WGU D115 ADVANCED PATHOPHYSIOLOGY OA EXAM
TEST BANK NEWEST 2025/2026 TESTING ACTUAL EXAM
WITH QUESTIONS & ANSWERS
What directly causes ovulation during the menstrual cycle?
B) Sudden increase of LH.
Ovulation generally occurs 1-2 hours before the final progesterone surge, or
about 12-36 hours after the onset of the FSH and LH surge.
Which is a symptom of syndrome of inappropriate antidiuretic hormone (SIADH)?
B) Hyponatremia
A low sodium level or hyponatremia is a major complication of SIADH and is
responsible for many of the symptoms of SIADH.
What type of ovarian cyst develops when an ovarian follicle is stimulated but no
dominant follicle develops and completes the maturity process?
D) Benign ovarian
,Benign ovarian, or functional cysts, are variations of normal physiologic events.
Benign cysts of the ovary are produced when a follicle is stimulated but does not
complete the maturity process.
An advanced practice registered nurse (APRN) is caring for a patient who
experienced a 20% total body surface area (TBSA) burn injury. Current assessment
findings include massive evaporative water losses, a flux of large amounts of fluid
and electrolytes in the tissues, generalized edema, and circulatory hypovolemia.
The APRN needs to take immediate action to prevent irreversible hypovolemic
shock and death.
Which priority action should be taken by the APRN?
D) Administer up to 30 L of lactated ringer solution over 24 hours
The FNP understands that a potential complication of tonsillar infections, which is
characterized by severe sore throat, difficulty swallowing, odynophagia, trismus,
and a "hot potato" voice; accompanied by fever, chills and malaise is indicative of:
D) Peritonsillar abscess
Peritonsillar abscess is characterized by severe sore throat, pain or difficulty
swallowing, jaw muscle spasms, and a hot potato voice.
What is the most common indication for genetic counseling?
A) maternal age
,The largest group of women who benefit from genetic counseling are those over
the age of 35
In the most commonly seen form of Turner Syndrome, how is the X chromosome
affected?
A) Each cell has only one X chromsome
45% of persons with Turner Syndrome have monosomy X meaning there is only
one copy of the X chromosome in each cell.
The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would
suspect which of the following genetic conditions?
B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-
like cry, mental retardation, delayed development, distinctive facial features,
small head size (microcephaly), widely-spaced eyes (hypertelorism), low birth
weight and weak muscle tone (hypotonia) in infancy.
When explaining the types of adaptive immunity, the FNP student is aware that:
A) Adaptive immunity is a cell-mediated immune response which is carried out
by T cells and B cells.
, There are two types of adaptive immunity responses: the cell-mediated immune
response, which is carried out by T cells, and the humoral immune response,
which is controlled by activated B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
C) Minimally conscious
When responses to the environment are seen, the patient is said to be in a
minimally conscious state
Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic
factors in TBI. Which GCS score describes a severe TBI?
D) 3-8
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
Which term describes recurrent, intrusive thoughts or impulses?
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that
cause distressing emotions such as anxiety Or Disgust.
TEST BANK NEWEST 2025/2026 TESTING ACTUAL EXAM
WITH QUESTIONS & ANSWERS
What directly causes ovulation during the menstrual cycle?
B) Sudden increase of LH.
Ovulation generally occurs 1-2 hours before the final progesterone surge, or
about 12-36 hours after the onset of the FSH and LH surge.
Which is a symptom of syndrome of inappropriate antidiuretic hormone (SIADH)?
B) Hyponatremia
A low sodium level or hyponatremia is a major complication of SIADH and is
responsible for many of the symptoms of SIADH.
What type of ovarian cyst develops when an ovarian follicle is stimulated but no
dominant follicle develops and completes the maturity process?
D) Benign ovarian
,Benign ovarian, or functional cysts, are variations of normal physiologic events.
Benign cysts of the ovary are produced when a follicle is stimulated but does not
complete the maturity process.
An advanced practice registered nurse (APRN) is caring for a patient who
experienced a 20% total body surface area (TBSA) burn injury. Current assessment
findings include massive evaporative water losses, a flux of large amounts of fluid
and electrolytes in the tissues, generalized edema, and circulatory hypovolemia.
The APRN needs to take immediate action to prevent irreversible hypovolemic
shock and death.
Which priority action should be taken by the APRN?
D) Administer up to 30 L of lactated ringer solution over 24 hours
The FNP understands that a potential complication of tonsillar infections, which is
characterized by severe sore throat, difficulty swallowing, odynophagia, trismus,
and a "hot potato" voice; accompanied by fever, chills and malaise is indicative of:
D) Peritonsillar abscess
Peritonsillar abscess is characterized by severe sore throat, pain or difficulty
swallowing, jaw muscle spasms, and a hot potato voice.
What is the most common indication for genetic counseling?
A) maternal age
,The largest group of women who benefit from genetic counseling are those over
the age of 35
In the most commonly seen form of Turner Syndrome, how is the X chromosome
affected?
A) Each cell has only one X chromsome
45% of persons with Turner Syndrome have monosomy X meaning there is only
one copy of the X chromosome in each cell.
The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would
suspect which of the following genetic conditions?
B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-
like cry, mental retardation, delayed development, distinctive facial features,
small head size (microcephaly), widely-spaced eyes (hypertelorism), low birth
weight and weak muscle tone (hypotonia) in infancy.
When explaining the types of adaptive immunity, the FNP student is aware that:
A) Adaptive immunity is a cell-mediated immune response which is carried out
by T cells and B cells.
, There are two types of adaptive immunity responses: the cell-mediated immune
response, which is carried out by T cells, and the humoral immune response,
which is controlled by activated B cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
C) Minimally conscious
When responses to the environment are seen, the patient is said to be in a
minimally conscious state
Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic
factors in TBI. Which GCS score describes a severe TBI?
D) 3-8
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
Which term describes recurrent, intrusive thoughts or impulses?
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that
cause distressing emotions such as anxiety Or Disgust.
