WGU D118 OA ACTUAL EXAMINATION
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⫸ Which is the most appropriate research design for a Level III research
study?
A. Randomized controlled trials
B. Systematic design
C. Literature review
D. Non-experimental design Answer: D. Non-experimental design: The
non-experimental design is the most appropriate design for a Level III
study. Randomized controlled trials are level I; systematic reviews are
level II; literature reviews are level V.
⫸ What is an important part of patient care that can minimize the risk of
a formal patient complaint even when a mistake is made?
A. Ensuring informed consent for all procedures
B. Maintaining effective patient communication
C. Monitoring patient compliance and adherence
,D. Providing complete documentation of visits Answer: B. Maintaining
effective patient communication: Effective patient communication is key
to building trust and rapport and ineffective communication is a
predictor for malpractice claims. The other items are important aspects
of care and may help the provider during the investigation of a claim,
but do not minimize the risk.
⫸ A primary care provider is providing care for a postsurgical client
who recently immigrated to the United States and speaks English only
marginally. What intervention will provide the most effective means of
communicating post discharge information to the client?
A. Postpone discharge until the client is fully recovered from the
surgery.
B. Requesting that a family member who speaks English be present
during the teaching session
C. Providing the necessary information in written form in the client's
native language
D. Requesting the services of a professional interpreter fluent in the
client's native language Answer: D. Requesting the services of a
professional interpreter fluent in the client's native language: Only
approved, professional interpreters experienced in health care
interpretation are appropriate interpreters for patients. Family members
or friends should not be used as interpreters. Use of family members or
friends may create misinterpretation or misunderstanding between the
provider and the patient. Family members may not understand medical
terms or may interpret only what they feel is important, or patients might
feel uncomfortable divulging personal information to the person
interpreting. Written information in the client's native language may be a
,means of reinforcing instructions but are not a substitute of person-to-
person education. It is neither realistic nor necessary to postpone
discharge for this reason.
⫸ A female patient who is from the Middle East schedules an
appointment in a primary care office. To provide culturally responsive
care, what will the clinic personnel do when meeting this patient for the
first time?
A. Ensure that she is seen by a female provider.
B. Inquire about the patient's beliefs about health and treatment.
C. Include a male family member in discussions about health care.
D. Research Middle Eastern cultural beliefs about health care. Answer:
B. Inquire about the patient's beliefs about health and treatment.: It is
important not to make assumptions about beliefs and practices
associated with health care and to ask the patient about these. While
certain practices are common in some cultural and ethnic groups,
assuming that all members of those groups follow those norms is not
culturally responsive.
⫸ Which health behavior is not included in Healthy People 2030
objectives?
A. Sleep
B. Tobacco use
C. Social interaction
, D. Family planning Answer: C. Social interaction: SOCIAL
INTERACTION IS NOT A HEALTH BEHAVIOR IN THE
HEALTHY PEOPLE 2030 OBJECTIVES
⫸ An international traveler plans to travel to Kenya in sub-Saharan
Africa. Which is an important disease precaution for this person?
A. Starting prophylactic doxycycline before travel
B. Understanding how Ebola virus is transmitted
C. Taking precautions against Chikungunya fever
D. Carrying chloroquine to take as needed Answer: A. Starting
prophylactic doxycycline before travel: Malaria is a greater concern
worldwide than Ebola virus and Chikungunya fever, although both are
emerging diseases. Travelers should take antimalarial medications and,
in this part of Africa, where there is widespread resistance to
chloroquine, doxycycline is a better choice as prophylaxis. Even when
chloroquine is appropriate, it must be taken prior to travel and not as
needed. Chikungunya fever is a disease of the Western Hemisphere,
especially in the Caribbean. Ebola virus is epidemic in western Africa
and not in Kenya
⫸ A patient who is planning international travel to a developing country
asks the provider about vaccinations. Which is true about pretravel
vaccines?
A. Requirements should be reviewed at least 4 to 6 weeks prior to travel.
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⫸ Which is the most appropriate research design for a Level III research
study?
A. Randomized controlled trials
B. Systematic design
C. Literature review
D. Non-experimental design Answer: D. Non-experimental design: The
non-experimental design is the most appropriate design for a Level III
study. Randomized controlled trials are level I; systematic reviews are
level II; literature reviews are level V.
⫸ What is an important part of patient care that can minimize the risk of
a formal patient complaint even when a mistake is made?
A. Ensuring informed consent for all procedures
B. Maintaining effective patient communication
C. Monitoring patient compliance and adherence
,D. Providing complete documentation of visits Answer: B. Maintaining
effective patient communication: Effective patient communication is key
to building trust and rapport and ineffective communication is a
predictor for malpractice claims. The other items are important aspects
of care and may help the provider during the investigation of a claim,
but do not minimize the risk.
⫸ A primary care provider is providing care for a postsurgical client
who recently immigrated to the United States and speaks English only
marginally. What intervention will provide the most effective means of
communicating post discharge information to the client?
A. Postpone discharge until the client is fully recovered from the
surgery.
B. Requesting that a family member who speaks English be present
during the teaching session
C. Providing the necessary information in written form in the client's
native language
D. Requesting the services of a professional interpreter fluent in the
client's native language Answer: D. Requesting the services of a
professional interpreter fluent in the client's native language: Only
approved, professional interpreters experienced in health care
interpretation are appropriate interpreters for patients. Family members
or friends should not be used as interpreters. Use of family members or
friends may create misinterpretation or misunderstanding between the
provider and the patient. Family members may not understand medical
terms or may interpret only what they feel is important, or patients might
feel uncomfortable divulging personal information to the person
interpreting. Written information in the client's native language may be a
,means of reinforcing instructions but are not a substitute of person-to-
person education. It is neither realistic nor necessary to postpone
discharge for this reason.
⫸ A female patient who is from the Middle East schedules an
appointment in a primary care office. To provide culturally responsive
care, what will the clinic personnel do when meeting this patient for the
first time?
A. Ensure that she is seen by a female provider.
B. Inquire about the patient's beliefs about health and treatment.
C. Include a male family member in discussions about health care.
D. Research Middle Eastern cultural beliefs about health care. Answer:
B. Inquire about the patient's beliefs about health and treatment.: It is
important not to make assumptions about beliefs and practices
associated with health care and to ask the patient about these. While
certain practices are common in some cultural and ethnic groups,
assuming that all members of those groups follow those norms is not
culturally responsive.
⫸ Which health behavior is not included in Healthy People 2030
objectives?
A. Sleep
B. Tobacco use
C. Social interaction
, D. Family planning Answer: C. Social interaction: SOCIAL
INTERACTION IS NOT A HEALTH BEHAVIOR IN THE
HEALTHY PEOPLE 2030 OBJECTIVES
⫸ An international traveler plans to travel to Kenya in sub-Saharan
Africa. Which is an important disease precaution for this person?
A. Starting prophylactic doxycycline before travel
B. Understanding how Ebola virus is transmitted
C. Taking precautions against Chikungunya fever
D. Carrying chloroquine to take as needed Answer: A. Starting
prophylactic doxycycline before travel: Malaria is a greater concern
worldwide than Ebola virus and Chikungunya fever, although both are
emerging diseases. Travelers should take antimalarial medications and,
in this part of Africa, where there is widespread resistance to
chloroquine, doxycycline is a better choice as prophylaxis. Even when
chloroquine is appropriate, it must be taken prior to travel and not as
needed. Chikungunya fever is a disease of the Western Hemisphere,
especially in the Caribbean. Ebola virus is epidemic in western Africa
and not in Kenya
⫸ A patient who is planning international travel to a developing country
asks the provider about vaccinations. Which is true about pretravel
vaccines?
A. Requirements should be reviewed at least 4 to 6 weeks prior to travel.
