WGU D118 ADULT PRIMARY CARE EXAM
SCRIPT VERIFIED QUESTIONS AND
SOLUTIONS COMPLETE REVIEW SHEET
●● The Healthy People 2020 contains new topics and objectives that
correlate with emerging technologies and data that were not present in
the Healthy People 2010 initiative.
Which objective was newly added to the 2020 document?
a. Mental health
b. Substance abuse
c. Global health
d. Nutrition and weight
Answer: c. Global health
●● A 35-year-old patient is being seen in the primary care clinic for a
routine assessment. The patient had her last pap smear in conjunction
with a HPV screening three years before and has no abnormal
gynecological signs or symptoms. The advanced practice registered
nurse (APRN) performs a physical assessment with a clinical breast
exam, and then provides information about recommended health
screenings.
,Which USPTF recommendations should the APRN share with this
patient?
a. "We need to schedule a mammogram this month."
b. "We need to do a pap smear in two years."
c. "We should do a chlamydia screening today."
d. "We should do a HPV screening next year."
Answer: b. "We need to do a pap smear in two years."
●● An advanced practice registered nurse (APRN) is conducting the
routine annual exam of a 66-year-old patient and decides that a vaccine
should be recommended in addition to the typical annual influenza
vaccine.
Which vaccine is being recommended by the APRN?
a. Hepatitis B
b. Pneumococcal
c. Measles, mumps, and rubella
d. Tetanus, diphtheria, and pertussis
Answer: b. Pneumococcal
,●● A patient asks the advanced practice registered nurse (APRN) if there
are any contraindications to receiving the influenza vaccine other than
an egg allergy.
Which other precaution must be taken when administering this vaccine?
a. A history of illness with or without fever after previous flu vaccine
b. A history of exposure to influenza A within the past six weeks
c. A history of Guillain-Barré syndrome within six weeks of previous flu
vaccine
d. A history of thrombocytopenia within six weeks of previous flu
vaccine
Answer: c. A history of Guillain-Barré syndrome within six weeks of
previous flu vaccine
●● A 51-year-old male is being seen in the primary care clinic for a
routine assessment. The patient has not been seen in the clinic for a
number of years. The advanced practice registered nurse assesses the
patient and notes physical assessment and VS findings to be WNL.
Which additional screening should the APRN recommend?
Osteoporosis screening
Abdominal aortic aneurysm screening
, Prostate screening
Colorectal screening
Answer: Colorectal screening
●● An advanced practice registered nurse (APRN) is the manager of a
rural, Medicaid-funded, family practice clinic in a farming community.
The clinic services many families of migrant workers despite their
limited resources. A 28-year-old male from another country comes to the
office with his wife. The patient is able to communicate in limited
English but struggles to understand some words. However, his wife
verbally reports she understands more English than her husband. The
wife informs the APRN that she is very comfortable translating for her
husband and has done it many times in the past.
How should the APRN plan to collect verbal assessment information
from this patient?
a. Speak slowly during the health interview process
b. Ask the patient's wife to interpret for the patient
c. Utilize a staff member who is familiar with the language to translate
d. Have a professional interpreter translate for the patient
Answer: d. Have a professional interpreter translate for the patient
●● A patient presents with complaints of sudden onset hoarseness,
wheezing, and an itchy throat after being stung by a bee.
SCRIPT VERIFIED QUESTIONS AND
SOLUTIONS COMPLETE REVIEW SHEET
●● The Healthy People 2020 contains new topics and objectives that
correlate with emerging technologies and data that were not present in
the Healthy People 2010 initiative.
Which objective was newly added to the 2020 document?
a. Mental health
b. Substance abuse
c. Global health
d. Nutrition and weight
Answer: c. Global health
●● A 35-year-old patient is being seen in the primary care clinic for a
routine assessment. The patient had her last pap smear in conjunction
with a HPV screening three years before and has no abnormal
gynecological signs or symptoms. The advanced practice registered
nurse (APRN) performs a physical assessment with a clinical breast
exam, and then provides information about recommended health
screenings.
,Which USPTF recommendations should the APRN share with this
patient?
a. "We need to schedule a mammogram this month."
b. "We need to do a pap smear in two years."
c. "We should do a chlamydia screening today."
d. "We should do a HPV screening next year."
Answer: b. "We need to do a pap smear in two years."
●● An advanced practice registered nurse (APRN) is conducting the
routine annual exam of a 66-year-old patient and decides that a vaccine
should be recommended in addition to the typical annual influenza
vaccine.
Which vaccine is being recommended by the APRN?
a. Hepatitis B
b. Pneumococcal
c. Measles, mumps, and rubella
d. Tetanus, diphtheria, and pertussis
Answer: b. Pneumococcal
,●● A patient asks the advanced practice registered nurse (APRN) if there
are any contraindications to receiving the influenza vaccine other than
an egg allergy.
Which other precaution must be taken when administering this vaccine?
a. A history of illness with or without fever after previous flu vaccine
b. A history of exposure to influenza A within the past six weeks
c. A history of Guillain-Barré syndrome within six weeks of previous flu
vaccine
d. A history of thrombocytopenia within six weeks of previous flu
vaccine
Answer: c. A history of Guillain-Barré syndrome within six weeks of
previous flu vaccine
●● A 51-year-old male is being seen in the primary care clinic for a
routine assessment. The patient has not been seen in the clinic for a
number of years. The advanced practice registered nurse assesses the
patient and notes physical assessment and VS findings to be WNL.
Which additional screening should the APRN recommend?
Osteoporosis screening
Abdominal aortic aneurysm screening
, Prostate screening
Colorectal screening
Answer: Colorectal screening
●● An advanced practice registered nurse (APRN) is the manager of a
rural, Medicaid-funded, family practice clinic in a farming community.
The clinic services many families of migrant workers despite their
limited resources. A 28-year-old male from another country comes to the
office with his wife. The patient is able to communicate in limited
English but struggles to understand some words. However, his wife
verbally reports she understands more English than her husband. The
wife informs the APRN that she is very comfortable translating for her
husband and has done it many times in the past.
How should the APRN plan to collect verbal assessment information
from this patient?
a. Speak slowly during the health interview process
b. Ask the patient's wife to interpret for the patient
c. Utilize a staff member who is familiar with the language to translate
d. Have a professional interpreter translate for the patient
Answer: d. Have a professional interpreter translate for the patient
●● A patient presents with complaints of sudden onset hoarseness,
wheezing, and an itchy throat after being stung by a bee.
