WGU D115 OA AND PRE -ASSESSMENT LATEST 2026/2027
TEST BANK| WGU D115 ADVANCED PATHOPHYSIOLOGY
OA & PA TEST BANK (BRAND NEW!!)
An advanced practice registered nurse (APRN) is working with patients at an
eating disorder clinic. One patient is a 64-year-old woman with a long history of
anorexia nervosa.
Which health promotion intervention is appropriate for this patient due to
complications of her disease process?
Encouraging high-impact aerobic exercise
Recommending daily calcium and vitamin D supplements
Prescribing a cholesterol-lowering medication
Ordering a screening colonoscopy and antidiarrheal medication - SELECTED
ANSWER 👀**** Recommending daily calcium and vitamin D supplements
This patient is at high risk of osteoporosis and stress fractures due to the extensive history
of anorexia nervosa. The body changes its hormone production in response to low body
weight, which negatively affects bone growth and strength.
A young adult patient and the patient's spouse are meeting with an advanced
practice registered nurse (APRN) for a fertility consultation. The patient informs
the nurse practitioner that the couple culturally identifies as African American,
and the APRN recommends that the couple consult a genetic counselor for a
preconception consultation.
Which health topic is important for this patient to review based on prevalence of
disease?
Stomach cancer
,Cystic fibrosis
Sickle cell anemia
Huntington disease - SELECTED ANSWER 👀**** Sickle cell anemia
Sickle cell disease has an increased prevalence in African Americans (1 in 600).
A patient with a basal metabolic index (BMI) of 29 is seen by an advanced
practice registered nurse (APRN) to discuss routine health maintenance. The
patient reports a strong family history of colorectal cancer and has mild
hypertension and normal cholesterol.
Which primary recommendation should the APRN make to decrease the risk
associated with this patient's family history?
Multiple vitamin with iron daily
Exercise of one hour daily
Low-fat dietary intake daily
Two glasses of red wine daily - SELECTED ANSWER 👀**** Low-fat dietary
intake daily
A high-fat diet raises the risk of colorectal cancer. It would be important for this patient who
has a familial risk (nonmodifiable) for colorectal cancer to decrease as many modifiable
risks possible.
A patient undergoes surgical consultation for the removal of scar tissue related
to facial trauma that resulted in keloid formation.
Which phase of wound healing is represented in this patient?
Inflammatory
Remodeling
, Dehiscence
Reconstruction - SELECTED ANSWER 👀**** Reconstruction
Keloid formation occurs during reconstruction and is a dysfunctional collagen
synthesis, which may involve excessive production of collagen, causing surface
overhealing and leading to a hypertrophic scar or keloid. A hypertrophic scar is
raised but remains within the original boundaries of the wound and tends to
regress over time. A keloid is a raised scar that extends beyond the original
boundaries of the wound, invades surrounding tissue, and is likely to recur after
surgical removal.
An advanced practice registered nurse (APRN) is consulting with a new mother
during a scheduled well-child visit. The mother informs the APRN that her father-
in-law has been diagnosed with Huntington disease. The mother asks if her
husband and her male child will also have the disease. The APRN is aware that
the disease is autosomal dominant and age dependent and suggests genetic
testing for the mother, husband, and child.
Which additional information should the APRN provide for this type of genetic
transmission?
Both parents must carry the autosomal dominant gene for the child to develop
the condition.
Men are more likely to exhibit autosomal dominant diseases than women.
Autosomal dominant diseases usually have a 50% recurrence risk.
Autosomal dominant diseases typically skip generations. - SELECTED
ANSWER 👀**** Autosomal dominant diseases usually have a 50% recurrence
risk.
Autosomal dominant is a pattern of inheritance in which an affected individual has one copy of a mutant
gene (one parent) and one normal gene on a pair of autosomal chromosomes. Autosomal recessive
diseases require that the individual have two copies of the mutant gene. Individuals with autosomal
TEST BANK| WGU D115 ADVANCED PATHOPHYSIOLOGY
OA & PA TEST BANK (BRAND NEW!!)
An advanced practice registered nurse (APRN) is working with patients at an
eating disorder clinic. One patient is a 64-year-old woman with a long history of
anorexia nervosa.
Which health promotion intervention is appropriate for this patient due to
complications of her disease process?
Encouraging high-impact aerobic exercise
Recommending daily calcium and vitamin D supplements
Prescribing a cholesterol-lowering medication
Ordering a screening colonoscopy and antidiarrheal medication - SELECTED
ANSWER 👀**** Recommending daily calcium and vitamin D supplements
This patient is at high risk of osteoporosis and stress fractures due to the extensive history
of anorexia nervosa. The body changes its hormone production in response to low body
weight, which negatively affects bone growth and strength.
A young adult patient and the patient's spouse are meeting with an advanced
practice registered nurse (APRN) for a fertility consultation. The patient informs
the nurse practitioner that the couple culturally identifies as African American,
and the APRN recommends that the couple consult a genetic counselor for a
preconception consultation.
Which health topic is important for this patient to review based on prevalence of
disease?
Stomach cancer
,Cystic fibrosis
Sickle cell anemia
Huntington disease - SELECTED ANSWER 👀**** Sickle cell anemia
Sickle cell disease has an increased prevalence in African Americans (1 in 600).
A patient with a basal metabolic index (BMI) of 29 is seen by an advanced
practice registered nurse (APRN) to discuss routine health maintenance. The
patient reports a strong family history of colorectal cancer and has mild
hypertension and normal cholesterol.
Which primary recommendation should the APRN make to decrease the risk
associated with this patient's family history?
Multiple vitamin with iron daily
Exercise of one hour daily
Low-fat dietary intake daily
Two glasses of red wine daily - SELECTED ANSWER 👀**** Low-fat dietary
intake daily
A high-fat diet raises the risk of colorectal cancer. It would be important for this patient who
has a familial risk (nonmodifiable) for colorectal cancer to decrease as many modifiable
risks possible.
A patient undergoes surgical consultation for the removal of scar tissue related
to facial trauma that resulted in keloid formation.
Which phase of wound healing is represented in this patient?
Inflammatory
Remodeling
, Dehiscence
Reconstruction - SELECTED ANSWER 👀**** Reconstruction
Keloid formation occurs during reconstruction and is a dysfunctional collagen
synthesis, which may involve excessive production of collagen, causing surface
overhealing and leading to a hypertrophic scar or keloid. A hypertrophic scar is
raised but remains within the original boundaries of the wound and tends to
regress over time. A keloid is a raised scar that extends beyond the original
boundaries of the wound, invades surrounding tissue, and is likely to recur after
surgical removal.
An advanced practice registered nurse (APRN) is consulting with a new mother
during a scheduled well-child visit. The mother informs the APRN that her father-
in-law has been diagnosed with Huntington disease. The mother asks if her
husband and her male child will also have the disease. The APRN is aware that
the disease is autosomal dominant and age dependent and suggests genetic
testing for the mother, husband, and child.
Which additional information should the APRN provide for this type of genetic
transmission?
Both parents must carry the autosomal dominant gene for the child to develop
the condition.
Men are more likely to exhibit autosomal dominant diseases than women.
Autosomal dominant diseases usually have a 50% recurrence risk.
Autosomal dominant diseases typically skip generations. - SELECTED
ANSWER 👀**** Autosomal dominant diseases usually have a 50% recurrence
risk.
Autosomal dominant is a pattern of inheritance in which an affected individual has one copy of a mutant
gene (one parent) and one normal gene on a pair of autosomal chromosomes. Autosomal recessive
diseases require that the individual have two copies of the mutant gene. Individuals with autosomal
