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D 115 / D115 Pre- Assessment (Latest Update 2025 / 2026) Advanced Pathophysiology for the Advanced Practice Nurse | Study Questions and Answers | Grade A | 100% Correct - WGU
Question:
A 17-year old female was diagnosed with angular cheilitis as a result of iron deficiency anemia. She had treatment failure after a course of topical antibiotics, topical steroids, moisture barrier creams, and antifungals were prescribed. What would be the most appropriate next step in this patient's plan of care?
- Refer the patient to an allergist
- Refer the patient to a dermatologist
- Check the patient's vitamin B12 level
- Check the patient's ferritin level
Answer:
check patients B12 level Angular cheilitis is a condition that causes red, swollen patches in the corners of the mouth. The most common cause is a fungal infection. Other causes are vitamin B12 deficiency and bacterial infections. 1 / 4
Question:
Which finding is most consistent with acute otitis externa?
- Ringing in the affected ear
- Hearing loss and drainage but no pain
- Vertigo
- Puritis and history of recent swimming
Answer:
Puritis and history of recent swimming Otitis externa is a condition that causes inflammation (redness and swelling) of the external ear canal. Otitis externa is often referred to as "swimmer's ear" because repeated exposure to water can make the ear canal more vulnerable to inflammation.
Question:
An 15-year old male patient presents to the clinic with abdominal pain and fatigue, and is diagnosed with infectious mononucleosis. Which is the most important part of this patient's plan of care?A He should not return to school until fever free for 48 hours B He should avoid contact sports for up to 4 weeks C He should complete a 10-day course of amoxicillin D He should be reassured that fatigue usually resolves in 5-7 days of onset
Answer:
B Because the spleen may become enlarged as a result of infectious mononucleosis, patients should avoid contact sports until fully recovered. 2 / 4
Participating in contact sports can be strenuous and may cause the spleen to rupture.
Question:
A 20-year old female reports a history of "cold symptoms" for 12 days. Her physical exam reveals unilateral facial pain and purulent nasal discharge.Which diagnosis are these findings consistent with?
- Viral respiratory infection
- Influenza B
- Allergic Rhinitis
- Acute Bacterial Rhinosinusitis
Answer:
acute bacterial rhino sinusitis Symptoms of acute bacterial rhino sinusitis include facial pain or pressure, postnasal drip, nasal congestion, upper jaw or tooth pain, nasal discharge, fever, and cough. Symptoms are present for 10 days or longer.
Question:
A 74-year-old male complains of rectal bleeding for the past year. He has not change in bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen blood in the toilet water and when wiping approximately once every few weeks, but lately the bleeding has increased. He had
colonoscopy 5 year ago. The FNP should:
- Send the patient home with a fecal occult blood test
- Schedule a colonoscopy 3 / 4
- Schedule a flexible sigmoidoscopy
- Schedule a double contrast barium enema
Answer:
schedule a colonoscopy Colonoscopy should be ordered to evaluate for colon polyps and cancer
Question:
An overweigh, middle-aged woman has right upper quadrant pain that radiates to her right subscapular area and is severe and persistent. She is also experiencing anorexia, nausea, and a fever. Her most recent meal was a double quarter-pound cheeseburger, French fries, and a milkshake. The FNP examines the abdomen and percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of the following signs corresponds with the correct diagnosis?
- Obuturator sign; the patient has appendicitis
- CVA tenderness; the patient has a UTI
- Murphy's sign; the patient has cholecysitis
- McBurney's sign; the patient has acute appendicitis
Answer:
murphys sign The RUQ pain that radiates to the right subscapular area, especially after a fatty meal and a positive Murphy's sign are associated with cholecystitis.
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