WGU D118 TEST PREP CERTIFICATION
EVALUATION COMPLETE Q&A 2026 100%
CORRECT.
◍ The nurse practitioner is establishing a plan for routine health
maintenance for a new patient who is 80 years old. The patient has
never smoked and has been in good health. What will the Nurse
practitioner include in routine care for this patient? Select all that
apply
A. Annual hypertension screening
B. Baseline abdominal aorta ultrasound
C. Colonoscopy every 10 years
D. One time hepatitis B vaccine
E. Pneumovax vaccine if not previously given
F. Yearly influenza vaccine. Answer: E-F. For older patients a one-
time pneumovax is given after age 65. Influenza vaccine should be
given every year. Hypertension screening should be performed at each
office visit not just annually. An abdominal aorta ultrasound is
performed once for every smoking male . colonoscopy is performed
every 10 years after age 50 but not after age 74
◍ A pregnant woman reports not having had any vaccinations as a
child but requests vaccines during her pregnancy. Which vaccines
may be given? Select all that apply
,A. Human papillomavirus HPV
B. Inactivated influenza
C. Live attenuated influenza
D. Measles months and rubella MMR
E. Tetanus diphtheria and ancellular pertussis Tdap
F. Varicella. Answer: B-E. Tdap is recommended to pregnant women,
optimally between 27 and 36 weeks gestation. Inactivated is strongly
recommended and may be given at any point during the pregnancy.
Hepatitis B is given to women at risk if needed. Live, attenuated
influenza vaccine, MMR, and varicella vaccines are not
recommended during pregnancy
◍ A 76 year old patient is being seen in the clinic to establish care.
She reports smoking for 20 years but quit 15 years ago with no
current respiratory complaints but also not seeing a medical provider
in many years. Which priority screening would the FNP recommend
based on USPSTF guidelines?
A. Colonoscopy
B. Lung cancer screening
C. Osteoporosis screening
D. Pulmonary function tests. Answer: C. The USPSTF recommends
screening for osteoporosis with bone measurement testing to prevent
osteoporotic fractures in women 65 years and older.
◍ You are a nurse practitioner working at an addiction clinic. Today, a
45-year-old male presents to your clinic with the chief complaint, "I
,am about to lose my family; I have to stop drinking." You understand
that it is important to fully screen this patient and you decide to use a
tool to do so. The most common tool used in screening for alcohol
abuse in this particular patient age group and setting is:
A. audit
B. cage
C. cows
D. crafft. Answer: B. CAGE C: Need to cut down on your drinking?
A: People been annoyed by you mentioning drinking? G: Bad/or
guilty about drinking? E: Have you had a drink the first thing in the
morning to steady your nerves? Others: AUDIT: Alcohol Use
disorders identification test S-MAST: Short Michigan Alcoholism
Screening test CRAFFT: Children and adolescents under 21 years of
age COWS: Clinical Opiate Withdrawal Scale
◍ A 70-year-old male presents to clinic for routine annual physical.
He reports a 30 year pack a day cigarette smoking history but no
current respiratory complaints. Which screening would be most
appropriate for this patient?
A. Pulmonary function test
B. Colonoscopy
C. AAA
D. Bone density. Answer: C. AAA U.S. Prevent Svcs recommends 1x
screen for AAA by US in: Men 65-75 w/ HX of smoke >100 cigs
lifetime or Men ≥60 with fam HX of AAA in parent/sibling
, ◍ According to MyPlate guidelines, How much of your plate should
be filled with Fruits & Vegetables?
A. 1/4 of your plate
B. 1/2 of your plate
C. 3/4 of your plate
D. 1/8 of your plate. Answer: B. The new MyPlate encourages all
plates to be filled with fruits and vegetables (50 percent), protein (25
percent), and grains (25 percent). Half of daily grain intake should be
from whole-grain
◍ What would the FNP consider a priority vaccination for a patient
presenting in the clinic for a routine physical prior to starting college
as a freshman?
A. Influenza
B. HPV
C. Varicella
D. Meningococcal. Answer: D. Meningococcal disease is bacterial
and causes bloodstream infections and meningitis. College students,
especially those living in residence halls, are prone to contracting the
disease because of their close proximity to each other
◍ A 55 year old patient who is currently undergoing chemotherapy
for breast cancer presents to the clinic requesting the shingles vaccine.
What would the FNP do in this instance?
EVALUATION COMPLETE Q&A 2026 100%
CORRECT.
◍ The nurse practitioner is establishing a plan for routine health
maintenance for a new patient who is 80 years old. The patient has
never smoked and has been in good health. What will the Nurse
practitioner include in routine care for this patient? Select all that
apply
A. Annual hypertension screening
B. Baseline abdominal aorta ultrasound
C. Colonoscopy every 10 years
D. One time hepatitis B vaccine
E. Pneumovax vaccine if not previously given
F. Yearly influenza vaccine. Answer: E-F. For older patients a one-
time pneumovax is given after age 65. Influenza vaccine should be
given every year. Hypertension screening should be performed at each
office visit not just annually. An abdominal aorta ultrasound is
performed once for every smoking male . colonoscopy is performed
every 10 years after age 50 but not after age 74
◍ A pregnant woman reports not having had any vaccinations as a
child but requests vaccines during her pregnancy. Which vaccines
may be given? Select all that apply
,A. Human papillomavirus HPV
B. Inactivated influenza
C. Live attenuated influenza
D. Measles months and rubella MMR
E. Tetanus diphtheria and ancellular pertussis Tdap
F. Varicella. Answer: B-E. Tdap is recommended to pregnant women,
optimally between 27 and 36 weeks gestation. Inactivated is strongly
recommended and may be given at any point during the pregnancy.
Hepatitis B is given to women at risk if needed. Live, attenuated
influenza vaccine, MMR, and varicella vaccines are not
recommended during pregnancy
◍ A 76 year old patient is being seen in the clinic to establish care.
She reports smoking for 20 years but quit 15 years ago with no
current respiratory complaints but also not seeing a medical provider
in many years. Which priority screening would the FNP recommend
based on USPSTF guidelines?
A. Colonoscopy
B. Lung cancer screening
C. Osteoporosis screening
D. Pulmonary function tests. Answer: C. The USPSTF recommends
screening for osteoporosis with bone measurement testing to prevent
osteoporotic fractures in women 65 years and older.
◍ You are a nurse practitioner working at an addiction clinic. Today, a
45-year-old male presents to your clinic with the chief complaint, "I
,am about to lose my family; I have to stop drinking." You understand
that it is important to fully screen this patient and you decide to use a
tool to do so. The most common tool used in screening for alcohol
abuse in this particular patient age group and setting is:
A. audit
B. cage
C. cows
D. crafft. Answer: B. CAGE C: Need to cut down on your drinking?
A: People been annoyed by you mentioning drinking? G: Bad/or
guilty about drinking? E: Have you had a drink the first thing in the
morning to steady your nerves? Others: AUDIT: Alcohol Use
disorders identification test S-MAST: Short Michigan Alcoholism
Screening test CRAFFT: Children and adolescents under 21 years of
age COWS: Clinical Opiate Withdrawal Scale
◍ A 70-year-old male presents to clinic for routine annual physical.
He reports a 30 year pack a day cigarette smoking history but no
current respiratory complaints. Which screening would be most
appropriate for this patient?
A. Pulmonary function test
B. Colonoscopy
C. AAA
D. Bone density. Answer: C. AAA U.S. Prevent Svcs recommends 1x
screen for AAA by US in: Men 65-75 w/ HX of smoke >100 cigs
lifetime or Men ≥60 with fam HX of AAA in parent/sibling
, ◍ According to MyPlate guidelines, How much of your plate should
be filled with Fruits & Vegetables?
A. 1/4 of your plate
B. 1/2 of your plate
C. 3/4 of your plate
D. 1/8 of your plate. Answer: B. The new MyPlate encourages all
plates to be filled with fruits and vegetables (50 percent), protein (25
percent), and grains (25 percent). Half of daily grain intake should be
from whole-grain
◍ What would the FNP consider a priority vaccination for a patient
presenting in the clinic for a routine physical prior to starting college
as a freshman?
A. Influenza
B. HPV
C. Varicella
D. Meningococcal. Answer: D. Meningococcal disease is bacterial
and causes bloodstream infections and meningitis. College students,
especially those living in residence halls, are prone to contracting the
disease because of their close proximity to each other
◍ A 55 year old patient who is currently undergoing chemotherapy
for breast cancer presents to the clinic requesting the shingles vaccine.
What would the FNP do in this instance?
