WGU D118 OBJECTIVE ASSESSMENT (OA) EXAM TESTBANK, PREP EXAM
QUESTIONS AND A NEW UPDATED STUDY GUIDE COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS WITH WELL ELABORATED ANSWERS (VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION |GUARANTEED PASS A+ (BRAND
NEW!) D188 WGU ACTUAL EXAM
A 28-year-old female presents to an advanced practice registered nurse
(APRN) with complaints of blurred vision and irritation to her right eye
for the past three days. She does not report any headaches, dizziness,
fever, or chills. The patient does not complain of any pain, rhinorrhea, or
sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's
differential diagnoses?
a. Use artificial tears as-needed for irritation
b. Irrigate the eye with Epinastine (Elista) 0.05% daily
c. Use Ketorolac (Avail) 0.5% eye drops four times a day
d. Apply antihistamine eye drops daily
answer- a. Use artificial tears as-needed for irritation
,A 62-year-old patient is seen by an advanced practice registered nurse
(APRN) for intermittent buzzing in the ears. The patient has no history
of exposure to loud noises at work but does have a history of attending
many loud rock concerts. Otoscope inspection reveals no excess
cerumen and normal tympanic membranes. Audiology testing reveals
mild hearing loss bilaterally. The patient denies dizziness and has no
known allergies. Review of medications includes low-dose aspirin,
multivitamin, calcium supplement, and over-the-counter Ibuprofen prn
for back and hip pain related to arthritis.
Which treatment should the APRN recommend for this patient?
a. Refer to physical therapy for carnality repositioning
b. Prescribe use of an antihistamine
c. Order application of ceramide dioxide daily
d. Replace NSAID with a Cox2 inhibitor
answer- d. Replace NSAID with a Cox2 inhibitor
A patient is seen by an advanced practice registered nurse (APRN) with
an acute onset of epistaxis after being hit by a baseball. The APRN notes
that the bleeding is originating from the area of the Kiesselbach's plexus.
Which action should the APRN take to assist this patient?
,a. Irrigate the nostrils with a saline spray solution
b. Direct pressure to the anterior pressure of the nose for 15 minutes
c. Apply warm compresses to the bridge of the nose
d. Insert packing to the posterior area of the nose with a balloon catheter
answer- b. Direct pressure to the anterior pressure of the nose for 15
minutes
A 66-year-old patient comes to the clinic complaining of generalized
malaise, fever, productive cough, and intermittent chest pain with
respiration that began two days before. The symptoms have increased in
severity and have not improved with the use of over-the-counter (OTC)
pain and cold medication. The patient has no history of current or past
smoking, is not on any routine medications, and is alert and oriented.
Assessment data reveals temperature of 102 degrees Fahrenheit; a pulse
of 86; respiration of 24; and pulse oximeter oxygen saturation of 96%.
Decreased breath sounds with wheezing noted bilaterally with dullness
to lung percussion are present. The advanced practice registered nurse
(APRN) suspects bacterial community-acquired pneumonia.
Which diagnostic test should the advanced practice have registered nurse
order for this patient?
CBC
Sputum testing
FBS
, Strep testing
Answer- CBC
An advanced practice registered nurse (APRN) is seeing a college
student who has had a fever, cough, malaise, and myalgia’s for the last
24 hours.
Which illness should the APRN assess this patient for first?
Meningitis
Influenza
Tuberculosis
Mononucleosis
Answer- Influenza
An adult patient presents to an advanced practice registered nurse
(APRN) with complaints of nausea and vomiting after receiving
chemotherapy. The problem has been going on for several days, and the
patient has become lethargic and has a decreased level of consciousness.
Which complication from these symptoms should be the APRN's
priority concern?
QUESTIONS AND A NEW UPDATED STUDY GUIDE COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS WITH WELL ELABORATED ANSWERS (VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION |GUARANTEED PASS A+ (BRAND
NEW!) D188 WGU ACTUAL EXAM
A 28-year-old female presents to an advanced practice registered nurse
(APRN) with complaints of blurred vision and irritation to her right eye
for the past three days. She does not report any headaches, dizziness,
fever, or chills. The patient does not complain of any pain, rhinorrhea, or
sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's
differential diagnoses?
a. Use artificial tears as-needed for irritation
b. Irrigate the eye with Epinastine (Elista) 0.05% daily
c. Use Ketorolac (Avail) 0.5% eye drops four times a day
d. Apply antihistamine eye drops daily
answer- a. Use artificial tears as-needed for irritation
,A 62-year-old patient is seen by an advanced practice registered nurse
(APRN) for intermittent buzzing in the ears. The patient has no history
of exposure to loud noises at work but does have a history of attending
many loud rock concerts. Otoscope inspection reveals no excess
cerumen and normal tympanic membranes. Audiology testing reveals
mild hearing loss bilaterally. The patient denies dizziness and has no
known allergies. Review of medications includes low-dose aspirin,
multivitamin, calcium supplement, and over-the-counter Ibuprofen prn
for back and hip pain related to arthritis.
Which treatment should the APRN recommend for this patient?
a. Refer to physical therapy for carnality repositioning
b. Prescribe use of an antihistamine
c. Order application of ceramide dioxide daily
d. Replace NSAID with a Cox2 inhibitor
answer- d. Replace NSAID with a Cox2 inhibitor
A patient is seen by an advanced practice registered nurse (APRN) with
an acute onset of epistaxis after being hit by a baseball. The APRN notes
that the bleeding is originating from the area of the Kiesselbach's plexus.
Which action should the APRN take to assist this patient?
,a. Irrigate the nostrils with a saline spray solution
b. Direct pressure to the anterior pressure of the nose for 15 minutes
c. Apply warm compresses to the bridge of the nose
d. Insert packing to the posterior area of the nose with a balloon catheter
answer- b. Direct pressure to the anterior pressure of the nose for 15
minutes
A 66-year-old patient comes to the clinic complaining of generalized
malaise, fever, productive cough, and intermittent chest pain with
respiration that began two days before. The symptoms have increased in
severity and have not improved with the use of over-the-counter (OTC)
pain and cold medication. The patient has no history of current or past
smoking, is not on any routine medications, and is alert and oriented.
Assessment data reveals temperature of 102 degrees Fahrenheit; a pulse
of 86; respiration of 24; and pulse oximeter oxygen saturation of 96%.
Decreased breath sounds with wheezing noted bilaterally with dullness
to lung percussion are present. The advanced practice registered nurse
(APRN) suspects bacterial community-acquired pneumonia.
Which diagnostic test should the advanced practice have registered nurse
order for this patient?
CBC
Sputum testing
FBS
, Strep testing
Answer- CBC
An advanced practice registered nurse (APRN) is seeing a college
student who has had a fever, cough, malaise, and myalgia’s for the last
24 hours.
Which illness should the APRN assess this patient for first?
Meningitis
Influenza
Tuberculosis
Mononucleosis
Answer- Influenza
An adult patient presents to an advanced practice registered nurse
(APRN) with complaints of nausea and vomiting after receiving
chemotherapy. The problem has been going on for several days, and the
patient has become lethargic and has a decreased level of consciousness.
Which complication from these symptoms should be the APRN's
priority concern?
