WGU D115 OA Study Guide Unit 6 questions with
verified answers
A 2 year old child presents to a clinic with acute pyelo for the third time in four
months. An APRN suspects vesicourethral reflux and orders a voiding
cystourethrograph scan. Results indicate reflux into dilated ureter or blunting of
calyceal fornices. What grade should the APRN document? Ans✓✓✓ Grade 3*:
reflux into dilated ureter or blunting of calyceal fornices
Grade 1: reflux into a nondilated distal ureter
Grade 2: reflux into the upper collecting system without dilation
Grade 4: Reflux into a grossly dilated ureter
A 21-year-old white college female complains of fatigue, RLQ pain, and diarrhea
for the last 2 months. She has lost 10lbs and notes chills periodically. She denies
rectal bleeding. She notes she is stressed about final exam. The FNP would be
most concerned about: Ans✓✓✓ Chron disease
Most commonly in the small intestine
Peak age of onset is 15-25 years old with females and whites most affected
A 35-year-old man presents with edema of the face, hands, and ankles, and a
blood pressure of 175/115 mmHg. He reports urine that is darkly colored and
foamy. The APN suspects acute glomerulonephritis and would expect UA results
,to include all of the following findings except: Ans✓✓✓ abnormally elevated
glucose levels
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: Ans✓✓✓ SBO
hx of having multiple abd surgeries increases adhesions which can cause a small
bowel obstruction
A 65-year-old male presents to the FNP for evaluation of years of "heartburn" and
recent weight loss of 30lbs over the last month. He has been taking antacids and
an oral histamine 2 receptor antagonist for years "off and on". He has a 60 pack
per year smoking history and drinks alcohol daily. What differential diagnoses
should the FNP consider? Ans✓✓✓ Esophageal cancer
Long-term GERD without tx increases risk for barret esophagus and cancer
Rapid weight loss is concerning
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: Ans✓✓✓ Schedule a colonoscopy to look for colon polyps
and/or cancer
, A child whose kidneys are enlarged presents with chills, fever, and abd pain. What
is the most likely diagnosis? Ans✓✓✓ Acute pyelonephritis
A patient involved in a motor vehicle accident is brought into the ED with an
abdominal wound with acute blood loss and hypotension. Which of the following
mechanisms best describes control of renal blood flow? * Ans✓✓✓ increased
sympathetic vasoconstrictor activity
A patient presents to an advanced practice registered nurse (APRN) complaining
of diarrhea, rectal bleeding, and right lower quadrant tenderness. Diagnostic tests
reveal deficiencies in folic acid, vitamin D, and calcium. The APRN suspects Crohn
disease.
What is the pathological mechanism of this disorder? Ans✓✓✓ Neutrophil
infiltration of the crypts, which causes destructive abscess formation
A patient presents with complaints of dark urine and generalized malaise. An
advanced practice registered nurse (APRN) notes the voided urine is frothy.
Assessment:
BP: 154/92 mm Hg
generalized edema
Diagnostics:
Serum albumin: 2.4 g/dL
TSH: 5.2 mU/L
Total T4: 3.6 mcg/dL
Free T4: 1.2 ng/dL
UA large protein
24-hour urine for protein: 3.8 g
verified answers
A 2 year old child presents to a clinic with acute pyelo for the third time in four
months. An APRN suspects vesicourethral reflux and orders a voiding
cystourethrograph scan. Results indicate reflux into dilated ureter or blunting of
calyceal fornices. What grade should the APRN document? Ans✓✓✓ Grade 3*:
reflux into dilated ureter or blunting of calyceal fornices
Grade 1: reflux into a nondilated distal ureter
Grade 2: reflux into the upper collecting system without dilation
Grade 4: Reflux into a grossly dilated ureter
A 21-year-old white college female complains of fatigue, RLQ pain, and diarrhea
for the last 2 months. She has lost 10lbs and notes chills periodically. She denies
rectal bleeding. She notes she is stressed about final exam. The FNP would be
most concerned about: Ans✓✓✓ Chron disease
Most commonly in the small intestine
Peak age of onset is 15-25 years old with females and whites most affected
A 35-year-old man presents with edema of the face, hands, and ankles, and a
blood pressure of 175/115 mmHg. He reports urine that is darkly colored and
foamy. The APN suspects acute glomerulonephritis and would expect UA results
,to include all of the following findings except: Ans✓✓✓ abnormally elevated
glucose levels
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: Ans✓✓✓ SBO
hx of having multiple abd surgeries increases adhesions which can cause a small
bowel obstruction
A 65-year-old male presents to the FNP for evaluation of years of "heartburn" and
recent weight loss of 30lbs over the last month. He has been taking antacids and
an oral histamine 2 receptor antagonist for years "off and on". He has a 60 pack
per year smoking history and drinks alcohol daily. What differential diagnoses
should the FNP consider? Ans✓✓✓ Esophageal cancer
Long-term GERD without tx increases risk for barret esophagus and cancer
Rapid weight loss is concerning
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: Ans✓✓✓ Schedule a colonoscopy to look for colon polyps
and/or cancer
, A child whose kidneys are enlarged presents with chills, fever, and abd pain. What
is the most likely diagnosis? Ans✓✓✓ Acute pyelonephritis
A patient involved in a motor vehicle accident is brought into the ED with an
abdominal wound with acute blood loss and hypotension. Which of the following
mechanisms best describes control of renal blood flow? * Ans✓✓✓ increased
sympathetic vasoconstrictor activity
A patient presents to an advanced practice registered nurse (APRN) complaining
of diarrhea, rectal bleeding, and right lower quadrant tenderness. Diagnostic tests
reveal deficiencies in folic acid, vitamin D, and calcium. The APRN suspects Crohn
disease.
What is the pathological mechanism of this disorder? Ans✓✓✓ Neutrophil
infiltration of the crypts, which causes destructive abscess formation
A patient presents with complaints of dark urine and generalized malaise. An
advanced practice registered nurse (APRN) notes the voided urine is frothy.
Assessment:
BP: 154/92 mm Hg
generalized edema
Diagnostics:
Serum albumin: 2.4 g/dL
TSH: 5.2 mU/L
Total T4: 3.6 mcg/dL
Free T4: 1.2 ng/dL
UA large protein
24-hour urine for protein: 3.8 g
