WGU D115 DISTRIBUTED FORMATIVE ASSESSMENT 2
An advanced practice registered nurse (APRN) is caring for an older adult patient
diagnosed with chronic obstructive pulmonary disease (COPD). The APRN is concerned
about the patient's increased risk for community-acquired pneumonia (CAP) and
recommends the pneumococcal vaccination.
Which etiologic microorganism will this vaccine protect against?
Streptococcus pneumoniae
Staphylococcus aureus
Klebsiella pneumoniae
Haemophilus influenzaeAn advanced practice registered nurse (APRN) is caring for an
older adult patient diagnosed with chronic obstructive pulmonary disease (COPD). The
APRN is concerned about the patient's increased risk for community-acquired
pneumonia (CAP) and recommends the pneumococcal vaccination.
Which etiologic microorganism will this vaccine protect against?
Streptococcus pneumoniae
Staphylococcus aureus
Klebsiella pneumoniae
Haemophilus influenzae - Answers - The pneumococcal vaccination protects against
Streptococcus pneumoniae, which is a community-acquired pneumonia.
A patient presents to a hospital complaining of coughing, dyspnea, fatigue, weight loss,
chills, and fever. The patient has been working as a painter for 25 years. An advanced
practice registered nurse (APRN) performs several diagnostic tests, which reveal a
diagnosis of hypersensitivity pneumonitis.
Which statement describes the mechanism of this condition?
Emphysematous destruction of the alveoli may develop distal to the inflammatory lesion
Inflammation of the bronchial mucosa and hyperresponsiveness of the airways
Autoimmune reaction initiated by alveolar macrophages and IgG antibody production
Destruction of alveoli through the breakdown of elastin within the septa - Answers -
Hypersensitivity pneumonitis is an autoimmune reaction initiated by alveolar
macrophages and IgG antibody production. Symptoms include cough, dyspnea, fatigue,
weight loss, chills, and fever.
A patient of child-bearing age reports not being recently sexually active but is
complaining of lactating without breast pain or bleeding. A serum pregnancy test
performed by an advanced practice registered nurse (APRN) was negative. The patient
is concerned about the possibility of breast cancer.
Which problem should the APRN suspect?
Cancer due to previous contraceptive use
Galactorrhea due to a hormone imbalance
Mastitis due to an infection
Pregnancy due to the preliminary test being incorrect - Answers - Complaints of
lactation with a negative blood pregnancy test is generally due to galactorrhea.
Galactorrhea often results from having too much prolactin—the hormone responsible for
An advanced practice registered nurse (APRN) is caring for an older adult patient
diagnosed with chronic obstructive pulmonary disease (COPD). The APRN is concerned
about the patient's increased risk for community-acquired pneumonia (CAP) and
recommends the pneumococcal vaccination.
Which etiologic microorganism will this vaccine protect against?
Streptococcus pneumoniae
Staphylococcus aureus
Klebsiella pneumoniae
Haemophilus influenzaeAn advanced practice registered nurse (APRN) is caring for an
older adult patient diagnosed with chronic obstructive pulmonary disease (COPD). The
APRN is concerned about the patient's increased risk for community-acquired
pneumonia (CAP) and recommends the pneumococcal vaccination.
Which etiologic microorganism will this vaccine protect against?
Streptococcus pneumoniae
Staphylococcus aureus
Klebsiella pneumoniae
Haemophilus influenzae - Answers - The pneumococcal vaccination protects against
Streptococcus pneumoniae, which is a community-acquired pneumonia.
A patient presents to a hospital complaining of coughing, dyspnea, fatigue, weight loss,
chills, and fever. The patient has been working as a painter for 25 years. An advanced
practice registered nurse (APRN) performs several diagnostic tests, which reveal a
diagnosis of hypersensitivity pneumonitis.
Which statement describes the mechanism of this condition?
Emphysematous destruction of the alveoli may develop distal to the inflammatory lesion
Inflammation of the bronchial mucosa and hyperresponsiveness of the airways
Autoimmune reaction initiated by alveolar macrophages and IgG antibody production
Destruction of alveoli through the breakdown of elastin within the septa - Answers -
Hypersensitivity pneumonitis is an autoimmune reaction initiated by alveolar
macrophages and IgG antibody production. Symptoms include cough, dyspnea, fatigue,
weight loss, chills, and fever.
A patient of child-bearing age reports not being recently sexually active but is
complaining of lactating without breast pain or bleeding. A serum pregnancy test
performed by an advanced practice registered nurse (APRN) was negative. The patient
is concerned about the possibility of breast cancer.
Which problem should the APRN suspect?
Cancer due to previous contraceptive use
Galactorrhea due to a hormone imbalance
Mastitis due to an infection
Pregnancy due to the preliminary test being incorrect - Answers - Complaints of
lactation with a negative blood pregnancy test is generally due to galactorrhea.
Galactorrhea often results from having too much prolactin—the hormone responsible for
