Final study guide WGU D115 questions with verified
answers
A 16-year old presents to the urgent care clinic after a hard hit in football practice.
During the physical exam the Nurse Practitioner observes "battle's sign" and
immediately refers the patient to the ED. Which diagnosis is the NP concerned
about Ans✓✓✓ Basilar Skull Fracture
A 17-year old female was diagnosed with angular cheilitis. 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 Ans✓✓✓ Check the patient's vitamin B12
level
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 this patient to aid in an appropriate diagnosis Ans✓✓✓
Vaccination status
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 Ans✓✓✓ cute Bacterial
Rhinosinusitis
A 22-year-old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find at least 4 or more of the following 13 symptoms
Ans✓✓✓ Palpitations, pounding heart, or accelerated heart rate Sweating
Trembling or shaking Shortness of breath or feeling of smothering Feelings of
choking Chest pain or discomfort Nausea or abdominal distress Feeling dizzy,
unsteady, lightheaded, or faint Chills or heat sensations Paresthesias (ie,
numbness or tingling sensations) Derealization (ie, feeling of unreality) or
, depersonalization (ie, being detached from oneself) Fear of losing control or going
crazy Fear of dying
A 32-year-old woman is seen in the emergency department complaining of a
severe headache and nausea. She reports a history of headaches off and on for
the past several months, typically unilaterally and without warning. In addition,
she reports that the headaches occur at varying times of the day. Based on this
brief history, the nurse practitioner suspects that the woman may have Ans✓✓✓
Migraine Headaches (Migraine headaches can cause throbbing in one particular
area that can vary in intensity. Nausea and sensitivity to light and sound are also
common symptoms)
A 39-year old female presents with complaints of a sudden onset of blurry vision.
She states that she sees flashing lights and it sensation that she is "looking
through a curtain". Which diagnostic finding would the Nurse Practitioner expect
to find in this patient Ans✓✓✓ Hemoglobin A1C of 12
A 4-year old male is brought into a clinic with complaints of fever and sore throat
for 2 days. The Nurse Practitioner suspects a peritonsilar abscess and refers the
patient to the ED. Which finding is most consistent with this diagnosis Ans✓✓✓
Drooling and "hot potato" voice
A 40-year old female presents with complaints of soreness when eating spicy
foods. The Nurse Practitioner observes that the patient has a "geographic
tongue". What would be most appropriate for the patient's plan of care Ans✓✓✓
Tell the patient to rinse with salt water and avoid spicy food until symptoms
resolve
answers
A 16-year old presents to the urgent care clinic after a hard hit in football practice.
During the physical exam the Nurse Practitioner observes "battle's sign" and
immediately refers the patient to the ED. Which diagnosis is the NP concerned
about Ans✓✓✓ Basilar Skull Fracture
A 17-year old female was diagnosed with angular cheilitis. 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 Ans✓✓✓ Check the patient's vitamin B12
level
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 this patient to aid in an appropriate diagnosis Ans✓✓✓
Vaccination status
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 Ans✓✓✓ cute Bacterial
Rhinosinusitis
A 22-year-old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find at least 4 or more of the following 13 symptoms
Ans✓✓✓ Palpitations, pounding heart, or accelerated heart rate Sweating
Trembling or shaking Shortness of breath or feeling of smothering Feelings of
choking Chest pain or discomfort Nausea or abdominal distress Feeling dizzy,
unsteady, lightheaded, or faint Chills or heat sensations Paresthesias (ie,
numbness or tingling sensations) Derealization (ie, feeling of unreality) or
, depersonalization (ie, being detached from oneself) Fear of losing control or going
crazy Fear of dying
A 32-year-old woman is seen in the emergency department complaining of a
severe headache and nausea. She reports a history of headaches off and on for
the past several months, typically unilaterally and without warning. In addition,
she reports that the headaches occur at varying times of the day. Based on this
brief history, the nurse practitioner suspects that the woman may have Ans✓✓✓
Migraine Headaches (Migraine headaches can cause throbbing in one particular
area that can vary in intensity. Nausea and sensitivity to light and sound are also
common symptoms)
A 39-year old female presents with complaints of a sudden onset of blurry vision.
She states that she sees flashing lights and it sensation that she is "looking
through a curtain". Which diagnostic finding would the Nurse Practitioner expect
to find in this patient Ans✓✓✓ Hemoglobin A1C of 12
A 4-year old male is brought into a clinic with complaints of fever and sore throat
for 2 days. The Nurse Practitioner suspects a peritonsilar abscess and refers the
patient to the ED. Which finding is most consistent with this diagnosis Ans✓✓✓
Drooling and "hot potato" voice
A 40-year old female presents with complaints of soreness when eating spicy
foods. The Nurse Practitioner observes that the patient has a "geographic
tongue". What would be most appropriate for the patient's plan of care Ans✓✓✓
Tell the patient to rinse with salt water and avoid spicy food until symptoms
resolve
