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WGU D115 OA AND PRE
OA 2026|COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS
A patient presents to the emergency department complaining of difficulty
swallowing, drooling, and pain radiating to the left ear. During the assessment, an
advanced practice registered nurse (APRN) notes unilateral redness, left swollen
tonsil, and a displaced uvula.
Which diagnosis should the APRN make for this patient? - correct-answer -
Retropharyngeal abscess
An advanced practice registered nurse (APRN) is performing an assessment on a
newborn in a nursery. The infant's head is atraumatic with an open, flat, and soft
anterior fontanel. The pupils are equal, round, and reactive to light with normal
light reflex. Upon occlusion of the left nare, the infant startles, becomes irritable,
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and is unable to breathe. The APRN is unable to pass a small catheter into the
right nare.
What is the probable diagnosis? - correct-answer -Choanal atresia
An advanced practice registered nurse (APRN) is caring for a patient complaining
of pelvic pain. Assessment findings include a fever of 39°C (102.2° F), vaginal
discharge, low bilateral abdominal pain that is dull and steady that developed
during menstruation and worsens with walking, and dysuria. Lab studies include a
positive finding for chlamydia.
Which diagnosis should the APRN assign to this patient based on these findings? -
correct-answer -Pelvic inflammatory disease
An adolescent male is suffering from severe, sudden pain in his genital region
during football practice. He is embarrassed to seek emergency treatment.
However, he is finding the pain unbearable. His coach appropriately recommends
he seek emergency treatment.
What is a plausible cause of the pain? - correct-answer -Testicular torsion
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An advanced practice registered nurse (APRN) is designing a treatment plan for a
patient diagnosed with pelvic inflammatory disease (PID). The APRN plans the
sexually transmitted disease (STD) testing based on the most common pathogen
in PID.
Which STD testing should be considered? - correct-answer -Chlamydia
An older adult patient presents to a clinic with complaints of penile pain and
discomfort when attempting to urinate and states the problem began the
morning after a home health aide assisted him with cleansing the genital area. An
advanced practice registered nurse (APRN) assesses an uncircumcised glans penis,
which is reddened and edematous with the foreskin behind the corona.
Which condition should the APRN suspect from these findings? - correct-answer -
Paraphimosis
WGU D115 OA AND PRE
OA 2026|COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS
A patient presents to the emergency department complaining of difficulty
swallowing, drooling, and pain radiating to the left ear. During the assessment, an
advanced practice registered nurse (APRN) notes unilateral redness, left swollen
tonsil, and a displaced uvula.
Which diagnosis should the APRN make for this patient? - correct-answer -
Retropharyngeal abscess
An advanced practice registered nurse (APRN) is performing an assessment on a
newborn in a nursery. The infant's head is atraumatic with an open, flat, and soft
anterior fontanel. The pupils are equal, round, and reactive to light with normal
light reflex. Upon occlusion of the left nare, the infant startles, becomes irritable,
,2|Page
and is unable to breathe. The APRN is unable to pass a small catheter into the
right nare.
What is the probable diagnosis? - correct-answer -Choanal atresia
An advanced practice registered nurse (APRN) is caring for a patient complaining
of pelvic pain. Assessment findings include a fever of 39°C (102.2° F), vaginal
discharge, low bilateral abdominal pain that is dull and steady that developed
during menstruation and worsens with walking, and dysuria. Lab studies include a
positive finding for chlamydia.
Which diagnosis should the APRN assign to this patient based on these findings? -
correct-answer -Pelvic inflammatory disease
An adolescent male is suffering from severe, sudden pain in his genital region
during football practice. He is embarrassed to seek emergency treatment.
However, he is finding the pain unbearable. His coach appropriately recommends
he seek emergency treatment.
What is a plausible cause of the pain? - correct-answer -Testicular torsion
, 3|Page
An advanced practice registered nurse (APRN) is designing a treatment plan for a
patient diagnosed with pelvic inflammatory disease (PID). The APRN plans the
sexually transmitted disease (STD) testing based on the most common pathogen
in PID.
Which STD testing should be considered? - correct-answer -Chlamydia
An older adult patient presents to a clinic with complaints of penile pain and
discomfort when attempting to urinate and states the problem began the
morning after a home health aide assisted him with cleansing the genital area. An
advanced practice registered nurse (APRN) assesses an uncircumcised glans penis,
which is reddened and edematous with the foreskin behind the corona.
Which condition should the APRN suspect from these findings? - correct-answer -
Paraphimosis
