WGU D115 Practice Exam | Advanced Pathophysiology for the Advanced Practice Nurse Exam | Latest 2024/2025
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Course
WGU D115
Institution
WGU D115
WGU D115 Practice Exam | Advanced Pathophysiology for the Advanced Practice Nurse Exam | Latest 2024/2025
WGU D115 Practice Exam | Advanced Pathophysiology for the Advanced Practice Nurse Exam | Latest 2024/2025
WGU D115 Practice Exam | Advanced Pathophysiology for the Advanced Practice Nurse...
WGU D115 Practice Exam | Advanced
Pathophysiology for the Advanced
Practice Nurse Exam | Latest 2024/2025
An advanced practice registered nurse (APRN) is working with a
bedbound patient who has an area of skin tissue obscured by
slough or eschar over the left greater trochanter.
Which way should this pressure injury be staged by the APRN for
treatment?
A) Full-thickness
B) Partial-thickness
C) Unstageable
D) Deep tissue
- Correct Answer - C) Unstageable
When discussing sun protection with an older patient, an
advanced practice registered nurse recommends the importance
of using sunblock to protect aging skin from ultraviolet exposure
when the patient will be in the sun.
Which pathologic changes due to aging of the integumentary
system is this recommendation based on?
,A) Lowered vascular compliance and loss of vasoactive
responses
B) Decreased melanocytes and clearance of oxidative substances
from the dermis
C) Atrophy of eccrine, apocrine, and sebaceous glands
D) Reduced cell proliferation and depressed immune responses
- Correct Answer - B) Decreased melanocytes and clearance of
oxidative substances from the dermis
A female patient presents with abnormal hair growth on the face
and body and reports that the hair on her head is receding. An
advanced practice registered nurse (APRN) determines that the
patient has hirsutism.
Which other diagnosis associated with this condition should be
considered by the APRN?
A) Telangiectasias
B) Polycystic ovarian syndrome
C) Keratoacanthoma
D) Actinic keratosis
- Correct Answer - B) Polycystic ovarian syndrome
An adult patient has experienced a third-degree burn. An
advanced practice registered nurse (APRN) is attempting to
,calculate the total body surface area affected using the rule of
nines. The areas involved include the anterior and posterior right
arm and leg and the groin.
What is the estimated total body surface area that will be
assigned by the APRN?
A) 18%
B) 28%
C) 27 1/2%
D) 14 1/2%
- Correct Answer - B) 28%
Rule of 9's adult
- Correct Answer - Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)
An advanced practice registered nurse (APRN) is caring for a
patient who experienced a 20% total body surface area (TBSA)
burn injury. Current assessment findings include massive
, evaporative water losses, a flux of large amounts of fluid and
electrolytes in the tissues, generalized edema, and circulatory
hypovolemia. The APRN needs to take immediate action to
prevent irreversible hypovolemic shock and death.
Which priority action should be taken by the APRN?
A) Administer 1 L of D5W over 1/2 hour
B) Infuse 2 L of hypertonic saline solution over one hour
C) Infuse 0.45% NaCl at maintenance rate over 12 hours
D) Administer up to 30 L of lactated ringer solution over 24 hours -
Correct Answer - D) Administer up to 30 L of lactated ringer
solution over 24 hours
Lactated Ringers (LR)
- Correct Answer - sterile solution for fluid and electrolyte
replenishment. It restores fluid and electrolyte balances, produces
diuresis, and acts as alkalizing agent (reduces acidity); sterile
crystalloid isotonic IV solution of specified amounts of calcium
chloride, potassium chloride, sodium chloride, and sodium lactate
in water; used for burns
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