprotection.
Mostvvaccinesvrequirevavboostervtovincreasevimmunity.vThevinitialveffectsvofvavvaccinevmayvdiminishvov
ervtime,vandvboostersvimprovevprotectionvagainstvdisease.
Whichvtermv describesvanvagent'svabilityvtovproducevdisease?
A) Infectivity
B) Virulence
C) Pathogenicity
D) Immunogenicityv-vCORRECTvANSWER-C)vPathogenicity
Pathogenicityvrefersvtovanvorganism'svabilityvtovcreatevorv producevdisease.
Conductivev hearingvlossvinvolvesvthe:
A) innervear
B) middlev ear
C) 5thvcranialvnerve
D) 8thv cranialvnervev-vCORRECTvANSWER-B)vmiddlevear
Conductivevhearingvlossvinvolvesvthevmiddlevearvandvisvusuallyvthevresultvofvonevofvthevfollowing:vblock
agevofvthevearvcanal,vavholevinvthev earvdrum,v problemsvwithvthreevsmallvbonesvinvthevear,vorvfluidvinvthev
spacevbetweenvthevearvdrumvandvcochlea
v v v v v v v v v
7 WITH 450 REAL EXAM QUESTIONS AND CORRECT
v v v v v v v v
ANSWERS WITH RATIONALES/ WGU D115 ADVANC
v v v v v
ED PATHOPHYSIOLOGY OA PREP(NEW!)
v v v
ThevFNPvschedulesvav38-year-
v
oldvprimigravidav(firstvtimevpregnancy)vforvanvamniocentesisvatv16vweeksvgestation.vThevFNPvwouldvex
plainvthatvthevpurposevofvthisvprocedurevisvto:
A) Assessvforvthev possibilityvofvtwins
B) Deterimev thev bilirubenvlevel
C) Performvgeneticvstudies
D) AssessvL/Svratiov-vCORRECTvANSWER-
C)vPerformvgeneticvstudiesvThisvwomansvagevputsvhervatv riskvforvDo
wnvSyndrome
Av4-
yearvoldvmalevisvbroughtvintovavclinicvwithvcomplaintsvofvfevervandvsorevthroatvforv2vdays.vThevNursevP
ractitionervsuspectsvavperitonsilarvabscessvandvrefersvthevpatientvtovthevED.vWhichvfindingvisvmostvcon
sistentvwithvthisvdiagnosis?
A) softvpalatevisv coatedvwithvavgray-vtov yellow-coloredvpseudomembrane
B) Droolingvandv"hotvpotato"v voice
C) anteriorvcervicalv lympadenopathy
D) tonsilarvswellingvandvexudatev -vCORRECTvANSWER-B)vDroolingvandv"hotvpotato"vvoice
Symptomsvandvfindingsvofvperitonsillarvabscessvgenerallyvincludevfever,vsorevthroat,vdysphagia,vtrism
us,vandvav"hotvpotato"vvoice.vDifficultyvinvswallowingvcanvcontributevtovdroolingvandvhalitosis.
Av40-
yearvoldvfemalevpresentsvwithvcomplaintsvofvsorenessvwhenveatingvspicyvfoods.vThevNursevPractitione
rvobservesvthatvthevpatientvhasvav"geographicvtongue".vWhatvwouldvbevmostvappropriatevforvthevpatie
nt'svplanvofvcare?
A) PrescribevNystatinvswishvandvswallowvforv10vdays
B) Tellvthevpatientvtovrinsevwithvsaltvwatervandvavoidvspicyvfoodvuntilvsymptomsvresolve
C) Refervthevpatientvtovanv ENTvphysician
D) EncouragevthevpatientvtovbrushvandvflossvmorevoftenvandvschedulevwithvhervDentistv-
vCORRECTvANSWER-
B)vTellvthevpatientvtovrinsevwithvsaltvwatervandvavoidvspicyvfoodvuntilvsymptomsvresolve
,Geographicvtonguevisvavharmlessvconditionvaffectingvthevsurfacevofvthevtongue.Symptomsvincludevsm
ooth,vredvpatchesvonvthevtopvorvsidevofvthevtongue.vThevpatchesvmayvchangevlocation,vsize,vandvshape
.Patchesvoftenvhealvandvmovevelsewherevonvthevtonguevbeforevclearingvupvonvtheirvown.vPainvreliever
svandvrinsesvmightvbevusedvinvrarevinstancesvtovtreatvsymptoms.
Av2-
yearvoldvboyvpresentsvtovthevclinicvwithvavfever.vDuringvthevphysicalvexamvthevNPvobservesvKoplik'svsp
otsvinsidevofvhisvbuccalvmucosa.vWhichvwouldvbevthevmostvimportantvtovassessvonvthisvpatientvtovaidvi
nvanvappropriatevdiagnosis?
A) Vaccinationv status
B) Rapidvstrepvtest
C) Swallowingvevaluation
D) Medicationvallergiesv -vCORRECTvANSWER-A)vVaccinationvstatus
Koplikvspotsvarevseenvwithvmeasles.vTheyvarevsmall,vwhitevspotsv(oftenvonvavreddenedvbackground)vth
atvoccurvonvthevinsidevofvthevcheeksvearlyvinvthevcoursevofvmeasles.
Av26-
yearvoldvpresentsvtovavclinicvwithvcomplaintsvofvleftveyevpain.vThevNPvperformsvfluorescentvdyevstainin
gvwhichvrevealsvfern-
likevlinesvinvthevcornealvsurface.vWhichvwouldvbevthevmostvappropriatevhistoryvquestionvtovaskvthevpa
tient?
A) Dovyouvwearvcontactvlenses?
B) Havevyouv evervhadvavcoldv sore?
C) Havevyouvrecentlyvhadvanv eyevinjury?
D) Havevyouvrecentlyvexperiencedvanyvdizziness?v-vCORRECTvANSWER-
B)vHavevyouvevervhadvavcoldvsore?
Ocularvherpesvisvavviralvinfectionvofvtheveyevthatvcausesvpainvandvcanvleadvtovscarringvandvreducedvvisi
on.vAvfern-
likevpatternvisvvisiblevundervfluoresceinvdye.vThevvirusvisvcausedvbyvthevsamevvirusvwhichvcausesvoralv
andvgenitalvherpes.
Av17-
yearvoldvfemalevwasvdiagnosedvwithvangularvcheilitis.vShevhadvtreatmentvfailurevaftervavcoursevofvtopi
calvantibiotics,vtopicalvsteroids,vmoisturevbarriervcreams,vandvantifungalsvwerevprescribevd.vWhatvwo
uldvbevthevmostvappropriatevnextvstepvinvthisvpatient'svplanvofvcare?
A) Refervthevpatientvtovanv allergist
B) Refervthevpatientvtovav dermatologist
C) Checkvthevpatient'svvitaminvB12vlevel
D) Checkvthevpatient'svferritinvlevelv-vCORRECTvANSWER-C)vCheckvthevpatient'svvitaminvB12vlevel
,Angularvcheilitisvisvavconditionvthatvcausesvred,vswollenvpatchesvinvthevcornersvofvthevmouth.vThev
mostvcommonv causevisvav fungalvinfection.vOthervcausesvarevvitaminvB12vdeficiencyvandvbacterialvi
nfections.
Whichvactionv isvavpurposevofvthev inflammatoryvprocess?
A) Createv immunityvagainstvsubsequentvtissuevinjury
B) Providev specificvresponsesvtowardvantigens
C) Lysevcellvmembranesvofvmicroorganisms
D) Preventvinfectionvofvthevinjuredvtissuev-vCORRECTvANSWER-
D)vPreventvinfectionvofvthevinjuredvtissue
Thevinflammatoryvresponsevisvavdefensevmechanismvdesignedvtovremovevdamagedvtissuevsovthevbodyvc
anvheal.
Whichvleukocytesvarevelevatedvinvresponsevtovacutevinflammatoryvreactionsvwhenvconsideringvwhitevb
loodvcellvdifferentials?
A) Neutrophils
B) Eosinophils
C) Basophils
D) Monocytesv-vCORRECTvANSWER-A)vNeutrophils
Neutrophilsvarevonevofvthevfirstvrespondersvtovacutevinflammation,vandvanvincreasevinvneutrophilsvde
monstratesvanvacutevinflammatoryvresponse.
Whichvtypevofvimmunityvisvproducedvbyvanvindividualvafterveithervnaturalvexposurevtovthevantigenvorva
ftervimmunizationvagainstvthevantigen?
A) Active-acquiredvimmunity
B) Passive-innatev immunity
C) Active-innatevimmunity
D) Passive-acquiredvimmunityv-vCORRECTvANSWER-A)vActive-acquiredvimmunity
Active-
acquiredvimmunityvorvnaturallyvacquiredvactivevimmunityvoccursvwhenvanvindividualvisvexposedvtovavli
vevpathogenvandvdevelopsvthevdiseasevorvbecomesvimmunevasvavresultvofv avvaccine.
Whichvcharacteristicsvdovatopicvindividualsvhavevthatvmakevthemvgeneticallyvpredisposedvtovdevelopva
llergies?
A) Deficiencyv invepinephrine
B) Greatervquantitiesvofv IgE
, C) Greatervquantitiesvofv histamine
D) Morev histaminevreceptorsv-vCORRECTvANSWER-B)vGreatervquantitiesvofvIgE
ThevgreatervquantitiesvofvIgEvinvatopicvindividualsvmakevthemvgeneticallyvpredisposedvtovdevelopvalle
rgies.vIgEvmediatesvthevimmunevresponsevtovallergens;vtherefore,vthevmorevIgEvonevhas,vthevstrongerv
thevresponsevcanvbevtov anvallergen.vThinkvofvitvasvhavingvmorevsoldiersvinvthevarmyvtovfightvthevwar.
Av healthcarev professionalv isvconductingvcommunityveducationvonvvaccinations.v Whic
hvstatementvaboutvvaccinesvshouldvthevprofessionalvincludevinvthevpresentation?
A) Mostv bacterialvvaccinesvcontainvattenuatedvorganisms.
B) Vaccinesvrequirev boostervinjectionsvtovmaintainvlife-longvprotection.
C) Mostvviralvvaccinesvarevmadevbyv usingvdeadvorganisms.
D) Vaccinesvprovideveffectivevprotectionvagainstvmostvinfections.v-vCORRECTvANSWER-
B)vVaccinesvrequirevboostervinjectionsvtovmaintainvlife-longvprotection.
Mostvvaccinesvrequirevavboostervtovincreasevimmunity.vThevinitialveffectsvofvavvaccinevmayvdiminishvov
ervtime,vandvboostersvimprovevprotectionvagainstvdisease.
Whichvtermv describesvanvagent'svabilityvtovproducevdisease?
A) Infectivity
B) Virulence
C) Pathogenicity
D) Immunogenicityv-vCORRECTvANSWER-C)vPathogenicity
Pathogenicityvrefersvtovanvorganism'svabilityvtovcreatevorv producevdisease.
Conductivev hearingvlossvinvolvesvthe:
A) innervear
B) middlev ear
C) 5thvcranialvnerve
D) 8thv cranialvnervev-vCORRECTvANSWER-B)vmiddlevear
Conductivevhearingvlossvinvolvesvthevmiddlevearvandvisvusuallyvthevresultvofvonevofvthevfollowing:vblock
agevofvthevearvcanal,vavholevinvthev earvdrum,v problemsvwithvthreevsmallvbonesvinvthevear,vorvfluidvinvthev
spacevbetweenvthevearvdrumvandvcochlea
