WGU D115 comprehensive questions with verified
answers
A 68-year-old female with heart failure presents with tachycardia, S3 heart sound,
and basilar crackles bilaterally. blood pressure is 90/68, BUN is 58 mg/dL,
creatinine is 2.4 mg/dL. This clinical presentation is most consistent with:
Ans✓✓✓ prerenal azotemia
Feedback: Prerenal azotemia refers to elevations in BUN and creatinine levels
resulting from problems in the systemic circulation that decrease flow to the
kidneys.
A 78-year-old man presents with fatigue and difficulty with bladder emptying.
Examination reveals a distended bladder but is otherwise unremarkable. The BUN
is 88mg/dL; the creatinine is 2.8 mg/dL. This clinical assessment is most consistent
with: Ans✓✓✓ postrenal azotemia
Feedback: Postrenal azotemia refers to elevations in BUN and creatinine levels
resulting from obstruction in the collecting system
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
Ans✓✓✓ Minimally conscious
A young adult female patient presents to the clinic with complaints of
nervousness, tremulousness, palpitations, heat intolerance, fatigue, weight loss,
and polyphagia. After a complete history and physical, along with thyroid function
tests, the FNP makes the diagnosis of hyperthyroidism, recognizing that the most
common cause of this condition is: Ans✓✓✓ Graves' disease
, An adult patient with pernicious anemia may present with which signs and
symptoms? Ans✓✓✓ Peripheral neuropathy, ataxia, lethargy, and fatigue
(Vitamin B12 deficiency?)
An older adult is diagnosed with renal failure. Lipid panel is noted to be within
normal limits, as is the patient's glycosylated hemoglobin. Which one of the
following is most likely the cause of his renal failure? Ans✓✓✓ Advanced
prostatic hypertrophy with hematuria
An older adult patient has a diagnosis of left-sided heart failure. The FNP would
identify what common condition associated with heart failure? Ans✓✓✓
Untreated hypertension
An older adult patient is diagnosed with leukemia and has constitutional
symptoms of night sweats, unintentional weight loss, and fatigue with painless
lymphadenopathy. What type of leukemia does this patient have? Ans✓✓✓
Chronic lymphocytic leukemia
An older adult who has acute myelogenous leukemia is undergoing cytotoxic
chemotherapy treatment and has the following laboratory reports: elevated
serum uric acid, serum potassium, and serum phosphate and a low serum calcium
level. The WBC count is extremely elevated, and on physical exam, there is noted
lymphadenopathy and splenomegaly. What is the most likely cause? Ans✓✓✓
Tumor lysis syndrome
Changes to the joint during osteoarthritis can typically include all of the following
except:
widening of the joint space Ans✓✓✓ wearing of articular cartilage
formation of bone spurs
answers
A 68-year-old female with heart failure presents with tachycardia, S3 heart sound,
and basilar crackles bilaterally. blood pressure is 90/68, BUN is 58 mg/dL,
creatinine is 2.4 mg/dL. This clinical presentation is most consistent with:
Ans✓✓✓ prerenal azotemia
Feedback: Prerenal azotemia refers to elevations in BUN and creatinine levels
resulting from problems in the systemic circulation that decrease flow to the
kidneys.
A 78-year-old man presents with fatigue and difficulty with bladder emptying.
Examination reveals a distended bladder but is otherwise unremarkable. The BUN
is 88mg/dL; the creatinine is 2.8 mg/dL. This clinical assessment is most consistent
with: Ans✓✓✓ postrenal azotemia
Feedback: Postrenal azotemia refers to elevations in BUN and creatinine levels
resulting from obstruction in the collecting system
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
Ans✓✓✓ Minimally conscious
A young adult female patient presents to the clinic with complaints of
nervousness, tremulousness, palpitations, heat intolerance, fatigue, weight loss,
and polyphagia. After a complete history and physical, along with thyroid function
tests, the FNP makes the diagnosis of hyperthyroidism, recognizing that the most
common cause of this condition is: Ans✓✓✓ Graves' disease
, An adult patient with pernicious anemia may present with which signs and
symptoms? Ans✓✓✓ Peripheral neuropathy, ataxia, lethargy, and fatigue
(Vitamin B12 deficiency?)
An older adult is diagnosed with renal failure. Lipid panel is noted to be within
normal limits, as is the patient's glycosylated hemoglobin. Which one of the
following is most likely the cause of his renal failure? Ans✓✓✓ Advanced
prostatic hypertrophy with hematuria
An older adult patient has a diagnosis of left-sided heart failure. The FNP would
identify what common condition associated with heart failure? Ans✓✓✓
Untreated hypertension
An older adult patient is diagnosed with leukemia and has constitutional
symptoms of night sweats, unintentional weight loss, and fatigue with painless
lymphadenopathy. What type of leukemia does this patient have? Ans✓✓✓
Chronic lymphocytic leukemia
An older adult who has acute myelogenous leukemia is undergoing cytotoxic
chemotherapy treatment and has the following laboratory reports: elevated
serum uric acid, serum potassium, and serum phosphate and a low serum calcium
level. The WBC count is extremely elevated, and on physical exam, there is noted
lymphadenopathy and splenomegaly. What is the most likely cause? Ans✓✓✓
Tumor lysis syndrome
Changes to the joint during osteoarthritis can typically include all of the following
except:
widening of the joint space Ans✓✓✓ wearing of articular cartilage
formation of bone spurs
