WGU D115 OA / WGU D115 OA PREP TEST
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES/ WGU D115 ADVANCED
PATHOPHYSIOLOGY OA PREP(NEW!)
Question 1
A 12-year-old African American patient presents with unilateral eye swelling and
lower lip swelling. The patient's parent reports that the swelling is spontaneous and
resolves over several days. The patient does not have complaints of fever, hives, or
vomiting. Serum lab results show hyperactivation of three plasma protein systems.
The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation?
Correct Answer
C1 esterase inhibitor
Question 2
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition?
Correct Answer
Antimicrobials and chest tube
Page 1 of 18
,Question 3
A patient is seeing an advanced practice registered nurse (APRN) in an occupational
health setting. The patient has been referred by employee assistance for reckless and
self-destructive behaviors and a violent incident at work regarding a fellow employee.
The APRN suspects post-traumatic stress disorder (PTSD).
Which diagnostic cluster of PTSD is the patient exhibiting?
Correct Answer
Arousal
Question 4
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.
What is the estimated total body surface area that will be assigned by the APRN?
Correct Answer
28%
Question 5
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis?
Correct Answer
Increased heart rate
Question 6
A newborn's screening for cystic fibrosis is positive. An advanced practice registered
nurse (APRN) is reviewing screening results and taking a comprehensive genetic
screening of the parents. The APRN asks the parents questions to help determine the
transmission of this disease.
Which question should the APRN ask?
Correct Answer
"Are you both the genetic donor parents?"
Page 2 of 18
, Question 7
An advanced practice registered nurse (APRN) is consulting with a teen patient who
has recently learned that she is pregnant. The APRN knows that a certain medication
taken by the patient can contribute to the development of congenital malformations
in the fetus. The APRN reviews the patient's current medication list and finds one
medication that is a concern.
Which medication is the APRN concerned about?
Correct Answer
Retinoic acid
Question 8
An older adult patient presents to a clinic with complaints of penile pain and
discomfort when attempting to urinate and states the problem began the morning
after a home health aide assisted him with cleansing the genital area. An advanced
practice registered nurse (APRN) assesses an uncircumcised glans penis, which is
reddened and edematous with the foreskin behind the corona.
Which condition should the APRN suspect from these findings?
Correct Answer
Paraphimosis
Question 9
A patient is discussing symptoms of fibromyalgia with an advanced practice
registered nurse (APRN) and is worried about the effect of the condition on life. The
APRN suggests treatment to help control symptoms.
Which treatment should be recommended to this patient?
Correct Answer
Antidepressants and acupuncture
Page 3 of 18
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES/ WGU D115 ADVANCED
PATHOPHYSIOLOGY OA PREP(NEW!)
Question 1
A 12-year-old African American patient presents with unilateral eye swelling and
lower lip swelling. The patient's parent reports that the swelling is spontaneous and
resolves over several days. The patient does not have complaints of fever, hives, or
vomiting. Serum lab results show hyperactivation of three plasma protein systems.
The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation?
Correct Answer
C1 esterase inhibitor
Question 2
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition?
Correct Answer
Antimicrobials and chest tube
Page 1 of 18
,Question 3
A patient is seeing an advanced practice registered nurse (APRN) in an occupational
health setting. The patient has been referred by employee assistance for reckless and
self-destructive behaviors and a violent incident at work regarding a fellow employee.
The APRN suspects post-traumatic stress disorder (PTSD).
Which diagnostic cluster of PTSD is the patient exhibiting?
Correct Answer
Arousal
Question 4
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.
What is the estimated total body surface area that will be assigned by the APRN?
Correct Answer
28%
Question 5
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis?
Correct Answer
Increased heart rate
Question 6
A newborn's screening for cystic fibrosis is positive. An advanced practice registered
nurse (APRN) is reviewing screening results and taking a comprehensive genetic
screening of the parents. The APRN asks the parents questions to help determine the
transmission of this disease.
Which question should the APRN ask?
Correct Answer
"Are you both the genetic donor parents?"
Page 2 of 18
, Question 7
An advanced practice registered nurse (APRN) is consulting with a teen patient who
has recently learned that she is pregnant. The APRN knows that a certain medication
taken by the patient can contribute to the development of congenital malformations
in the fetus. The APRN reviews the patient's current medication list and finds one
medication that is a concern.
Which medication is the APRN concerned about?
Correct Answer
Retinoic acid
Question 8
An older adult patient presents to a clinic with complaints of penile pain and
discomfort when attempting to urinate and states the problem began the morning
after a home health aide assisted him with cleansing the genital area. An advanced
practice registered nurse (APRN) assesses an uncircumcised glans penis, which is
reddened and edematous with the foreskin behind the corona.
Which condition should the APRN suspect from these findings?
Correct Answer
Paraphimosis
Question 9
A patient is discussing symptoms of fibromyalgia with an advanced practice
registered nurse (APRN) and is worried about the effect of the condition on life. The
APRN suggests treatment to help control symptoms.
Which treatment should be recommended to this patient?
Correct Answer
Antidepressants and acupuncture
Page 3 of 18
