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WGU D 115 - OA READINESS QUESTIONS
AND ANSWERS 2025
What is the most common indication for genetic counseling?
A) maternal age
B) drug exposure during the first trimester?
C) Increased maternal alpha-fetoprotein
D) history of previous still birth - correct answer- A) maternal
age
The largest group of women who benefit from genetic
counseling are those over the age of 35
The FNP schedules a 38-year-old primigravida (first time
pregnancy) for an amniocentesis at 16 weeks gestation. The
FNP would explain that the purpose of this procedure is to:
A) Assess for the possibility of twins
B) Deterime the biliruben level
C) Perform genetic studies
D) Assess L/S ratio - correct answer- C) Perform genetic
studies
This womans age puts her at risk for Down Syndrome
In the most commonly seen form of Turner Syndrome, how is
the X chromosome affected?
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A) Each cell has only one X chromosome?
B) Some cells have two X chromsomes, while the other cells
have only one.
C) Each cell has two X chromsomes, but part of the
chromosome is missing.
D) Each cell has an extra X chromosome - correct answer- A)
Each cell has only one X chromsome
45% of persons with Turner Syndrome have monosomy X
meaning there is only one copy of the X chromosome in each
cell.
The FNP is assessing a newborn who is demonstrating a high-
pitched cry, microcephaly, hypertelorism, hypotonia, and a low
birth weight. The FNP would suspect which of the following
genetic conditions?
A) Down Syndrome
B) Cri du chat
C) Charge syndrome
D) Duncan disease - correct answer- B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a
high-pitched cat-like cry, mental retardation, delayed
development, distinctive facial features, small head size
(microcephaly), widely-spaced eyes (hypertelorism), low birth
weight and weak muscle tone (hypotonia) in infancy.
When explaining the types of adaptive immunity, the FNP
student is aware that:
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A) Adaptive immunity is a cell-mediated immune response
which is
B) Adaptive immunity is the level of immunity that all persons
are born with.
C) Adaptive immunity occurs when antibodies are passed from
the mother to the fetus.
D) Adaptive immunity occurs through immunization. - correct
answer- A) Adaptive immunity is a cell-mediated immune
response which is carried out by T cells and B cells.
There are two types of adaptive immunity responses: the cell-
mediated immune response, which is carried out by T cells, and
the humoral immune response, which is controlled by activated
B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to
follow simple commands and can manipulate objects. Which
term describes this state?
A) Coma
B) Persistent vegetative state
C) Minimally conscious
D) Locked-in syndrome - correct answer- C) Minimally
conscious
When responses to the environment are seen, the patient is
said to be in a minimally conscious state
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Age and the admission of the Glasgow Coma Scale (GCS) are
important diagnostic factors in TBI. Which GCS score describes
a severe TBI?
A) 13-15
B) 12-13
C) 9-12
D) 3-8 - correct answer- D) 3-8
The GCS is scored between 3 and 15, 3 being the worst and 15
the best.
Which term describes recurrent, intrusive thoughts or
impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or
disgust.
D) Delusions - correct answer- C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or
disgust.
During an intake interview with a 26-year-old man diagnosed
with generalized anxiety disorder, the FNP might observe what
type of behavior?
WGU D 115 - OA READINESS QUESTIONS
AND ANSWERS 2025
What is the most common indication for genetic counseling?
A) maternal age
B) drug exposure during the first trimester?
C) Increased maternal alpha-fetoprotein
D) history of previous still birth - correct answer- A) maternal
age
The largest group of women who benefit from genetic
counseling are those over the age of 35
The FNP schedules a 38-year-old primigravida (first time
pregnancy) for an amniocentesis at 16 weeks gestation. The
FNP would explain that the purpose of this procedure is to:
A) Assess for the possibility of twins
B) Deterime the biliruben level
C) Perform genetic studies
D) Assess L/S ratio - correct answer- C) Perform genetic
studies
This womans age puts her at risk for Down Syndrome
In the most commonly seen form of Turner Syndrome, how is
the X chromosome affected?
,2 | Page
A) Each cell has only one X chromosome?
B) Some cells have two X chromsomes, while the other cells
have only one.
C) Each cell has two X chromsomes, but part of the
chromosome is missing.
D) Each cell has an extra X chromosome - correct answer- A)
Each cell has only one X chromsome
45% of persons with Turner Syndrome have monosomy X
meaning there is only one copy of the X chromosome in each
cell.
The FNP is assessing a newborn who is demonstrating a high-
pitched cry, microcephaly, hypertelorism, hypotonia, and a low
birth weight. The FNP would suspect which of the following
genetic conditions?
A) Down Syndrome
B) Cri du chat
C) Charge syndrome
D) Duncan disease - correct answer- B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a
high-pitched cat-like cry, mental retardation, delayed
development, distinctive facial features, small head size
(microcephaly), widely-spaced eyes (hypertelorism), low birth
weight and weak muscle tone (hypotonia) in infancy.
When explaining the types of adaptive immunity, the FNP
student is aware that:
,3 | Page
A) Adaptive immunity is a cell-mediated immune response
which is
B) Adaptive immunity is the level of immunity that all persons
are born with.
C) Adaptive immunity occurs when antibodies are passed from
the mother to the fetus.
D) Adaptive immunity occurs through immunization. - correct
answer- A) Adaptive immunity is a cell-mediated immune
response which is carried out by T cells and B cells.
There are two types of adaptive immunity responses: the cell-
mediated immune response, which is carried out by T cells, and
the humoral immune response, which is controlled by activated
B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to
follow simple commands and can manipulate objects. Which
term describes this state?
A) Coma
B) Persistent vegetative state
C) Minimally conscious
D) Locked-in syndrome - correct answer- C) Minimally
conscious
When responses to the environment are seen, the patient is
said to be in a minimally conscious state
, 4 | Page
Age and the admission of the Glasgow Coma Scale (GCS) are
important diagnostic factors in TBI. Which GCS score describes
a severe TBI?
A) 13-15
B) 12-13
C) 9-12
D) 3-8 - correct answer- D) 3-8
The GCS is scored between 3 and 15, 3 being the worst and 15
the best.
Which term describes recurrent, intrusive thoughts or
impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or
disgust.
D) Delusions - correct answer- C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or
disgust.
During an intake interview with a 26-year-old man diagnosed
with generalized anxiety disorder, the FNP might observe what
type of behavior?
