WGU D115 Unit 3 DISTRIBUTED
FORMATIVE ASSESSMENT 1 EXAM
QUESTIONS AND ANSWERS
A patient with a basal metabolic index (BMI) of 29 is seen by an advanced practice
registered nurse (APRN) to discuss routine health maintenance. The patient reports
a strong family history of colorectal cancer and has mild hypertension and normal
cholesterol.
Which primary recommendation should the APRN make to decrease the risk
associated with this patient's family history?
Multiple vitamin with iron daily
Exercise of one hour daily
Low-fat dietary intake daily
Two glasses of red wine daily - ANSWER-Low-fat dietary intake daily
A high-fat diet raises the risk of colorectal cancer. It would be important for this
patient who has a familial risk (nonmodifiable) for colorectal cancer to decrease as
many modifiable risks possible.
A patient undergoes surgical consultation for the removal of scar tissue related to
facial trauma that resulted in keloid formation.
Which phase of wound healing is represented in this patient?
Inflammatory
Remodeling
Dehiscence
Reconstruction - ANSWER-Reconstruction
Keloid formation occurs during reconstruction and is a dysfunctional collagen
synthesis, which may involve excessive production of collagen, causing surface
overhealing and leading to a hypertrophic scar or keloid. A hypertrophic scar is
raised but remains within the original boundaries of the wound and tends to regress
over time. A keloid is a raised scar that extends beyond the original boundaries of
the wound, invades surrounding tissue, and is likely to recur after surgical removal.
An advanced practice registered nurse (APRN) is consulting with a new mother
during a scheduled well-child visit. The mother informs the APRN that her father-in-
law has been diagnosed with Huntington disease. The mother asks if her husband
and her male child will also have the disease. The APRN is aware that the disease is
autosomal dominant and age dependent and suggests genetic testing for the
mother, husband, and child.
Which additional information should the APRN provide for this type of genetic
transmission?
Both parents must carry the autosomal dominant gene for the child to develop the
condition.
Men are more likely to exhibit autosomal dominant diseases than women.
Autosomal dominant diseases usually have a 50% recurrence risk.
FORMATIVE ASSESSMENT 1 EXAM
QUESTIONS AND ANSWERS
A patient with a basal metabolic index (BMI) of 29 is seen by an advanced practice
registered nurse (APRN) to discuss routine health maintenance. The patient reports
a strong family history of colorectal cancer and has mild hypertension and normal
cholesterol.
Which primary recommendation should the APRN make to decrease the risk
associated with this patient's family history?
Multiple vitamin with iron daily
Exercise of one hour daily
Low-fat dietary intake daily
Two glasses of red wine daily - ANSWER-Low-fat dietary intake daily
A high-fat diet raises the risk of colorectal cancer. It would be important for this
patient who has a familial risk (nonmodifiable) for colorectal cancer to decrease as
many modifiable risks possible.
A patient undergoes surgical consultation for the removal of scar tissue related to
facial trauma that resulted in keloid formation.
Which phase of wound healing is represented in this patient?
Inflammatory
Remodeling
Dehiscence
Reconstruction - ANSWER-Reconstruction
Keloid formation occurs during reconstruction and is a dysfunctional collagen
synthesis, which may involve excessive production of collagen, causing surface
overhealing and leading to a hypertrophic scar or keloid. A hypertrophic scar is
raised but remains within the original boundaries of the wound and tends to regress
over time. A keloid is a raised scar that extends beyond the original boundaries of
the wound, invades surrounding tissue, and is likely to recur after surgical removal.
An advanced practice registered nurse (APRN) is consulting with a new mother
during a scheduled well-child visit. The mother informs the APRN that her father-in-
law has been diagnosed with Huntington disease. The mother asks if her husband
and her male child will also have the disease. The APRN is aware that the disease is
autosomal dominant and age dependent and suggests genetic testing for the
mother, husband, and child.
Which additional information should the APRN provide for this type of genetic
transmission?
Both parents must carry the autosomal dominant gene for the child to develop the
condition.
Men are more likely to exhibit autosomal dominant diseases than women.
Autosomal dominant diseases usually have a 50% recurrence risk.
