Comprehensive Exam for WGU D115 2024/2025
With 60 Questions and Verified Rationalized Answers
Already Graded A+
1. A child with Down's syndrome has had frequent respiratory tract infections since birt
e e e e e e e e e e e e
h. What should the APRN tell the parent is the underlying cause of this illness?: Gastro
e e e e e e e e e e e e e e e
esophageal reflux disease causes aspiration of thin fluids. Feedback: Gastroesophageal ref
e e e e e e e e e e
lux is commonly seen in children with Down syn-
e e e e e e e e
e drome and can be severe enough to result in aspiration of stomach contents, causing respirat
e e e e e e e e e e e e e e
ory symptoms such as persistent coughing, wheezing, and pneumonia
e e e e e e e e
2. The FNP understands that a female patient with a complete or partial ab-
e e e e e e e e e e e e
e sence of the second sex chromosome may also display which of the following physical
e e e e e e e e e e e e e e
signs?: Ovarian failure e e
Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is diagnosed b
e e e e e e e e e e e e e e
e complete or partial absence of the second sex chromosome (45, X). Patients may also dem
e e e e e e e e e e e e e e
onstrate congenital lymphedema of hands and feet, webbed neck, high-
e e e e e e e e e
arched palate, and short fourth metacarpal. Short stature, Ovarian failure, cardiovascular and
e e e e e e e e e e e
enal issues, ear malformations, and other health problems, as well as amenorrhea due to p
e e e e e e e e e e e e e e
emature ovarian failure e e
3. An example of a disease that is caused by a chromosomal deletion is cri du chat synd
e e e e e e e e e e e e e e e e
rome. Children affected with this disorder commonly display which of the following sy
e e e e e e e e e e e e
mptoms?: Symptoms associated with cri du chat include low birth weight, severe intellect
e e e e e e e e e e e e
1e/e
17
,ual disability, microcephaly, and heart defects.
e e e e e
4. What type of immunity is the body's 3rd line of defense and includes the primary
e e e e e e e e e e e e e e e
characteristics of specificity and memory.: Adaptive e e e e e
Feedback: The third line of defense in the human body is adaptive (acquired) immunity.
e e e e e e e e e e e e e
5. The local manifestations of inflammation result from vascular changes and the circul
e e e e e e e e e e e
ation of associated components into the tissue.The 4 cardinal signs of inflammation inc
e e e e e e e e e e e e e
lude all of the following:: Swelling, pain, heat, and redness are the cardinal signs of inflam
e e e e e e e e e e e e e e e
mation.
6. Patients with trisomy of the 21st chromosome are also predisposed to which of t
e e e e e e e e e e e e e
he following diseases, which is also affected by alterations in the 21st chromosome
e e e e e e e e e e e e
?: Alzheimer Disease
e e
7. Which assessment findings are typically associated with a diagnosis of systemic lu
e e e e e e e e e e e
pus erythematous?: Joint pain, malar rash, and photosensitivity Feedback: The symptoms
e e e e e e e e e e e
most often experiences with SLE are arthritis, arthralgias, fatigue, Reynaud phenomenon, ch
e e e e e e e e e e e
ronic low- e
grade fever, sun sensitivity, hair loss, weakness, malar facial rash, and weight loss.
e e e e e e e e e e e e
8. The FNP understands the the most common form of facial paralysis is bells palsy. Thi
e e e e e e e e e e e e e e
s disorder primarily affects which cranial nerve?: Bell palsy may be caused by reactivati
e e e e e e e e e e e e e
on of herpesviruses in cranial nerve VII
e e e e e e
2e/e
17
, 9. A patient presents with symptoms of fever, tachycardia, chills, throbbing headache,
e e e e e e e e e e
e severe photophobia, and nuchal rigidity. Based on the presumed diagnosis, the FNP un
e e e e e e e e e e e e
derstands that the following symptoms may also occur in response to irritation and infl
e e e e e e e e e e e e e
ammation of the cranial nerves:: deafness, tinnitus, and vertigo
e e e e e e e e
Feedback: These symptoms can occur due to damage to cranial nerve VIII.
e e e e e e e e e e e
10. The clinical manifestations of myasthenia gravis include diplopia, ptosis, ocular pa
e e e e e e e e e e
lsies, facial droop, and difficulty swallowing and chewing.The symp-
e e e e e e e e e
e toms are a direct result of a defect in nerve impulse transmission at the neuromuscul
e e e e e e e e e e e e e e
ar junction. These symptoms usually have an insidious onset and can commonly occur
e e e e e e e e e e e e
e during which significant life event?: Pregnancy
e e e e e
11. When prescribing an antibiotic to treat acute otitis media, the FNP is aware that ther
e e e e e e e e e e e e e e
e are 4 common bacteria that cause AOM. Which of the following is not a common cau
e e e e e e e e e e e e e e e e
se?: Streptococcus pyogenes -
e e e
e The most common pathogens are Haemophilus influenzae, Moraxella catarrhalis, Streptoc
e e e e e e e e e
occus pneumonia, and Staphylococcus aureus.
e e e e
12. During an intake interview with a 26-year-old patient diagnosed with gener-
e e e e e e e e e e
e alized anxiety disorder, the FNP might observe what type of behavior?: Inability to concen
e e e e e e e e e e e e e
trate and irritability when questioned
e e e e
13. When assessing a patient who has a diagnosis of major depressive disor-
e e e e e e e e e e e
e der, which would be considered a cognitive symptom of depression?: Cogni-
e e e e e e e e e e
e tive deficits associated with depression include deficits in problem solving, decision making
e e e e e e e e e e e
, and impaired judgment, memory loss, and lack of concentration.
e e e e e e e e e
14. The FNP would expect which symptoms in a patient with a diagnosis of schizophre
e e e e e e e e e e e e e
nia?: Paranoia, delusions, hallucinations, and diminished self-
e e e e e e
3e/e
17
