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Exam (elaborations)

D118 practice test questions with complete solution 2025

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D118 practice test questions with complete solution 2025

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D118 Pre-Test Question and answers
verified to pass 2025
An advanced practice registered nurse (APRN) is gathering data for an
ongoing research project. In the project, a group of individuals with Type 2
diabetes are divided into two, non-randomized groups.


Which type of research design is being used by the APRN?


a. Quasi-experimental
b. Descriptive
c. Experimental
d. Qualitative - correct answer ✔a. Quasi-experimental


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 - correct 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." - correct 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 - correct 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 -
correct 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 - correct 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.

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