TEST BANK FOR WGU D115 OA / D115
OA PREP WITH 450 REAL EXAM
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALES/ WGU D115
ADVANCED PATHOPHYSIOLOGY OA
PREP(LATEST UPDATE)
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 - CORRECT ANSWER-C) Perform genetic studies
This womans age puts her at risk for Down Syndrome
A 4-year old male is brought into a clinic with complaints of fever and sore
throat for 2 days. The Nurse Practitioner suspects a peritonsilar abscess and
refers the patient to the ED. Which finding is most consistent with this
diagnosis?
A)soft palate is coated with a gray- to yellow-colored pseudomembrane
B)Drooling and "hot potato" voice
C)anterior cervical lympadenopathy
,D)tonsilar swelling and exudate - CORRECT ANSWER-B) Drooling and "hot
potato" voice
Symptoms and findings of peritonsillar abscess generally include fever, sore
throat, dysphagia, trismus, and a "hot potato" voice. Difficulty in swallowing can
contribute to drooling and halitosis.
A 40-year old female presents with complaints of soreness when eating spicy
foods. The Nurse Practitioner observes that the patient has a "geographic
tongue". What would be most appropriate for the patient's plan of care?
A)Prescribe Nystatin swish and swallow for 10 days
B)Tell the patient to rinse with salt water and avoid spicy food until symptoms
resolve
C)Refer the patient to an ENT physician
D)Encourage the patient to brush and floss more often and schedule with her
Dentist – CORRECT
ANSWER-B) Tell the patient to rinse with salt water and avoid spicy food until
symptoms resolve Geographic tongue is a harmless condition affecting the
surface of the tongue.Symptoms include smooth, red patches on the top or side
of the tongue. The patches may change location, size, and shape.Patches often
heal and move elsewhere on the tongue before clearing up on their own.
Pain relievers and rinses might be used in rare instances to treat symptoms.
A 2-year old boy presents to the clinic with a fever. During the physical
exam the NP observes Koplik's spots inside of his buccal mucosa. Which
would be
,the most important to assess on this patient to aid in an appropriate
diagnosis?
A)Vaccination status
B)Rapid strep test
C)Swallowing evaluation
D)Medication allergies - CORRECT ANSWER-A) Vaccination status
Koplik spots are seen with measles. They are small, white spots (often on a
reddened background) that occur on the inside of the cheeks early in the course
of measles.
A 26-year old presents to a clinic with complaints of left eye pain. The NP
performs fluorescent dye staining which reveals fern-like lines in the corneal
surface. Which would be the most appropriate history question to ask the
patient? A) Do you wear contact lenses?
B)Have you ever had a cold sore?
C)Have you recently had an eye injury?
D)Have you recently experienced any dizziness? - CORRECT ANSWER-B) Have
you ever had a cold sore?
Ocular herpes is a viral infection of the eye that causes pain and can lead to
scarring and reduced vision. A fern-like pattern is visible under fluorescein
dye. The virus is caused by the same virus which causes oral and genital
herpes.
, A 17-year old female was diagnosed with angular cheilitis. She had treatment
failure after a course of topical antibiotics, topical steroids, moisture barrier
creams, and antifungals were prescribed. What would be the most appropriate
next step in this patient's plan of care?
A)Refer the patient to an allergist
B)Refer the patient to a dermatologist
C)Check the patient's vitamin B12 level
D)Check the patient's ferritin level - CORRECT ANSWER-C) Check the patient's
vitamin B12 level Angular cheilitis is a condition that causes red, swollen
patches in the corners of the mouth. The most common cause is a fungal
infection. Other causes are vitamin B12 deficiency and bacterial infections.
Which action is a purpose of the inflammatory process?
A)Create immunity against subsequent tissue injury
B)Provide specific responses toward antigens
C)Lyse cell membranes of microorganisms
D)Prevent infection of the injured tissue - CORRECT ANSWER-D) Prevent
infection of the injured tissue
The inflammatory response is a defense mechanism designed to remove
damaged tissue so the body can heal.
Which leukocytes are elevated in response to acute inflammatory reactions
when considering white blood cell differentials?
A)Neutrophils
OA PREP WITH 450 REAL EXAM
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALES/ WGU D115
ADVANCED PATHOPHYSIOLOGY OA
PREP(LATEST UPDATE)
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 - CORRECT ANSWER-C) Perform genetic studies
This womans age puts her at risk for Down Syndrome
A 4-year old male is brought into a clinic with complaints of fever and sore
throat for 2 days. The Nurse Practitioner suspects a peritonsilar abscess and
refers the patient to the ED. Which finding is most consistent with this
diagnosis?
A)soft palate is coated with a gray- to yellow-colored pseudomembrane
B)Drooling and "hot potato" voice
C)anterior cervical lympadenopathy
,D)tonsilar swelling and exudate - CORRECT ANSWER-B) Drooling and "hot
potato" voice
Symptoms and findings of peritonsillar abscess generally include fever, sore
throat, dysphagia, trismus, and a "hot potato" voice. Difficulty in swallowing can
contribute to drooling and halitosis.
A 40-year old female presents with complaints of soreness when eating spicy
foods. The Nurse Practitioner observes that the patient has a "geographic
tongue". What would be most appropriate for the patient's plan of care?
A)Prescribe Nystatin swish and swallow for 10 days
B)Tell the patient to rinse with salt water and avoid spicy food until symptoms
resolve
C)Refer the patient to an ENT physician
D)Encourage the patient to brush and floss more often and schedule with her
Dentist – CORRECT
ANSWER-B) Tell the patient to rinse with salt water and avoid spicy food until
symptoms resolve Geographic tongue is a harmless condition affecting the
surface of the tongue.Symptoms include smooth, red patches on the top or side
of the tongue. The patches may change location, size, and shape.Patches often
heal and move elsewhere on the tongue before clearing up on their own.
Pain relievers and rinses might be used in rare instances to treat symptoms.
A 2-year old boy presents to the clinic with a fever. During the physical
exam the NP observes Koplik's spots inside of his buccal mucosa. Which
would be
,the most important to assess on this patient to aid in an appropriate
diagnosis?
A)Vaccination status
B)Rapid strep test
C)Swallowing evaluation
D)Medication allergies - CORRECT ANSWER-A) Vaccination status
Koplik spots are seen with measles. They are small, white spots (often on a
reddened background) that occur on the inside of the cheeks early in the course
of measles.
A 26-year old presents to a clinic with complaints of left eye pain. The NP
performs fluorescent dye staining which reveals fern-like lines in the corneal
surface. Which would be the most appropriate history question to ask the
patient? A) Do you wear contact lenses?
B)Have you ever had a cold sore?
C)Have you recently had an eye injury?
D)Have you recently experienced any dizziness? - CORRECT ANSWER-B) Have
you ever had a cold sore?
Ocular herpes is a viral infection of the eye that causes pain and can lead to
scarring and reduced vision. A fern-like pattern is visible under fluorescein
dye. The virus is caused by the same virus which causes oral and genital
herpes.
, A 17-year old female was diagnosed with angular cheilitis. She had treatment
failure after a course of topical antibiotics, topical steroids, moisture barrier
creams, and antifungals were prescribed. What would be the most appropriate
next step in this patient's plan of care?
A)Refer the patient to an allergist
B)Refer the patient to a dermatologist
C)Check the patient's vitamin B12 level
D)Check the patient's ferritin level - CORRECT ANSWER-C) Check the patient's
vitamin B12 level Angular cheilitis is a condition that causes red, swollen
patches in the corners of the mouth. The most common cause is a fungal
infection. Other causes are vitamin B12 deficiency and bacterial infections.
Which action is a purpose of the inflammatory process?
A)Create immunity against subsequent tissue injury
B)Provide specific responses toward antigens
C)Lyse cell membranes of microorganisms
D)Prevent infection of the injured tissue - CORRECT ANSWER-D) Prevent
infection of the injured tissue
The inflammatory response is a defense mechanism designed to remove
damaged tissue so the body can heal.
Which leukocytes are elevated in response to acute inflammatory reactions
when considering white blood cell differentials?
A)Neutrophils
