1|Page
WGU D115 OA AND PRE-OA EXAM ACTUAL EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
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
QUESTION : 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?"
QUESTION : 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
QUESTION : 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.
2026 2027 GRADED A+
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What is the cause of the genetic defect suspected in this situation? - CORRECT
ANSWER C1 esterase inhibitor
QUESTION : 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.
QUESTION : 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.
QUESTION : 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
QUESTION : 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
2026 2027 GRADED A+
WGU D115 OA AND PRE-OA EXAM ACTUAL EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
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
QUESTION : 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?"
QUESTION : 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
QUESTION : 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.
2026 2027 GRADED A+
, 2|Page
What is the cause of the genetic defect suspected in this situation? - CORRECT
ANSWER C1 esterase inhibitor
QUESTION : 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.
QUESTION : 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.
QUESTION : 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
QUESTION : 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
2026 2027 GRADED A+
