WGU D118 ADULT PRIMARY CARE
FINAL EXAM 2 VERSIONS EXAM
QUESTIONS 2026/2027 BANK 500
QUESTIONS AND ANSWERS LATEST
UPDATE JUST RELEASED /ALREADY
GRADED A+
A client presents to the healthcare provider's office with
cellulitis on the lower leg. Other than the inflammation of
the leg, the client has no other symptoms. To determine
the causative organism, the nurse anticipates an order for
which test?
A. WBC count
B. Drainage culture
C. RBC count
D. Blood culture - ....ANSWER...B. Drainage culture
While working in the northeast, a 62-year-old gardener
comes to the clinic with complaints of right knee pain and
,inflammation for a few weeks. Which of the following
responses is the best choice to be included in the
differential diagnosis?
A. Multiple sclerosis
B. Ankylosing spondylitis
C. Lyme disease
D. Tularemia - ....ANSWER...C. This outdoor worker is at
high risk for tick bites. Complications from untreated
Lyme disease includes joint swelling, effusions, and
arthritic symptoms
A 64-year-old patient comes to the office and states she
found a tick on her abdomen a week or two ago which
seemed engorged but she pulled it out and threw it in the
garbage. She now has a circular rash that has the typical
bull's-eye appearance. Treatment for this patient would
be:
A. Azithromycin 500 mg orally for 3 days.
B. Keflex 500 mg orally for 7 days.
C. Doxycycline 100 mg orally for 7 days
,D. Ceftriaxone 1 gm IV daily for 3 days - ....ANSWER...C.
If the patient had come to be seen immediately after
noticing the engorged tick bite, a prophylactic one-time
dose of doxycycline can be offered.
A patient presents to the NP's office and states that there
was a deer tick crawling on her one month ago. She was
sick with a cold recently and is concerned that perhaps she
has contracted Lyme disease. The NP gets the following
results from the serology studies: Lyme AB screen: 1.38 (a
positive Lyme antibody screen is > or = to 1.10) A
Western blot IGG and IGM is done. All bands are negative
or non-reactive. The NP correctly offers the following
information:
A. The patient does not have Lyme disease. No therapy is
warranted.
B. Order further diagnostic testing
C. Prescribe doxycycline
D. Admit to hospital for treatment - ....ANSWER...A. The
patient does not have Lyme disease, so no therapy is
needed. The appropriate Western blot bands are required
to qualify as a positive result. No positive or reactive
bands means a negative result. In addition, the complaints
, of a cold are not consistent with more common symptoms
of Lyme infection
A 43 year old male presents to the primary care clinic with
complaints of a cough that has persisted for 6 weeks. How
with the APRN classify this patient's cough?
A. Acute cough
B. Subacute cough
C. Chronic cough
D. Chronic obstructive pulmonary disease -
....ANSWER...B. Subacute cough. Coughs may be
classified as acute (lasting <3 weeks), subacute (lasting 3
to 8 weeks), and chronic (persisting beyond 8 weeks).1
Most coughs are acute and self-limited; 90% are caused by
viral upper respiratory tract infections, two-thirds of
which clear within 2 weeks.
Which statement below regarding chronic cough is true?
A. A postinfectious cough, by definition, lasts no longer
than 8 weeks;
FINAL EXAM 2 VERSIONS EXAM
QUESTIONS 2026/2027 BANK 500
QUESTIONS AND ANSWERS LATEST
UPDATE JUST RELEASED /ALREADY
GRADED A+
A client presents to the healthcare provider's office with
cellulitis on the lower leg. Other than the inflammation of
the leg, the client has no other symptoms. To determine
the causative organism, the nurse anticipates an order for
which test?
A. WBC count
B. Drainage culture
C. RBC count
D. Blood culture - ....ANSWER...B. Drainage culture
While working in the northeast, a 62-year-old gardener
comes to the clinic with complaints of right knee pain and
,inflammation for a few weeks. Which of the following
responses is the best choice to be included in the
differential diagnosis?
A. Multiple sclerosis
B. Ankylosing spondylitis
C. Lyme disease
D. Tularemia - ....ANSWER...C. This outdoor worker is at
high risk for tick bites. Complications from untreated
Lyme disease includes joint swelling, effusions, and
arthritic symptoms
A 64-year-old patient comes to the office and states she
found a tick on her abdomen a week or two ago which
seemed engorged but she pulled it out and threw it in the
garbage. She now has a circular rash that has the typical
bull's-eye appearance. Treatment for this patient would
be:
A. Azithromycin 500 mg orally for 3 days.
B. Keflex 500 mg orally for 7 days.
C. Doxycycline 100 mg orally for 7 days
,D. Ceftriaxone 1 gm IV daily for 3 days - ....ANSWER...C.
If the patient had come to be seen immediately after
noticing the engorged tick bite, a prophylactic one-time
dose of doxycycline can be offered.
A patient presents to the NP's office and states that there
was a deer tick crawling on her one month ago. She was
sick with a cold recently and is concerned that perhaps she
has contracted Lyme disease. The NP gets the following
results from the serology studies: Lyme AB screen: 1.38 (a
positive Lyme antibody screen is > or = to 1.10) A
Western blot IGG and IGM is done. All bands are negative
or non-reactive. The NP correctly offers the following
information:
A. The patient does not have Lyme disease. No therapy is
warranted.
B. Order further diagnostic testing
C. Prescribe doxycycline
D. Admit to hospital for treatment - ....ANSWER...A. The
patient does not have Lyme disease, so no therapy is
needed. The appropriate Western blot bands are required
to qualify as a positive result. No positive or reactive
bands means a negative result. In addition, the complaints
, of a cold are not consistent with more common symptoms
of Lyme infection
A 43 year old male presents to the primary care clinic with
complaints of a cough that has persisted for 6 weeks. How
with the APRN classify this patient's cough?
A. Acute cough
B. Subacute cough
C. Chronic cough
D. Chronic obstructive pulmonary disease -
....ANSWER...B. Subacute cough. Coughs may be
classified as acute (lasting <3 weeks), subacute (lasting 3
to 8 weeks), and chronic (persisting beyond 8 weeks).1
Most coughs are acute and self-limited; 90% are caused by
viral upper respiratory tract infections, two-thirds of
which clear within 2 weeks.
Which statement below regarding chronic cough is true?
A. A postinfectious cough, by definition, lasts no longer
than 8 weeks;
