1|Page
WGU D115 ADVANCED PATHOPHYSIOLOGY OBJECTIVE ASSESSMENT FINAL
TEST BANK / WGU D115 ADVANCED PATHOPHYSIOLOGY OA READINESS FINAL
EXAM NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
When providing patient education regarding asthma. The FNP
states that control of symptoms is necessary due to which
pathophysiologic process?
A) Norepinephrine causes bronchial smooth muscle contraction
and mucus secretion but it also causes high blood pressure.
B) Uncontrolled inflammation leads to increased bronchial
hyperresponsiveness and eventual scarring.
C) The release of epinephrine leads to development of cardiac
dysrhythmias.
D) Immunoglobulin G causes smooth muscle contraction which
will eventually weaken the respiratory muscles. - ANSWER-B)
Uncontrolled inflammation leads to increased bronchial
hyperresponsiveness and eventual scarring.
Untreated inflammation can lead to long-term airway damage that
is irreversible, known as airway remodeling.
,2|Page
Which factor is responsible for the hypertrophy of the myocardium
associated with hypertension?
A) Increased norepinephrine
B) Adducin
C) Angiotensin II
D) Insulin resistance - ANSWER-C) Angiotensin II
Hypertension causes an increased cardiovascular mechanical
load that can deleteriously affect heart function. An early
myocardial response is an increase in cardiac Angiotensin II (Ang
II) protein levels, which is intimately associated with the
pathogenesis of cardiac hypertrophy and heart failure.
The FNP is seeing a patient for a routine health maintenance visit.
The patient's initial blood pressure, taken by the RN is 156/102
mm Hg. A repeat BP by the FNP is 148/92. The remainder of the
patient's physical exam in unremarkable. The FNP understands
that the plan of care for this patient should include all of the
following except:
A) Assessment of lifestyle and risk factors
B) CBC, BMP, and UA
,3|Page
C) Initiation of anti-hypertensive medications
D) Follow up visit to re-assess blood pressure. - ANSWER-C)
Initiation of anti-hypertensive medications
Evaluation and management of blood pressure should by highly
individualized. The diagnosis of hypertension is based upon the
measurement of blood pressure on AT LEAST two separate
occasions averaging at least 2 mins apart. Evaluation should also
include a comprehensive assessment of lifestyle and risk factors,
CBC, BMP, and UA. Initiation of anti-hypertensive medication
would not occur until the diagnosis of hypertension is confirmed,
and is dependent upon the stage of hypertension.
An older adult patient has a diagnosis of left-sided heart failure.
The FNP would identify what common condition associated with
heart failure?
A) Peripheral vascular disease
B) Untreated hypertension
C) Ventricular dysrhythmias
D) COPD - ANSWER-B) Untreated hypertension
Untreated HTN causes significant increased work of the the LV,
eventually causing left-sided HF.
, 4|Page
When cardiac output falls in heart failure, the body attempts to
compensate. What electrolyte imbalances result from this
response?
A) Hypernatremia and hyperkalemia
B) Hyponatremia and hypokalemia
C) Hypophosphatemia and hypercalcemia
D) Hyperphosphatemia and hypocalcemia - ANSWER-B)
Hyponatremia and hypokalemia
The compensatory mechanism causes excess secretion of
aldosterone that predisposes to potassium excretion. total body
sodium content will be greater than normal, but the excessive
secretion of ADH causes greater retention of water, diluting the
serum level. ADH is continually secreted because of the presence
of low pressure at the carotid sinus baroreceptors, directly related
to low cardiac output.
The FNP is performing an assessment on a patient who is having
difficulty controlling his left-sided heart failure. The FNP
understands that the primary symptoms associated with this type
of HF are:
WGU D115 ADVANCED PATHOPHYSIOLOGY OBJECTIVE ASSESSMENT FINAL
TEST BANK / WGU D115 ADVANCED PATHOPHYSIOLOGY OA READINESS FINAL
EXAM NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
When providing patient education regarding asthma. The FNP
states that control of symptoms is necessary due to which
pathophysiologic process?
A) Norepinephrine causes bronchial smooth muscle contraction
and mucus secretion but it also causes high blood pressure.
B) Uncontrolled inflammation leads to increased bronchial
hyperresponsiveness and eventual scarring.
C) The release of epinephrine leads to development of cardiac
dysrhythmias.
D) Immunoglobulin G causes smooth muscle contraction which
will eventually weaken the respiratory muscles. - ANSWER-B)
Uncontrolled inflammation leads to increased bronchial
hyperresponsiveness and eventual scarring.
Untreated inflammation can lead to long-term airway damage that
is irreversible, known as airway remodeling.
,2|Page
Which factor is responsible for the hypertrophy of the myocardium
associated with hypertension?
A) Increased norepinephrine
B) Adducin
C) Angiotensin II
D) Insulin resistance - ANSWER-C) Angiotensin II
Hypertension causes an increased cardiovascular mechanical
load that can deleteriously affect heart function. An early
myocardial response is an increase in cardiac Angiotensin II (Ang
II) protein levels, which is intimately associated with the
pathogenesis of cardiac hypertrophy and heart failure.
The FNP is seeing a patient for a routine health maintenance visit.
The patient's initial blood pressure, taken by the RN is 156/102
mm Hg. A repeat BP by the FNP is 148/92. The remainder of the
patient's physical exam in unremarkable. The FNP understands
that the plan of care for this patient should include all of the
following except:
A) Assessment of lifestyle and risk factors
B) CBC, BMP, and UA
,3|Page
C) Initiation of anti-hypertensive medications
D) Follow up visit to re-assess blood pressure. - ANSWER-C)
Initiation of anti-hypertensive medications
Evaluation and management of blood pressure should by highly
individualized. The diagnosis of hypertension is based upon the
measurement of blood pressure on AT LEAST two separate
occasions averaging at least 2 mins apart. Evaluation should also
include a comprehensive assessment of lifestyle and risk factors,
CBC, BMP, and UA. Initiation of anti-hypertensive medication
would not occur until the diagnosis of hypertension is confirmed,
and is dependent upon the stage of hypertension.
An older adult patient has a diagnosis of left-sided heart failure.
The FNP would identify what common condition associated with
heart failure?
A) Peripheral vascular disease
B) Untreated hypertension
C) Ventricular dysrhythmias
D) COPD - ANSWER-B) Untreated hypertension
Untreated HTN causes significant increased work of the the LV,
eventually causing left-sided HF.
, 4|Page
When cardiac output falls in heart failure, the body attempts to
compensate. What electrolyte imbalances result from this
response?
A) Hypernatremia and hyperkalemia
B) Hyponatremia and hypokalemia
C) Hypophosphatemia and hypercalcemia
D) Hyperphosphatemia and hypocalcemia - ANSWER-B)
Hyponatremia and hypokalemia
The compensatory mechanism causes excess secretion of
aldosterone that predisposes to potassium excretion. total body
sodium content will be greater than normal, but the excessive
secretion of ADH causes greater retention of water, diluting the
serum level. ADH is continually secreted because of the presence
of low pressure at the carotid sinus baroreceptors, directly related
to low cardiac output.
The FNP is performing an assessment on a patient who is having
difficulty controlling his left-sided heart failure. The FNP
understands that the primary symptoms associated with this type
of HF are:
