SIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) 10
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1. An advanced practice registered nurse (APRN) is con- Retinoic acid
sulting 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?
2. A newborn's screening for cystic fibrosis is positive. "Are you both the genetic
An advanced practice registered nurse (APRN) is re- donor parents?"
viewing 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?
3. A 30-day-old infant presents to the emergency room Relative deficiency of fac-
with decreased oral intake, decreased urine output, tor B
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?
4. A 12-year-old African American patient presents with C1 esterase inhibitor
unilateral eye swelling and lower lip swelling. The pa-
tient'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
, WGU D115 OA AND PRE-OA EXAM ACTUAL EXAM 2025 TEST COMPREHE
SIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) 10
SOLVED 2025!!
Study online at https://quizlet.com/_hlyaj1
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?
5. The parent of a child diagnosed with Down syndrome Gastroesophageal reflux
expresses concerns about the child's recurrent respira- disease causes aspiration
tory tract infections to an advanced practice registered of thin fluids.
nurse (APRN). The infections have occurred regularly
since birth.
What should the APRN tell the parent is the underlying
cause of this illness?
6. A 36-year-old patient is being seen by an advanced It decreases glucose up-
practice registered nurse (APRN) in a primary care clin- take.
ic for the first time. The patient reports feeling de-
pressed due to a major life change. Additional symp-
toms include weight gain, sedentary activity, and in-
somnia. 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 emo-
tional response?
7. An 80-year-old patient brings her grandchildren with Getting an annual influen-
her to a routine medical appointment. The patient za vaccine
has moderate chronic obstructive pulmonary disease
(COPD) and is concerned about developing pneumo-
nia because of its increased incidence at the senior
center.
, WGU D115 OA AND PRE-OA EXAM ACTUAL EXAM 2025 TEST COMPREHE
SIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) 10
SOLVED 2025!!
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What should the nurse practitioner recommend for
this patient?
8. An advanced practice nurse (APRN) is working with a Ovarian
patient who is choosing to undergo breast removal
due to family history of breast cancer. The patient's ge-
netic 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?
9. A patient presents to the hospital complaining of A loss of myelin sheaths,
blurred vision, muscle weaknesses, impaired gait, and causing a disruption of
fatigue lasting more than 24 hours. The patient has a nerve conduction
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 diag-
nosis?
10. A child presents to a clinic with a white pupillary reflex Mutations of a gene on
noted in the right eye. The child is constantly crying chromosome 13q14 lead
and rubbing her eyes. An advanced practice registered to neoplastic proliferation
nurse (APRN) performs a complete ophthalmologic ex- of cells
amination and orders several diagnostic tests. Based
on the findings, a diagnosis of retinoblastoma is con-