Page 1 of 89
WGU D119 OA - PEDIATRIC PRIMARY EXAM***
QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS |DOWNLOAD AND
PASS | LATEST EXAM UPDATE 2026/2027
The FNP is managing care for a child diagnosed with iron-
deficiency anemia who had an initial hemoglobin of 8.8
g/dL and hematocrit of 32% who has been receiving
ferrous sulfate as 3 mg/kg/day of elemental iron for 4
weeks. The child's current lab work reveals elevations in
Hgb/Hct and reticulocytes with a hemoglobin of 10.5 g/dL
and a hematocrit of 36%. What is the next step in
management of this patient?
❖Continue the current dose of ferrous sulfate and
recheck labs in 1 to 2 months.
The FNP is completing a history and physical exam on a
child whom she suspects may be autistic. Which of the
following findings is associated with autism?
,Page 2 of 89
❖Delay in language development:
❖Autism is a developmental disorder that starts early
in a child's life and is characterized by avoidance of
eye contact, indifference to caregivers, language and
communication delays, failure to develop a social
smile, repetitive movements, and an excessive need
for routine
A teenage female patient is brought to the FNP for
evaluation by her grandmother with whom she lives. The
teenager has been vomiting and her grandmother
believes that she is becoming confused. The grandmother
relates that the patient has been upset lately over a
breakup with her boyfriend. What will the family nurse
practitioner investigate as a possible cause for the
teenager's symptoms?
❖Drug overdose: the grandmother's concern is
warranted. In teenage girls, the most common form
of suicide attempt by drug overdose. The
combination of vomiting and confusion suggests a
,Page 3 of 89
drug overdose, and the FNP should run a toxicology
screen
A teenager comes to the office of the FNP in states that
she was raped several hours ago by her boyfriend. What
immediate action should be taken by the FNP?
❖Accompany her to the emergency department for an
exam: This patient should be examined by emergency
department personnel, many of whom are specially
trained to collect the evidence needed to testify in
court about rape. The exam should not be done in
the office unless the FNP has been trained in
evidence collection and has a rape evidence
collection kit. The exam must be done quickly before
evidence is destroyed. The patient decides who
should be called for support. Although she's
encouraged to call her parents, she is also offered the
support of Rape Crisis and other resources
, Page 4 of 89
While interviewing an adolescent female presenting with
her mother for birth control counseling and exam, you
detect signs of family tension. During the physical exam,
while the mother is out of the room, the daughter admits
to frequent marijuana use and occasional drinking. What
assessment information would most confirm the presence
of active or potential violence in the home?
❖Admitted fear of Mother's boyfriend: although all
answers May contribute to a family nurse
practitioner's suspicion of Family Violence, the
admission of genuine fear of a household member is
considered an excellent indicator of actual or
potential violence in the level of danger in a home.
The FNP should involve Social Services to assist the
Adolescent female in this situation
The FNP is obtaining a medical history about a child. To
integrate both nursing and medical aspects of primary
care, which will be included in the medical history?
WGU D119 OA - PEDIATRIC PRIMARY EXAM***
QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS |DOWNLOAD AND
PASS | LATEST EXAM UPDATE 2026/2027
The FNP is managing care for a child diagnosed with iron-
deficiency anemia who had an initial hemoglobin of 8.8
g/dL and hematocrit of 32% who has been receiving
ferrous sulfate as 3 mg/kg/day of elemental iron for 4
weeks. The child's current lab work reveals elevations in
Hgb/Hct and reticulocytes with a hemoglobin of 10.5 g/dL
and a hematocrit of 36%. What is the next step in
management of this patient?
❖Continue the current dose of ferrous sulfate and
recheck labs in 1 to 2 months.
The FNP is completing a history and physical exam on a
child whom she suspects may be autistic. Which of the
following findings is associated with autism?
,Page 2 of 89
❖Delay in language development:
❖Autism is a developmental disorder that starts early
in a child's life and is characterized by avoidance of
eye contact, indifference to caregivers, language and
communication delays, failure to develop a social
smile, repetitive movements, and an excessive need
for routine
A teenage female patient is brought to the FNP for
evaluation by her grandmother with whom she lives. The
teenager has been vomiting and her grandmother
believes that she is becoming confused. The grandmother
relates that the patient has been upset lately over a
breakup with her boyfriend. What will the family nurse
practitioner investigate as a possible cause for the
teenager's symptoms?
❖Drug overdose: the grandmother's concern is
warranted. In teenage girls, the most common form
of suicide attempt by drug overdose. The
combination of vomiting and confusion suggests a
,Page 3 of 89
drug overdose, and the FNP should run a toxicology
screen
A teenager comes to the office of the FNP in states that
she was raped several hours ago by her boyfriend. What
immediate action should be taken by the FNP?
❖Accompany her to the emergency department for an
exam: This patient should be examined by emergency
department personnel, many of whom are specially
trained to collect the evidence needed to testify in
court about rape. The exam should not be done in
the office unless the FNP has been trained in
evidence collection and has a rape evidence
collection kit. The exam must be done quickly before
evidence is destroyed. The patient decides who
should be called for support. Although she's
encouraged to call her parents, she is also offered the
support of Rape Crisis and other resources
, Page 4 of 89
While interviewing an adolescent female presenting with
her mother for birth control counseling and exam, you
detect signs of family tension. During the physical exam,
while the mother is out of the room, the daughter admits
to frequent marijuana use and occasional drinking. What
assessment information would most confirm the presence
of active or potential violence in the home?
❖Admitted fear of Mother's boyfriend: although all
answers May contribute to a family nurse
practitioner's suspicion of Family Violence, the
admission of genuine fear of a household member is
considered an excellent indicator of actual or
potential violence in the level of danger in a home.
The FNP should involve Social Services to assist the
Adolescent female in this situation
The FNP is obtaining a medical history about a child. To
integrate both nursing and medical aspects of primary
care, which will be included in the medical history?
