WGU D115 OA AND PRE-OA EXAM 2026 | ACTUAL EXAM
QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A
READINESS PRACTICE EXAM TEST BANK WITH A STUDY GUIDE |
LATEST UPDATED AND VERIFIED FOR GUARANTEED PASS
An advanced practice registered nurse (APRN) is consulting with a teen patient who has recently
learned that she is pregnant. The APRN knows that a certain medication taken by the patient can
contribute to the development of congenital malformations in the fetus. The APRN reviews the
patient's current medication list and finds one medication that is a concern.
Which medication is the APRN concerned about? - CORRECT ANSWER -Retinoic acid
A newborn's screening for cystic fibrosis is positive. An advanced practice registered nurse
(APRN) is reviewing screening results and taking a comprehensive genetic screening of the
parents. The APRN asks the parents questions to help determine the transmission of this disease.
Which question should the APRN ask? - CORRECT ANSWER -"Are you both the genetic donor
parents?"
A 30-day-old infant presents to the emergency room with decreased oral intake, decreased urine
output, and a fever of 101.8. The infant is admitted for further evaluation with a workup to
include a blood culture, a urine culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern? - CORRECT ANSWER
-Relative deficiency of factor B
A 12-year-old African American patient presents with unilateral eye swelling and lower lip
swelling. The patient's parent reports that the swelling is spontaneous and resolves over several
days. The patient does not have complaints of fever, hives, or vomiting. Serum lab results show
hyperactivation of three plasma protein systems. The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation? - CORRECT ANSWER -C1
esterase inhibitor
, The parent of a child diagnosed with Down syndrome expresses concerns about the child's
recurrent respiratory tract infections to an advanced practice registered nurse (APRN). The
infections have occurred regularly since birth.
What should the APRN tell the parent is the underlying cause of this illness? - CORRECT
ANSWER -Gastroesophageal reflux disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered nurse (APRN) in a
primary care clinic for the first time. The patient reports feeling depressed due to a major life
change. Additional symptoms include weight gain, sedentary activity, and insomnia. The APRN
plans on providing the patient with several exercises to reduce the physiological effect of stress.
Why is the APRN concerned about relieving this emotional response? - CORRECT ANSWER -
It decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine medical appointment. The
patient has moderate chronic obstructive pulmonary disease (COPD) and is concerned about
developing pneumonia because of its increased incidence at the senior center.
What should the nurse practitioner recommend for this patient? - CORRECT ANSWER -Getting
an annual influenza vaccine
An advanced practice nurse (APRN) is working with a patient who is choosing to undergo breast
removal due to family history of breast cancer. The patient's genetic testing revealed an abnormal
BRCA1. The patient shares with the APRN that she is relieved that she will not need to worry
about cancer once the breast tissue is removed. The APRN proceeds to educate the patient about
additional risks.
Which other type of cancer is the patient at risk for developing? - CORRECT ANSWER -
Ovarian
A patient presents to the hospital complaining of blurred vision, muscle weaknesses, impaired
gait, and fatigue lasting more than 24 hours. The patient has a history of smoking and vitamin D
deficiency. Extensive diagnostic testing and a comprehensive neurological assessment reveals a
diagnosis of multiple sclerosis.
Which pathological mechanism will support this diagnosis? - CORRECT ANSWER -A loss of
myelin sheaths, causing a disruption of nerve conduction
QUESTIONS WITH DETAILED ANSWERS WITH RATIONALES AND A
READINESS PRACTICE EXAM TEST BANK WITH A STUDY GUIDE |
LATEST UPDATED AND VERIFIED FOR GUARANTEED PASS
An advanced practice registered nurse (APRN) is consulting with a teen patient who has recently
learned that she is pregnant. The APRN knows that a certain medication taken by the patient can
contribute to the development of congenital malformations in the fetus. The APRN reviews the
patient's current medication list and finds one medication that is a concern.
Which medication is the APRN concerned about? - CORRECT ANSWER -Retinoic acid
A newborn's screening for cystic fibrosis is positive. An advanced practice registered nurse
(APRN) is reviewing screening results and taking a comprehensive genetic screening of the
parents. The APRN asks the parents questions to help determine the transmission of this disease.
Which question should the APRN ask? - CORRECT ANSWER -"Are you both the genetic donor
parents?"
A 30-day-old infant presents to the emergency room with decreased oral intake, decreased urine
output, and a fever of 101.8. The infant is admitted for further evaluation with a workup to
include a blood culture, a urine culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern? - CORRECT ANSWER
-Relative deficiency of factor B
A 12-year-old African American patient presents with unilateral eye swelling and lower lip
swelling. The patient's parent reports that the swelling is spontaneous and resolves over several
days. The patient does not have complaints of fever, hives, or vomiting. Serum lab results show
hyperactivation of three plasma protein systems. The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation? - CORRECT ANSWER -C1
esterase inhibitor
, The parent of a child diagnosed with Down syndrome expresses concerns about the child's
recurrent respiratory tract infections to an advanced practice registered nurse (APRN). The
infections have occurred regularly since birth.
What should the APRN tell the parent is the underlying cause of this illness? - CORRECT
ANSWER -Gastroesophageal reflux disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered nurse (APRN) in a
primary care clinic for the first time. The patient reports feeling depressed due to a major life
change. Additional symptoms include weight gain, sedentary activity, and insomnia. The APRN
plans on providing the patient with several exercises to reduce the physiological effect of stress.
Why is the APRN concerned about relieving this emotional response? - CORRECT ANSWER -
It decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine medical appointment. The
patient has moderate chronic obstructive pulmonary disease (COPD) and is concerned about
developing pneumonia because of its increased incidence at the senior center.
What should the nurse practitioner recommend for this patient? - CORRECT ANSWER -Getting
an annual influenza vaccine
An advanced practice nurse (APRN) is working with a patient who is choosing to undergo breast
removal due to family history of breast cancer. The patient's genetic testing revealed an abnormal
BRCA1. The patient shares with the APRN that she is relieved that she will not need to worry
about cancer once the breast tissue is removed. The APRN proceeds to educate the patient about
additional risks.
Which other type of cancer is the patient at risk for developing? - CORRECT ANSWER -
Ovarian
A patient presents to the hospital complaining of blurred vision, muscle weaknesses, impaired
gait, and fatigue lasting more than 24 hours. The patient has a history of smoking and vitamin D
deficiency. Extensive diagnostic testing and a comprehensive neurological assessment reveals a
diagnosis of multiple sclerosis.
Which pathological mechanism will support this diagnosis? - CORRECT ANSWER -A loss of
myelin sheaths, causing a disruption of nerve conduction
