Comprehensive Exam for WGU D115 2024/2025 With 60 Questions and Verified Rationalized Answers Already Graded A+

Comprehensive Exam for WGU D115 2024/2025
With 60 Questions and Verified Rationalized Answers
Already Graded A+



1. A child with Down's syndrome has had frequent respiratory tract infections since birt
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h. What should the APRN tell the parent is the underlying cause of this illness?: Gastro
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esophageal reflux disease causes aspiration of thin fluids. Feedback: Gastroesophageal ref
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lux is commonly seen in children with Down syn-
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e drome and can be severe enough to result in aspiration of stomach contents, causing respirat
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ory symptoms such as persistent coughing, wheezing, and pneumonia
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2. The FNP understands that a female patient with a complete or partial ab-
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e sence of the second sex chromosome may also display which of the following physical
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signs?: Ovarian failure e e



Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is diagnosed b
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e complete or partial absence of the second sex chromosome (45, X). Patients may also dem
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onstrate congenital lymphedema of hands and feet, webbed neck, high-
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arched palate, and short fourth metacarpal. Short stature, Ovarian failure, cardiovascular and
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enal issues, ear malformations, and other health problems, as well as amenorrhea due to p
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emature ovarian failure e e



3. An example of a disease that is caused by a chromosomal deletion is cri du chat synd
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rome. Children affected with this disorder commonly display which of the following sy
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mptoms?: Symptoms associated with cri du chat include low birth weight, severe intellect
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,ual disability, microcephaly, and heart defects.
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4. What type of immunity is the body's 3rd line of defense and includes the primary
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characteristics of specificity and memory.: Adaptive e e e e e



Feedback: The third line of defense in the human body is adaptive (acquired) immunity.
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5. The local manifestations of inflammation result from vascular changes and the circul
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ation of associated components into the tissue.The 4 cardinal signs of inflammation inc
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lude all of the following:: Swelling, pain, heat, and redness are the cardinal signs of inflam
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mation.
6. Patients with trisomy of the 21st chromosome are also predisposed to which of t
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he following diseases, which is also affected by alterations in the 21st chromosome
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?: Alzheimer Disease
e e



7. Which assessment findings are typically associated with a diagnosis of systemic lu
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pus erythematous?: Joint pain, malar rash, and photosensitivity Feedback: The symptoms
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most often experiences with SLE are arthritis, arthralgias, fatigue, Reynaud phenomenon, ch
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ronic low- e



grade fever, sun sensitivity, hair loss, weakness, malar facial rash, and weight loss.
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8. The FNP understands the the most common form of facial paralysis is bells palsy. Thi
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s disorder primarily affects which cranial nerve?: Bell palsy may be caused by reactivati
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on of herpesviruses in cranial nerve VII
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, 9. A patient presents with symptoms of fever, tachycardia, chills, throbbing headache,
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e severe photophobia, and nuchal rigidity. Based on the presumed diagnosis, the FNP un
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derstands that the following symptoms may also occur in response to irritation and infl
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ammation of the cranial nerves:: deafness, tinnitus, and vertigo
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Feedback: These symptoms can occur due to damage to cranial nerve VIII.
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10. The clinical manifestations of myasthenia gravis include diplopia, ptosis, ocular pa
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lsies, facial droop, and difficulty swallowing and chewing.The symp-
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e toms are a direct result of a defect in nerve impulse transmission at the neuromuscul
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ar junction. These symptoms usually have an insidious onset and can commonly occur
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e during which significant life event?: Pregnancy
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11. When prescribing an antibiotic to treat acute otitis media, the FNP is aware that ther
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e are 4 common bacteria that cause AOM. Which of the following is not a common cau
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se?: Streptococcus pyogenes -
e e e



e The most common pathogens are Haemophilus influenzae, Moraxella catarrhalis, Streptoc
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occus pneumonia, and Staphylococcus aureus.
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12. During an intake interview with a 26-year-old patient diagnosed with gener-
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e alized anxiety disorder, the FNP might observe what type of behavior?: Inability to concen
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trate and irritability when questioned
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13. When assessing a patient who has a diagnosis of major depressive disor-
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e der, which would be considered a cognitive symptom of depression?: Cogni-
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e tive deficits associated with depression include deficits in problem solving, decision making
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, and impaired judgment, memory loss, and lack of concentration.
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14. The FNP would expect which symptoms in a patient with a diagnosis of schizophre
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nia?: Paranoia, delusions, hallucinations, and diminished self-
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