WGU C213 Exam (Actual Exam 2025) | Complete Questions and Correct
Answers | Graded A+ | Verified Answers | Western Governors University
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.
, 2
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
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
ophthalmologic examination and orders several diagnostic tests. Based on the findings, a diagnosis of
retinoblastoma is confirmed.
What is the pathological mechanism of this disorder? - (CORRECT ANSWER)Mutations of a gene on
chromosome 13q14 lead to neoplastic proliferation of cells
Answers | Graded A+ | Verified Answers | Western Governors University
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.
, 2
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
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
ophthalmologic examination and orders several diagnostic tests. Based on the findings, a diagnosis of
retinoblastoma is confirmed.
What is the pathological mechanism of this disorder? - (CORRECT ANSWER)Mutations of a gene on
chromosome 13q14 lead to neoplastic proliferation of cells
