WGU D118 OA FINAL EXAM
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
⩥ A patient seeks medical attention for fatigue, sleep disturbances, and
vague symptoms of pain. The advanced practice registered nurse
(APRN) assesses the patient with the fibromyalgia criteria and finds that
the patient meets the conditions for the health problem.
Which medication should the APRN prescribe to help this patient with
sleep? Answer: Trazodone (Desyrel)
⩥ An advanced practice registered nurse (APRN) is assessing a patient
who presents with a small draining wound in the left foot. The patient
was previously treated with six weeks of intravenous antibiotic therapy
for osteomyelitis of the right foot. The patient wants to know why the
new wound occurred.
How should the APRN respond to this question? Answer: "This type of
infection may occasionally recur"
⩥ A patient is following up with the advanced practice registered nurse
(APRN) for large, painless nodules over the metacarpophalangeal joints.
The patient has a history of three prior gout attacks and takes
Allopurinol (Aloprim).
, Which referral should the APRN make for this patient? Answer:
Rheumatology
⩥ A patient presents to an advanced practice registered nurse (APRN).
Symptoms include generalized stiffness with painful, tender, and
swollen joints. These symptoms started two months before and involved
bilateral upper and lower limbs.
Which diagnostic studies should the APRN order for this patient?
Answer: Erythocyte sedimentation rate (ESR)
⩥ A patient with a history of frostbite presents to an advanced practice
registered nurse (APRN) with three fingers that are white in color and
numb. The patient's vital signs are normal, and the pain is rated as a
zero. While the APRN examines the patient, the fingers change to blue
and then to red.
Which recommendation should the APRN make for this patient?
Answer: Limit exposure to cold temperatures
⩥ A 75-year-old patient is referred to the endocrinologist's office with
complaints of increasing weakness to the arms and legs over the past
several months. The patient also reports losing interest in activities that
were previously enjoyed and slow weight gain. Upon examination, the
advanced practice registered nurse (APRN) noted multiple bruises to the
arms and legs, thin skin, and slightly protruding abdomen coinciding
with the weight gain.
Which diagnostic study should the APRN order for this patient? Answer:
ACTH
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
⩥ A patient seeks medical attention for fatigue, sleep disturbances, and
vague symptoms of pain. The advanced practice registered nurse
(APRN) assesses the patient with the fibromyalgia criteria and finds that
the patient meets the conditions for the health problem.
Which medication should the APRN prescribe to help this patient with
sleep? Answer: Trazodone (Desyrel)
⩥ An advanced practice registered nurse (APRN) is assessing a patient
who presents with a small draining wound in the left foot. The patient
was previously treated with six weeks of intravenous antibiotic therapy
for osteomyelitis of the right foot. The patient wants to know why the
new wound occurred.
How should the APRN respond to this question? Answer: "This type of
infection may occasionally recur"
⩥ A patient is following up with the advanced practice registered nurse
(APRN) for large, painless nodules over the metacarpophalangeal joints.
The patient has a history of three prior gout attacks and takes
Allopurinol (Aloprim).
, Which referral should the APRN make for this patient? Answer:
Rheumatology
⩥ A patient presents to an advanced practice registered nurse (APRN).
Symptoms include generalized stiffness with painful, tender, and
swollen joints. These symptoms started two months before and involved
bilateral upper and lower limbs.
Which diagnostic studies should the APRN order for this patient?
Answer: Erythocyte sedimentation rate (ESR)
⩥ A patient with a history of frostbite presents to an advanced practice
registered nurse (APRN) with three fingers that are white in color and
numb. The patient's vital signs are normal, and the pain is rated as a
zero. While the APRN examines the patient, the fingers change to blue
and then to red.
Which recommendation should the APRN make for this patient?
Answer: Limit exposure to cold temperatures
⩥ A 75-year-old patient is referred to the endocrinologist's office with
complaints of increasing weakness to the arms and legs over the past
several months. The patient also reports losing interest in activities that
were previously enjoyed and slow weight gain. Upon examination, the
advanced practice registered nurse (APRN) noted multiple bruises to the
arms and legs, thin skin, and slightly protruding abdomen coinciding
with the weight gain.
Which diagnostic study should the APRN order for this patient? Answer:
ACTH
