WGU D115 OA exam 2024 with 100%
correct answers
What type of fibers stimulate the salivary glands? - correct answer Cholinergic fibers
What part of the esophagus is innervated by nerve fibers? - correct answer The lower third
What artery provides blood to the stomach? - correct answer Celiac artery
What hormone is responsible for the inhibition of stomach contraction? - correct answer Secretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the antrum, duodenum,
and pancreas by G-cells
Which cells of the stomach secrete hydrochloric acid and intrinsic factor? - correct answer Parietal cells
Pernicious anemia* (Vitamin B12 deficiency)
Which enzyme is responsible for cleaving fatty acids from phospholipids? - correct answer
Phospholipase
Which enzyme is responsible for breaking the end amino acids away from the ingested protein? -
correct answer Carboxypeptidase
What is true of unconjugated bilirubin? - correct answer Unconjugated bilirubin is bilirubin bound to
albumin.
Also called "free bilirubin"
,Define pepsin - correct answer Produced in the stomach and breaks down proteins
Think P and P
Define Lipase - correct answer Produced by the pancreas and breaks down triglycerides
Define amylase - correct answer Produced in the mouth and breaks down starch
"Amy eats a starchy meal"
What are 3 characteristics of celiac disease? - correct answer Anemia
Diminished growth
Deficiences in fat-soluble vitamins
Is pyloric stenosis more common in male or female infants ? - correct answer Males
A 74-year-old male complains of rectal bleeding for the past year. He has not change in bowel habits and
denies abdominal pain, weight loss, and rectal pain. He has seen blood in the toilet water and when
wiping approximately once every few weeks, but lately the bleeding has increased. He had colonoscopy
5 year ago. The FNP should: - correct answer Schedule a colonoscopy to look for colon polyps and/or
cancer
An overweigh, middle-aged woman has right upper quadrant pain that radiates to her right subscapular
area and is severe and persistent. She is also experiencing anorexia, nausea, and a fever. Her most
recent meal was a double quarter-pound cheeseburger, French fries, and a milkshake. The FNP
examines the abdomen and percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of
the following signs corresponds with the correct diagnosis? - correct answer Murphy's sign: the patient
has cholecystitis
McBurney's sign is related to appendicitis
, CVA tenderness is related to UTIs
A sudden onset of diarrhea that consists of five to six loose stools a day and awakens the pt at night with
cramping, but without blood in the stools, would most likely be caused by what? - correct answer
Infection
Clues for infection are awakening at night, cramping without blood, sudden onset
Those S/S are either infection or inflammation
The FNP is discussion Clostridium difficile infection with the family of a 68-year-old female who lives
with them and who was recently diagnosed with the infection. Which of the following statements would
be the most important for the family to understand? - correct answer Pt needs to use a different
bathroom than the rest of the family
Contact isolation
An older woman is noted to have iron-deficiency anemia. She has no pain or rectal bleeding. What hx
would raise suspicion of a gastric ulcer? - correct answer An ankle sprain requiring 800mg of ibuprofen
3 times a day for the last 6 weeks
NSAIDs have a high risk of causing ulcers and erosion - there may be no s/s until anemia develops
Which problem would MOST likely worsen the s/s of gerd? - correct answer Gastroparesis which is
delayed gastric emptying
A 54 year-old female complains fo intermittent crampy abdominal pain over the last 18 hours, loss of
appetite, vomiting, abdominal bloating, and inability to have a bowel movement. She has a history of
hysterectomy 20 years ago, cholecystectomy 5 years ago, and tow laparoscopies for abdominal pain
over the last 4 years. The FNP send her to the ER because she suspects: - correct answer SBO
hx of having multiple abd surgeries increases adhesions which can cause a small bowel obstruction
correct answers
What type of fibers stimulate the salivary glands? - correct answer Cholinergic fibers
What part of the esophagus is innervated by nerve fibers? - correct answer The lower third
What artery provides blood to the stomach? - correct answer Celiac artery
What hormone is responsible for the inhibition of stomach contraction? - correct answer Secretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the antrum, duodenum,
and pancreas by G-cells
Which cells of the stomach secrete hydrochloric acid and intrinsic factor? - correct answer Parietal cells
Pernicious anemia* (Vitamin B12 deficiency)
Which enzyme is responsible for cleaving fatty acids from phospholipids? - correct answer
Phospholipase
Which enzyme is responsible for breaking the end amino acids away from the ingested protein? -
correct answer Carboxypeptidase
What is true of unconjugated bilirubin? - correct answer Unconjugated bilirubin is bilirubin bound to
albumin.
Also called "free bilirubin"
,Define pepsin - correct answer Produced in the stomach and breaks down proteins
Think P and P
Define Lipase - correct answer Produced by the pancreas and breaks down triglycerides
Define amylase - correct answer Produced in the mouth and breaks down starch
"Amy eats a starchy meal"
What are 3 characteristics of celiac disease? - correct answer Anemia
Diminished growth
Deficiences in fat-soluble vitamins
Is pyloric stenosis more common in male or female infants ? - correct answer Males
A 74-year-old male complains of rectal bleeding for the past year. He has not change in bowel habits and
denies abdominal pain, weight loss, and rectal pain. He has seen blood in the toilet water and when
wiping approximately once every few weeks, but lately the bleeding has increased. He had colonoscopy
5 year ago. The FNP should: - correct answer Schedule a colonoscopy to look for colon polyps and/or
cancer
An overweigh, middle-aged woman has right upper quadrant pain that radiates to her right subscapular
area and is severe and persistent. She is also experiencing anorexia, nausea, and a fever. Her most
recent meal was a double quarter-pound cheeseburger, French fries, and a milkshake. The FNP
examines the abdomen and percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of
the following signs corresponds with the correct diagnosis? - correct answer Murphy's sign: the patient
has cholecystitis
McBurney's sign is related to appendicitis
, CVA tenderness is related to UTIs
A sudden onset of diarrhea that consists of five to six loose stools a day and awakens the pt at night with
cramping, but without blood in the stools, would most likely be caused by what? - correct answer
Infection
Clues for infection are awakening at night, cramping without blood, sudden onset
Those S/S are either infection or inflammation
The FNP is discussion Clostridium difficile infection with the family of a 68-year-old female who lives
with them and who was recently diagnosed with the infection. Which of the following statements would
be the most important for the family to understand? - correct answer Pt needs to use a different
bathroom than the rest of the family
Contact isolation
An older woman is noted to have iron-deficiency anemia. She has no pain or rectal bleeding. What hx
would raise suspicion of a gastric ulcer? - correct answer An ankle sprain requiring 800mg of ibuprofen
3 times a day for the last 6 weeks
NSAIDs have a high risk of causing ulcers and erosion - there may be no s/s until anemia develops
Which problem would MOST likely worsen the s/s of gerd? - correct answer Gastroparesis which is
delayed gastric emptying
A 54 year-old female complains fo intermittent crampy abdominal pain over the last 18 hours, loss of
appetite, vomiting, abdominal bloating, and inability to have a bowel movement. She has a history of
hysterectomy 20 years ago, cholecystectomy 5 years ago, and tow laparoscopies for abdominal pain
over the last 4 years. The FNP send her to the ER because she suspects: - correct answer SBO
hx of having multiple abd surgeries increases adhesions which can cause a small bowel obstruction
