(2024/2025) WGU D115 Actual Exam
With 150+ Questions and Verified Rationalized Answers
Guaranteed A+ Graded
1. What is the most common indication for genetic counseling?
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A) maternal age v
B) drug exposure during the first trimester?
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C) Increased maternal alpha-fetoprotein v v
D) history of previous still birth: A) maternal age
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The largest group of women who benefit from genetic counseling are those over theage of 35
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2. The FNP schedules a 38-year-
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old primigravida (first time pregnancy) for anamniocentesis at 16 weeks gestation.The F
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NP would explain that the purposeof this procedure is to:
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A) Assess for the possibility of twins v v v v v
B) Deterime the biliruben level v v v
C) Perform genetic studies v v
D) Assess L/S ratio: C) Perform genetic studies v v v v v v
This womans age puts her at risk for Down Syndrome
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3. In the most commonly seen form ofTurner Syndrome, how is the X chromo-
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some affected?
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A) Each cell has only one X chromosome?
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B) Some cells have two X chromsomes, while the other cells have only one.
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,C) Each cell has two X chromsomes, but part of the chromosome is missing.
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D) Each cell has an extra X chromosome: A) Each cell has only one X chromsome45% of pers
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ons withTurner Syndrome have monosomy X meaning there is only onecopy of the X chromoso
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me in each cell.
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4. The FNP is assessing a newborn who is demonstrating a high-
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pitched cry, microcephaly, hypertelorism, hypotonia, and a low birth weight.The FNPwo
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uld suspect which of the following genetic conditions?
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A) Down Syndrome v
B) Cri du chat v v
C) Charge syndrome v
D) Duncan disease: B) Cri du chat v v v v v
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-
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likecry, mental retardation, delayed development, distinctive facial features, small headsize (
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microcephaly), widely- v
spaced eyes (hypertelorism), low birth weight and weakmuscle tone (hypotonia) in infancy.
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5. When explaining the types of adaptive immunity, the FNP student is awarethat:
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A) Adaptive immunity is a cell-mediated immune response which is
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B) Adaptive immunity is the level of immunity that all persons are born with.
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C) Adaptive immunity occurs when antibodies are passed from the mother to
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,the fetus. v
D) Adaptive immunity occurs through immunization.: A) Adaptive immunity is acell-
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mediated immune response which is carried out by T cells and B cells.
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There are two types of adaptive immunity responses: the cell-
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mediated immune response, which is carried out by T cells, and the humoral immune respons
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e, whichis controlled by activated B cells and antibodies.
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6. A woman has sustained a traumatic brain injury. She is able to follow simplecommands
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and can manipulate objects. Which term describes this state?
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A) Coma
B) Persistent vegetative state v v
C) Minimally conscious v
D) Locked-in syndrome: C) Minimally conscious v v v v
When responses to the environment are seen, the patient is said to be in a minimallyconscious s
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te
7. Age and the admission of the Glasgow Coma Scale (GCS) are importantdiagnostic
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v factors in TBI. Which GCS score describes a severe TBI?
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A) 13-15 v
B) 12-13 v
C) 9-12 v
D) 3-8: D) 3-8
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The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
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8. Which term describes recurrent, intrusive thoughts or impulses?
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A) Hallucinations
B) Compulsions
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, C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images thatcause distre
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sing emotions such as anxiety or disgust.
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D) Delusions: C) Obsessions v v
Obsessions are recurrent and persistent thoughts, impulses, or images that causedistressin
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g emotions such as anxiety or disgust.
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9. During an intake interview with a 26-year-old man diagnosed with general-
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ized anxiety disorder, the FNP might observe what type of behavior?
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A) An inflated sense of self
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B) Constant relation to future events v v v v
C) Inability to concentrate and irritability when questioned
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Impaired concentration and irritability are major characteristics of GAD.
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D) Nervousness and fear of the FNP during the interview: C) Inability to concen-
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trate and irritability when questioned
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Impaired concentration and irritability are major characteristics of GAD.
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