WGU D115 OBJECTIVE ASSESSMENT FINAL EXAM
LATEST 2026 ACTUAL EXAM WITH COMPLETE
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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? -
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? - Answer-"Are you
both the genetic donor parents?"
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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.
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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