WGU D115 OA ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉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? 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? 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?
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? 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? 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?
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?
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? Answer:
A loss of myelin sheaths, causing a disruption of nerve conduction
◉A child presents to a clinic with a white pupillary reflex noted in
the right eye. The child is constantly crying and rubbing her eyes. An
advanced practice registered nurse (APRN) performs a complete
QUESTIONS WITH SOLUTIONS GRADED A+
◉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? 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? 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?
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? 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? 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?
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?
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? Answer:
A loss of myelin sheaths, causing a disruption of nerve conduction
◉A child presents to a clinic with a white pupillary reflex noted in
the right eye. The child is constantly crying and rubbing her eyes. An
advanced practice registered nurse (APRN) performs a complete
