WGU D115 OA ADVANCED
PATHOPHYSIOLOGYEXAM 2025 | ACTUAL
EXAM QUESTIONS WITH DETAILED
ANSWERS WITH RATIONALES AND A
READINESS PRACTICE EXAM TEST BANK
WITH A STUDY GUIDE
Age and the admission of the Glasgow Coma Scale (GCS) are important
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diagnostic factors in TBI. Which GCS score describes a severe TBI?
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A) 13-15
B) 12-13
C) 9-12
D) 3-8 - ANSWER>>D) 3-8
L L L
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
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Which term describes recurrent, intrusive thoughts or impulses?
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A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that cause
L L L L L L L L L L
distressing emotions such as anxiety or disgust.
L L L L L L L
D) Delusions - ANSWER>>C) Obsessions L L L
Obsessions are recurrent and persistent thoughts, impulses, or images that cause
L L L L L L L L L L
distressing emotions such as anxiety or disgust.
L L L L L L L
During an intake interview with a 26-year-old man diagnosed with generalized
L L L L L L L L L L
anxiety disorder, the FNP might observe what type of behavior?
L L L L L L L L L L
A) An inflated sense of self
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B) Constant relation to future events L L L L
C) Inability to concentrate and irritability when questioned
L L L L L L
Impaired concentration and irritability are major characteristics of GAD.
L L L L L L L L
,D) Nervousness and fear of the FNP during the interview - ANSWER>>C)
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Inability to concentrate and irritability when questioned
L L L L L L
Impaired concentration and irritability are major characteristics of GAD.
L L L L L L L L
What is the most common indication for genetic counseling?
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A) maternal age L
B) drug exposure during the first trimester?L L L L L
C) Increased maternal alpha-fetoprotein L L
D) history of previous still birth - ANSWER>>A) maternal age L L L L L L L L
The largest group of women who benefit from genetic counseling are those over the
L L L L L L L L L L L L L
age of 35
L L L
The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
L L L L L L L L L L
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose of this
L L L L L L L L L L L L L L
procedure is to:
L L L
A) Assess for the possibility of twins L L L L L
B) Deterime the biliruben level L L L
C) Perform genetic studies L L
D) Assess L/S ratio - ANSWER>>C) Perform genetic studies L L L L L L L
This womans age puts her at risk for Down Syndrome
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In the most commonly seen form of Turner Syndrome, how is the X chromosome
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affected?
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A) Each cell has only one X chromosome? L L L L L L
B) Some cells have two X chromsomes, while the other cells have only one.
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C) Each cell has two X chromsomes, but part of the chromosome is missing.
L L L L L L L L L L L L
D) Each cell has an extra X chromosome - ANSWER>>A) Each cell has only one X
L L L L L L L L L L L L L L
chromsome
L
45% of persons with Turner Syndrome have monosomy X meaning there is only one
L L L L L L L L L L L L L
copy of the X chromosome in each cell.
L L L L L L L L
,The FNP is assessing a newborn who is demonstrating a high-pitched cry,
L L L L L L L L L L L
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would L L L L L L L L L L
suspect which of the following genetic conditions?
L L L L L L L
A) Down Syndrome L
B) Cri du chat L L
C) Charge syndrome L
D) Duncan disease - ANSWER>>B) Cri du chat L L L L L L
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-
L L L L L L L L L L L L
like cry, mental retardation, delayed development, distinctive facial features, small
L L L L L L L L L
head size (microcephaly), widely-spaced eyes (hypertelorism), low birth weight
L L L L L L L L L
and weak muscle tone (hypotonia) in infancy.
L L L L L L L
When explaining the types of adaptive immunity, the FNP student is aware that:
L L L L L L L L L L L L
A) Adaptive immunity is a cell-mediated immune response which is L L L L L L L L
B) Adaptive immunity is the level of immunity that all persons are born with. L L L L L L L L L L L L
C) Adaptive immunity occurs when antibodies are passed from the mother to the L L L L L L L L L L L
fetus.
L
D) Adaptive immunity occurs through immunization. - ANSWER>>A) Adaptive L L L L L L L
immunity is a cell-mediated immune response which is carried out by T cells and B
L L L L L L L L L L L L L L L
cells.
L
There are two types of adaptive immunity responses: the cell-mediated immune
L L L L L L L L L L
response, which is carried out by T cells, and the humoral immune response, which is
L L L L L L L L L L L L L L L
controlled by activated B cells and antibodies.
L L L L L L L
A woman has sustained a traumatic brain injury. She is able to follow simple commands
L L L L L L L L L L L L L L
and can manipulate objects. Which term describes this state?
L L L L L L L L L
A) Coma
B) Persistent vegetative state L L
C) Minimally conscious L
D) Locked-in syndrome - ANSWER>>C) Minimally conscious L L L L L
When responses to the environment are seen, the patient is said to be in a minimally
L L L L L L L L L L L L L L L
conscious state
L L
, The FNP would expect which symptoms in a patient with a diagnosis of schizophrenia?
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A) High energy with varying sleep patterns and non stop conversation.
L L L L L L L L L
B) Extreme and frequent mood swings with hyperactivity and difficulty
L L L L L L L L
concentrating.
L
C) Paranoia, delusions, hallucinations, and diminished self-care.
L L L L L
D) Anti-social behavior, manipulative behavior, charisma, and ability to lie
L L L L L L L L
convincingly. - ANSWER>>C) Paranoia, delusions, hallucinations, and diminished
L L L L L L L L
self-care.
L
The characteristics of schizophrenia are paranoia, delusions, tangential thoughts,
L L L L L L L L
suspiciousness, disorganized behavior, and hallucinations.
L L L L L
The FNP is seeing a 10 year old child with complaints of otalgia and muffled hearing.
L L L L L L L L L L L L L L L
The mother states the child recently recovered from an upper respiratory infection.
L L L L L L L L L L L L
The FNP suspects that this child has:
L L L L L L L
A) Acute otitis media L L
B) Acute otitis externa L L
C) Cholesteatoma
D) Chronic otitis media - ANSWER>>A) Acute otitis media
L L L L L L L
The classic presentation of otitis media is otalgia, muffled hearing, popping sensation,
L L L L L L L L L L L
and a recent history of a cold or flare up of allergic rhinitis.
L L L L L L L L L L L L L
The FNP understands that a potential complication of tonsillar infections, which is
L L L L L L L L L L L
characterized by severe sore throat, difficulty swallowing, odynophagia, trismus,
L L L L L L L L L
and a "hot potato" voice; accompanied by fever, chills and malaise is indicative of:
L L L L L L L L L L L L L L
A) Retropharyngeal abscess L
B) Epiglotitis
C) Peritonsillar cellulitis L
D) Peritonsillar abscess - ANSWER>>D) Peritonsillar abscess L L L L L
PATHOPHYSIOLOGYEXAM 2025 | ACTUAL
EXAM QUESTIONS WITH DETAILED
ANSWERS WITH RATIONALES AND A
READINESS PRACTICE EXAM TEST BANK
WITH A STUDY GUIDE
Age and the admission of the Glasgow Coma Scale (GCS) are important
L L L L L L L L L L L
diagnostic factors in TBI. Which GCS score describes a severe TBI?
L L L L L L L L L L
A) 13-15
B) 12-13
C) 9-12
D) 3-8 - ANSWER>>D) 3-8
L L L
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
L L L L L L L L L L L L L L L
Which term describes recurrent, intrusive thoughts or impulses?
L L L L L L L
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that cause
L L L L L L L L L L
distressing emotions such as anxiety or disgust.
L L L L L L L
D) Delusions - ANSWER>>C) Obsessions L L L
Obsessions are recurrent and persistent thoughts, impulses, or images that cause
L L L L L L L L L L
distressing emotions such as anxiety or disgust.
L L L L L L L
During an intake interview with a 26-year-old man diagnosed with generalized
L L L L L L L L L L
anxiety disorder, the FNP might observe what type of behavior?
L L L L L L L L L L
A) An inflated sense of self
L L L L
B) Constant relation to future events L L L L
C) Inability to concentrate and irritability when questioned
L L L L L L
Impaired concentration and irritability are major characteristics of GAD.
L L L L L L L L
,D) Nervousness and fear of the FNP during the interview - ANSWER>>C)
L L L L L L L L L L L
Inability to concentrate and irritability when questioned
L L L L L L
Impaired concentration and irritability are major characteristics of GAD.
L L L L L L L L
What is the most common indication for genetic counseling?
L L L L L L L L
A) maternal age L
B) drug exposure during the first trimester?L L L L L
C) Increased maternal alpha-fetoprotein L L
D) history of previous still birth - ANSWER>>A) maternal age L L L L L L L L
The largest group of women who benefit from genetic counseling are those over the
L L L L L L L L L L L L L
age of 35
L L L
The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
L L L L L L L L L L
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose of this
L L L L L L L L L L L L L L
procedure is to:
L L L
A) Assess for the possibility of twins L L L L L
B) Deterime the biliruben level L L L
C) Perform genetic studies L L
D) Assess L/S ratio - ANSWER>>C) Perform genetic studies L L L L L L L
This womans age puts her at risk for Down Syndrome
L L L L L L L L L L
In the most commonly seen form of Turner Syndrome, how is the X chromosome
L L L L L L L L L L L L L
affected?
L
A) Each cell has only one X chromosome? L L L L L L
B) Some cells have two X chromsomes, while the other cells have only one.
L L L L L L L L L L L L
C) Each cell has two X chromsomes, but part of the chromosome is missing.
L L L L L L L L L L L L
D) Each cell has an extra X chromosome - ANSWER>>A) Each cell has only one X
L L L L L L L L L L L L L L
chromsome
L
45% of persons with Turner Syndrome have monosomy X meaning there is only one
L L L L L L L L L L L L L
copy of the X chromosome in each cell.
L L L L L L L L
,The FNP is assessing a newborn who is demonstrating a high-pitched cry,
L L L L L L L L L L L
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would L L L L L L L L L L
suspect which of the following genetic conditions?
L L L L L L L
A) Down Syndrome L
B) Cri du chat L L
C) Charge syndrome L
D) Duncan disease - ANSWER>>B) Cri du chat L L L L L L
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-
L L L L L L L L L L L L
like cry, mental retardation, delayed development, distinctive facial features, small
L L L L L L L L L
head size (microcephaly), widely-spaced eyes (hypertelorism), low birth weight
L L L L L L L L L
and weak muscle tone (hypotonia) in infancy.
L L L L L L L
When explaining the types of adaptive immunity, the FNP student is aware that:
L L L L L L L L L L L L
A) Adaptive immunity is a cell-mediated immune response which is L L L L L L L L
B) Adaptive immunity is the level of immunity that all persons are born with. L L L L L L L L L L L L
C) Adaptive immunity occurs when antibodies are passed from the mother to the L L L L L L L L L L L
fetus.
L
D) Adaptive immunity occurs through immunization. - ANSWER>>A) Adaptive L L L L L L L
immunity is a cell-mediated immune response which is carried out by T cells and B
L L L L L L L L L L L L L L L
cells.
L
There are two types of adaptive immunity responses: the cell-mediated immune
L L L L L L L L L L
response, which is carried out by T cells, and the humoral immune response, which is
L L L L L L L L L L L L L L L
controlled by activated B cells and antibodies.
L L L L L L L
A woman has sustained a traumatic brain injury. She is able to follow simple commands
L L L L L L L L L L L L L L
and can manipulate objects. Which term describes this state?
L L L L L L L L L
A) Coma
B) Persistent vegetative state L L
C) Minimally conscious L
D) Locked-in syndrome - ANSWER>>C) Minimally conscious L L L L L
When responses to the environment are seen, the patient is said to be in a minimally
L L L L L L L L L L L L L L L
conscious state
L L
, The FNP would expect which symptoms in a patient with a diagnosis of schizophrenia?
L L L L L L L L L L L L L
A) High energy with varying sleep patterns and non stop conversation.
L L L L L L L L L
B) Extreme and frequent mood swings with hyperactivity and difficulty
L L L L L L L L
concentrating.
L
C) Paranoia, delusions, hallucinations, and diminished self-care.
L L L L L
D) Anti-social behavior, manipulative behavior, charisma, and ability to lie
L L L L L L L L
convincingly. - ANSWER>>C) Paranoia, delusions, hallucinations, and diminished
L L L L L L L L
self-care.
L
The characteristics of schizophrenia are paranoia, delusions, tangential thoughts,
L L L L L L L L
suspiciousness, disorganized behavior, and hallucinations.
L L L L L
The FNP is seeing a 10 year old child with complaints of otalgia and muffled hearing.
L L L L L L L L L L L L L L L
The mother states the child recently recovered from an upper respiratory infection.
L L L L L L L L L L L L
The FNP suspects that this child has:
L L L L L L L
A) Acute otitis media L L
B) Acute otitis externa L L
C) Cholesteatoma
D) Chronic otitis media - ANSWER>>A) Acute otitis media
L L L L L L L
The classic presentation of otitis media is otalgia, muffled hearing, popping sensation,
L L L L L L L L L L L
and a recent history of a cold or flare up of allergic rhinitis.
L L L L L L L L L L L L L
The FNP understands that a potential complication of tonsillar infections, which is
L L L L L L L L L L L
characterized by severe sore throat, difficulty swallowing, odynophagia, trismus,
L L L L L L L L L
and a "hot potato" voice; accompanied by fever, chills and malaise is indicative of:
L L L L L L L L L L L L L L
A) Retropharyngeal abscess L
B) Epiglotitis
C) Peritonsillar cellulitis L
D) Peritonsillar abscess - ANSWER>>D) Peritonsillar abscess L L L L L
