WGU D115 OA STUDY GUIDE UNIT 3 EXAM 2026 | ACTUAL
EXAM QUESTIONS WITH DETAILED ANSWERS WITH
RATIONALES AND A READINESS PRACTICE EXAM TEST
BANK WITH A STUDY GUIDE | LATEST UPDATED AND
VERIFIED FOR GUARANTEED PASS
Conductive hearing loss involves what part of the ear? - CORRECT ANSWER -Middle ear
A potential complication of streptococcal pharyngitis that leads to contralateral uvular deviation,
asymmetric tonsillar hypertrophy, muffled voice on exam but no stridor, drooling, or dyspnea or
dysphagia is recognized as what? - CORRECT ANSWER -Peritonsillar abscess
A 64 year old woman presents to the office with complains of vision loss. Funduscopic
examination reveals cupping of the optic nerve. Which action should you take? - CORRECT
ANSWER -Send the pt to the ER
A 39 year old female presents with complaints of sudden onset of blurry vision. She states that
she sees flashing lights and it sensation that she is "looking through a curtain." Which dx finding
would the NP expect to find in this patient? - CORRECT ANSWER -Hemoglobin A1C of 12
Retinal detachment is a potential outcome of retinopathy of diabetes
A 16 year old presents to the urgent care clinic after a hard hit in football practice. During the
physical exam, the NP observes "battle's sign" and immediately refers the patient to the ED.
Which dx is the NP concerned about? - CORRECT ANSWER -Basal skull fx
A 4 year old male is brought into a clinic with complaints of fever and sore throat for 2 days. the
NP suspects a peritonsilar abscess and refers the pt to the ED. Which finding is most consistent
with this dx? - CORRECT ANSWER -Fever, sore throat, dysphagia, drooling, "hot potato" voice
, A 40 year old female presents with complaints of soreness when eating spicy foods. The NP
observes that the patient has a "geographic tongue." What would be the most appropriate for the
patient's plan of care? - CORRECT ANSWER -Tell pt to rinse with salt water and avoid spicy
food until s/s resolve
A 2 year old boy presents to the clinic with a fever. During the physical exam the NP observes
Koplik's spots inside of his buccal mucosa. Which would be the most important to assess on the
pt to aid in an appropriate dx? - CORRECT ANSWER -Vaccination status
Koplik spots are seen with measles: small white spots on a reddened background that occur on
the inside of the cheeks
A 26 year old presents to a clinic with complaints of left eye pain. the NP performs fluorescent
dye staining which reveals fern-like lines in the corneal surface. Which would be the most
appropriate hx question to ask the pt? - CORRECT ANSWER -have you ever had a cold sore?
A 17 year old female was dx with angular cheilitis. She had tx failure after a course of topical
abx, topical steroids, moisture barrier creams, and antifungals were rxed. What would be the
most appropriate next step in the pt's plan of care? - CORRECT ANSWER -Check vitamin B12
levels
Most common cause is a fungal infection but can be from vitamin B12 deficiency and bacterial
infections
Which finding is most consistent with acute otitis externa? - CORRECT ANSWER -Pruritis and
hx of recent swimming
Otitis externa is referred to as "swimmers ear"
A 15 year old male pt presents to the clinic with abd pain and fatigue, and is dx with mono.
Which is the most important part of this patient's plan of care? - CORRECT ANSWER -Avoid
contact sports for up to 4 weeks
EXAM QUESTIONS WITH DETAILED ANSWERS WITH
RATIONALES AND A READINESS PRACTICE EXAM TEST
BANK WITH A STUDY GUIDE | LATEST UPDATED AND
VERIFIED FOR GUARANTEED PASS
Conductive hearing loss involves what part of the ear? - CORRECT ANSWER -Middle ear
A potential complication of streptococcal pharyngitis that leads to contralateral uvular deviation,
asymmetric tonsillar hypertrophy, muffled voice on exam but no stridor, drooling, or dyspnea or
dysphagia is recognized as what? - CORRECT ANSWER -Peritonsillar abscess
A 64 year old woman presents to the office with complains of vision loss. Funduscopic
examination reveals cupping of the optic nerve. Which action should you take? - CORRECT
ANSWER -Send the pt to the ER
A 39 year old female presents with complaints of sudden onset of blurry vision. She states that
she sees flashing lights and it sensation that she is "looking through a curtain." Which dx finding
would the NP expect to find in this patient? - CORRECT ANSWER -Hemoglobin A1C of 12
Retinal detachment is a potential outcome of retinopathy of diabetes
A 16 year old presents to the urgent care clinic after a hard hit in football practice. During the
physical exam, the NP observes "battle's sign" and immediately refers the patient to the ED.
Which dx is the NP concerned about? - CORRECT ANSWER -Basal skull fx
A 4 year old male is brought into a clinic with complaints of fever and sore throat for 2 days. the
NP suspects a peritonsilar abscess and refers the pt to the ED. Which finding is most consistent
with this dx? - CORRECT ANSWER -Fever, sore throat, dysphagia, drooling, "hot potato" voice
, A 40 year old female presents with complaints of soreness when eating spicy foods. The NP
observes that the patient has a "geographic tongue." What would be the most appropriate for the
patient's plan of care? - CORRECT ANSWER -Tell pt to rinse with salt water and avoid spicy
food until s/s resolve
A 2 year old boy presents to the clinic with a fever. During the physical exam the NP observes
Koplik's spots inside of his buccal mucosa. Which would be the most important to assess on the
pt to aid in an appropriate dx? - CORRECT ANSWER -Vaccination status
Koplik spots are seen with measles: small white spots on a reddened background that occur on
the inside of the cheeks
A 26 year old presents to a clinic with complaints of left eye pain. the NP performs fluorescent
dye staining which reveals fern-like lines in the corneal surface. Which would be the most
appropriate hx question to ask the pt? - CORRECT ANSWER -have you ever had a cold sore?
A 17 year old female was dx with angular cheilitis. She had tx failure after a course of topical
abx, topical steroids, moisture barrier creams, and antifungals were rxed. What would be the
most appropriate next step in the pt's plan of care? - CORRECT ANSWER -Check vitamin B12
levels
Most common cause is a fungal infection but can be from vitamin B12 deficiency and bacterial
infections
Which finding is most consistent with acute otitis externa? - CORRECT ANSWER -Pruritis and
hx of recent swimming
Otitis externa is referred to as "swimmers ear"
A 15 year old male pt presents to the clinic with abd pain and fatigue, and is dx with mono.
Which is the most important part of this patient's plan of care? - CORRECT ANSWER -Avoid
contact sports for up to 4 weeks
