WGU D118 ADULT PRIMARY CARE ACTUAL
TEST PAPER FULL QUESTIONS AND
ACCURATE ANSWERS GRADED APLUS
●● 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?
Answer: Substance Abuse
●● 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?
Answer: "We need to do a pap smear in 2 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?
Answer: 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?
Answer: A history of Guillan-Barre within the last 6 weeks of the
influenza 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?
Answer: Colon cancer 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.
, How should the APRN plan to collect verbal assessment information
from this patient?
Answer: Use a professional interpreter
●● A patient presents with complaints of sudden onset hoarseness,
wheezing, and an itchy throat after being stung by a bee. The advanced
practice registered nurse (APRN) suspects the patient may be having an
anaphylactic reaction.
What should be the first-line pharmacological treatment?
Answer: Aqueous epinephrine 1:1000 dilution (EpiPen) 0.2-0.5 mg IM
●● An advanced practice registered nurse (APRN) is debriefing and
doing a review of a workplace violence incident. The APRN is gathering
feedback from participants at all levels who were involved.
Which phase of emergency management is the APRN addressing?
Answer: Recovery
●● An advanced practice registered nurse (APRN) explains to a new
staff member that during times of disaster no patients will be turned
away from receiving care, even during a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing?
Answer: EMTALA
TEST PAPER FULL QUESTIONS AND
ACCURATE ANSWERS GRADED APLUS
●● 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?
Answer: Substance Abuse
●● 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?
Answer: "We need to do a pap smear in 2 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?
Answer: 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?
Answer: A history of Guillan-Barre within the last 6 weeks of the
influenza 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?
Answer: Colon cancer 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.
, How should the APRN plan to collect verbal assessment information
from this patient?
Answer: Use a professional interpreter
●● A patient presents with complaints of sudden onset hoarseness,
wheezing, and an itchy throat after being stung by a bee. The advanced
practice registered nurse (APRN) suspects the patient may be having an
anaphylactic reaction.
What should be the first-line pharmacological treatment?
Answer: Aqueous epinephrine 1:1000 dilution (EpiPen) 0.2-0.5 mg IM
●● An advanced practice registered nurse (APRN) is debriefing and
doing a review of a workplace violence incident. The APRN is gathering
feedback from participants at all levels who were involved.
Which phase of emergency management is the APRN addressing?
Answer: Recovery
●● An advanced practice registered nurse (APRN) explains to a new
staff member that during times of disaster no patients will be turned
away from receiving care, even during a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing?
Answer: EMTALA
