WGU D115 OBJECTIVE ASS ESSMENT 2 LATEST VERSIONS 2024 ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ VERSION A A 68 -year-old female with heart failure presents with tachycardia, S3 heart sound, and basilar crackles bilaterally. blood pressure is 90/68, BUN is 58 mg/dL, creatinine is 2.4 mg/dL. This clinical presentation is most consistent with: A) prerenal azotemi a B) acute glomerulonephritis C) tubular necrosis D) postrenal azotemia - ....ANSWER...A) prerenal azotemia RATIONALE : Prerenal azotemia refers to elevations in BUN and creatinine levels resulting from problems in the systemic circulation that decrease flow to the ki dneys . Diagnostic confirmation of glomerulonephritis typically requires: A) UA plus a CBC with differential B) Abdominal CT C) Renal US D) Renal biopsy - ....ANSWER...D) Renal biopsy RATIONALE: Diagnosis of glomerular disease is confirmed by abnormal UA and renal b iopsy to confirm specific renal injury and type of pathologic condition. The FNP understands that which of the following patients would be at the highest risk for developing disseminated intravascular coagulation (DIC)? A) A 35 -year-old pregnant patient with placenta previa B) A 42 -year-old client with a pulmonary embolus C) A 60 -year-old client receiving hemodialysis 3 days a week D) A 78 -year-old patient diagnosed with septicemia - ....ANSWER...D) A 78 -year-old patient diagnosed with septicemia RATIONALE: DIC is a clinical syndrome that develops as a complication of a wide variety of other disorders, with sepsis being the most common cause . Disseminated Intravascular Coagulation (DIC) - ....ANSWER...Complex, acquired disorder in which clotting and hemorrhage simul taneously occur. The underlying cause is usually due to inflammation, infection (sepsis), or cancer. The FNP is evaluating a 65 -year-old patient with diabetes and hypertension, who has known kidney disease. the patient's blood pressure at today's visit is 142/88. The patient's GFR is 42 and the serum albumin level is 3.9g/dL. A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4 E) Stage 5 - ....ANSWER...C) Stage 3 RATIONALE: A GFR of 42 indicates stage 3 chronic kidney disease. A serum albumin level of 4.1 g/dL or lower is associated with an increased risk of end stage renal disease. The normal range is 3.4 to 5.4 g/dL The FNP is educating the mother of a child with sickle cell anemia regarding immunization schedules. Due to the high risk of infection, septicemia, and risk f or meningitis, the mother should be educated that the child should receive which of the following immunizations before age 2? A) MMR B) IPV C) Pneumococcal D) Varicella - ....ANSWER...C) Pneumococcal RATIONALE: Fatality is high and the risk of infection is greatest a mong children who are not vaccinated against pneumococcal serotype. An advanced practice registered nurse (APRN) is consulting with a teen patient who has recently learned that she is pregnant. The APRN knows that a certain medication taken by the patien t can contribute to the development of congenital malformations in the fetus. The APRN reviews the patient's current medication list and finds one medication that is a concern. Which medication is the APRN concerned about? A) Bisphenol A B) Retinoic Acid C) Benzoyl peroxide D) Clindamycin - ....ANSWER...B) Retinoic Acid A newborn's screening for cystic fibrosis is positive. An advanced practice registered nurse (APRN) is reviewing screening results and taking a comprehensive genetic screening of the parent s. The APRN asks the parents questions to help determine the transmission of this disease. Which question should the APRN ask? A) "Do you wish to have maternal genetic testing done?" B) "Are either of you showing symptoms of cystic fibrosis?" C) "Are you b oth the genetic donor parents?" D) "Do any of your siblings have cystic fibrosis?" - ....ANSWER...C) "Are you both the genetic donor parents?" A 30 -day-old infant presents to the emergency room with decreased oral intake, decreased urine output, and a fev er of 101.8. The infant is admitted for further evaluation with a workup to include a blood culture, a urine culture, a spinal tap, and a chest X -ray. Which issue of innate immunity, as it relates to neonates, is of concern? A) High levels of mannose -bindi ng lectin B) Relative deficiency of factor B C) Excess collectin and collectin -like protein D) Dysfunctional chemotactic factor response - ....ANSWER...B) Relative deficiency of factor B A 12 -year-old African American patient presents with unilateral eye swelling and lower lip swelling. The patient's parent reports that the swelling is spontaneous and resolves over several days. The patient does not have complaints of fever, hives, or vomiting. Serum lab results show hyperactivation of three plasma protein systems. The APRN suspects hereditary angioedema.
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