WGU D115 Advanced Pathophysiology Pre-Assessment Exam
and Study guide Questions (Latest ) and Verified
Rationalized Answers, 100% Guarantee Pass
1. An advanced practice registered nurse (APRN) is consulting with a teen
J J J J J J J J J J
patient who has recently learned that she is
J J J J J J J J
pregnant.The APRN knows that a certain medication taken by the patient can
J J J J J J J J J J J J
contribute to the development of
J J J J J
congenital malformations in the fetus.The APRN reviews the patient's current
J J J J J J J J J J
medication list and finds one
J J J J J
medication that is a concern. J J J J
Which medication is the APRN concerned about?
J J J J J J
Retinoic acid
J J
Clindamycin
Benzoyl peroxide
J J
Bisphenol A ..ANS >> Retinoic acid J J J JJ J
2. A newborn's screening for cystic fibrosis is positive. An advanced practice
J J J J J J J J J J
registered nurse (APRN) is reviewing
J J J J J
screening results and taking a comprehensive genetic screening of the par- ents
J J J J J J J J J J J
The APRN asks the parents
J J J J J
,questions to help determine the transmission of this disease. Which
J J J J J J J J J
question should the APRN ask?
J J J J J
"Do any of your siblings have cystic fibrosis?"
J J J J J J J
"Do you wish to have maternal genetic testing done?" "Are
J J J J J J J J J
either of you showing symptoms of cystic fibrosis?"
J J J J J J J J
"Are you both the genetic donor parents?" ..ANS >> "Are you both the genetic dono
J J J J J J J J JJ J J J J J
parents?"
J
3. A 30-day-old infant presents to the emergency room with decreased oral
J J J J J J J J J J
intake, decreased urine output, and a fever
J J J J J J J
of 101.8.The infant is admitted for further evaluation with a workup to include a
J J J J J J J J J J J J J J
blood culture, a urine culture, a
J J J J J J
spinal tap, and a chest X-ray. J J J J J
Which issue of innate immunity, as it relates to neonates, is of concern? High
J J J J J J J J J J J J J
levels of mannose-binding lectin
J J J J
Relative deficiency of factor B J J J J
Excess collectin and collectin-like protein J J J J
Dysfunctional chemotactic factor response ..ANS >> Relative deficiency of factor J J J J J JJ J J J
4. A 12-year-old African American patient presents with unilateral eye swelling
J J J J J J J J J
and lower lip swelling.The patient's
J J J J J J
parent reports that the swelling is spontaneous and resolves over several days.
J J J J J J J J J J J
The patient does not have
J J J J J
complaints of fever, hives, or vomiting. Serum lab results show hyperactiva- tion
J J J J J J J J J J J J
three plasma protein systems.The
J J J J J
,APRN suspects hereditary angioedema.J J J
What is the cause of the genetic defect suspected in this situation? Plasminogen
J J J J J J J J J J J J
Hageman factor J
Bradykinin
J
C1 esterase inhibitor ..ANS >> C1 esterase inhibitor
J J J J JJ J J
5. The parent of a child diagnosed with Down syndrome expresses concerns
J J J J J J J J J J
about the child's recurrent respiratory
J J J J J
tract infections to an advanced practice registered nurse (APRN).The infec- tions
J J J J J J J J J J J
have occurred regularly since birth.
J J J J J
What should the APRN tell the parent is the underlying cause of this illness?
J J J J J J J J J J J J J
Hyperthyroidism causes an increased risk of infection.
J J J J J J J
Gastroesophageal reflux disease causes aspiration of thin fluids. J J J J J J J
Hypertonia causes airway restriction.
J J J J
Short stature causes poor lung development. ..ANS >> Gastroesophageal reflux
J J J J J J J JJ J
disease causes aspiration of thin fluids.
J J J J J J
6. A36-year-oldpatientis beingseen byanadvanced practice registered nurse
J J J J J J J J J J J
(APRN) in a primary care clinic for the
J J J J J J J J
first time.The patient reports feeling depressed due to a major life change.
J J J J J J J J J J J J
Additional symptoms include weight J J J
gain, sedentary activity, and insomnia.The APRN plans on providing the patient
J J J J J J J J J J J
with several exercises to reduce the
J J J J J J
physiological effect of stress. J J J
Why is the APRN concerned about relieving this emotional response? It
J J J J J J J J J J
increases protein synthesis.
J J J
It increases smooth muscle contraction.
J J J J
, It decreases glucose uptake. ..ANS >> It decreases glucose uptake.
J J J J J JJ J J J
7. An 80-year-oldpatientbrings her grandchildrenwith her toa routine medical
J J J J J J J J J J J
appointment. The patient has
J J J J
moderate chronic obstructive pulmonary disease (COPD) and is concerned
J J J J J J J J
about developing pneumonia because of
J J J J J
its increased incidence at the senior center.
J J J J J J
What should the nurse practitioner recommend for this patient?
J J J J J J J J
Avoiding her grandchildren this winter
J J J J J
Increasing inhaler use to four times daily Undergoing
J J J J J J J
prophylactic anticoagulation
J J
Getting an annual influenza vaccine ..ANS >> Getting an annual influenza vaccine
J J J J J J JJ J J J J
8. An advanced practice nurse (APRN) is working with a patient who is choos- ing
J J J J J J J J J J J J J
to undergo breast removal due to
J J J J J J