WGU D119 PEDIATRIC PRIMARY OA EXAM
AND PRACTICE EXAM 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION|JUST RELEASED!!
You are evaluating a 10-year-old child who is describing shooting pain in both legs associated
with aching, tingling, and burning. The child is unable to pinpoint specific locations for this pain.
Which type of pain may this be?
A. Chronic
B. Neuropathic
C. Visceral
D. Somatic
B. Neuropathic. Neuropathic pain is poorly localized and characterized by shooting or
stabbing pain against a backdrop of aching and burning and can be associated with
paresthesia and dysesthesia. Chronic pain is rarely associated with sympathetic nervous
system arousal. Somatic pain is well localized in skin and subcutaneous tissues and is
generally dull or aching. Visceral pain involves the internal organs and is usually a continual
aching sensation or a deep cramping or squeezing pain.
You are treating a toddler who has a lower respiratory tract illness with a low-grade fever. The
child is eating and taking fluids well, and in the clinic, you determine that he has normal oxygen
saturations. You suspect that the patient has a viral pneumonia. What should you do?
1|Page
,A. Prescribe a broad-spectrum antibiotic until the lab results are received.
B. Order an antiviral medication and schedule a follow-up appointment.
C. Teach the parents symptomatic care and order labs to help with the diagnosis.
D. Write a prescription for an antibiotic to be given if the child's condition worsens.
C. Teach the parents symptomatic care and order labs to help with the diagnosis. To decrease
antibiotic overuse and resistance, you should order an antibiotic only if laboratory data
confirm a bacterial infection. This child is mildly ill and can be treated symptomatically. It is
unnecessary to treat with an antiviral medication. A broad-spectrum antibiotic will only
increase the risk of antibiotic resistance. Writing a prescription for the parents to fill if needed
is not recommended; parents may give an antibiotic believing that it is indicated when it is
not.
A three-year-old child whose immunizations are up to date has been exposed to measles
because of a localized outbreak among unvaccinated children. The parent reports that contact
with infected children occurred within the last two days at a birthday party.
What is the best course of action for you to take?
A. Reassure the parent that most exposed children will not get measles.
B. Give antiviral medications at the first sign of symptoms.
C. Administer the measles-mumps-rubella (MMR) vaccine to help prevent disease.
D. Give the child a measles-mumps-rubella (MMR) vaccine and a dose of immune globulin to
provide both temporary and long-term protection.
C. Administer the measles-mumps-rubella (MMR) vaccine to help prevent disease. The
measles vaccine can be given to those exposed if given within 72 hours of exposure. Immune
globulin (IG) may be given in those without a prior measles vaccine. Antiviral medications are
not effective. Nine of 10 children who are unimmunized or under immunized will contract the
disease if exposed.
A developmentally and cognitively disabled 10-year-old child who is unable to communicate
must undergo a series of surgeries, and the child's parent asks how to know if the child is in pain
2|Page
,and when to give pain medication.
What should you teach this parent to use to assess this child's pain?
A. Non-Communicating Children's Pain Checklist-Revised (NCCPC-R)
B. Comfort scale
C. Nonverbal observations
D. Face-legs-activity-cry-consolability (FLACC) scale
A. Non-Communicating Children's Pain Checklist-Revised (NCCPC-R) The Non-Communicating
Children's Pain Checklist-Revised (NCCPC-R) is designed for use with children three to 18 years
of age who have cognitive disabilities or physical impairments and are unable to
communicate through speech. The comfort scale is used for mechanically ventilated children
with normal cognition. The face-legs-activity-cry-consolability (FLACC) scale is generally used
in children under the age of three years. Nonverbal observations are useful in infants and
toddlers with normal development.
What is the most important dose-limiting factor when prescribing acetaminophen with
hydrocodone?
A. Acetaminophen dose
B. Urinary retention
C. Gastrointestinal side effects
D. Pruritis symptoms
A. Acetaminophen dose. Exceeding the recommended dose of acetaminophen can lead to
liver toxicity. The other options list potential, non-life-threatening side effects.
A parent is concerned about adverse reactions to vaccines.
What should you tell the parent, based on an Institute of Medicine (IOM) report?
A. There is some risk of central nervous system (CNS) disorders associated with the hepatitis B
vaccine.
3|Page
, B. Administering multiple vaccines may trigger the development of type 1 diabetes.
C. Vaccines containing thimerosal are linked to pervasive developmental disorders.
D. The measles-mumps-rubella (MMR) vaccine may be linked to febrile seizures in
immunocompromised children.
D. The measles-mumps-rubella (MMR) vaccine may be linked to febrile seizures in
immunocompromised children. The IOM report found that febrile seizures and measles
inclusion body encephalitis can occur in immunocompromised children. The IOM found no
substantiated evidence that multiple vaccines trigger type 1 diabetes, that hepatitis B vaccine
is associated with increased risk of central nervous system disorders (CNS), or that thimerosal-
containing vaccines are linked to pervasive developmental disorders.
The parent of a school-age child who has asthma tells you that the child often comes home
from school with severe wheezing after gym class and needs to use his metered-dose inhaler
right away.
What should you do?
A. Recommend that the child go to the school nurse when symptoms start.
B. Review the child's asthma action plan and possibly increase his steroid dose.
C. Write the prescription for two metered-dose inhalers with spacers.
D. Suggest asking the school to excuse the child from gym class.
C. Write the prescription for two metered-dose inhalers with spacers. When children take
medication at school or day care, you should dispense two units of the medication so that one
can remain at school and one at home to avoid missed doses.
Which populations may have higher rates of under immunization than others, according to
recent research?
A. Those with a lower number of primary providers
B. Those with a higher percentage of Asians
4|Page
AND PRACTICE EXAM 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION|JUST RELEASED!!
You are evaluating a 10-year-old child who is describing shooting pain in both legs associated
with aching, tingling, and burning. The child is unable to pinpoint specific locations for this pain.
Which type of pain may this be?
A. Chronic
B. Neuropathic
C. Visceral
D. Somatic
B. Neuropathic. Neuropathic pain is poorly localized and characterized by shooting or
stabbing pain against a backdrop of aching and burning and can be associated with
paresthesia and dysesthesia. Chronic pain is rarely associated with sympathetic nervous
system arousal. Somatic pain is well localized in skin and subcutaneous tissues and is
generally dull or aching. Visceral pain involves the internal organs and is usually a continual
aching sensation or a deep cramping or squeezing pain.
You are treating a toddler who has a lower respiratory tract illness with a low-grade fever. The
child is eating and taking fluids well, and in the clinic, you determine that he has normal oxygen
saturations. You suspect that the patient has a viral pneumonia. What should you do?
1|Page
,A. Prescribe a broad-spectrum antibiotic until the lab results are received.
B. Order an antiviral medication and schedule a follow-up appointment.
C. Teach the parents symptomatic care and order labs to help with the diagnosis.
D. Write a prescription for an antibiotic to be given if the child's condition worsens.
C. Teach the parents symptomatic care and order labs to help with the diagnosis. To decrease
antibiotic overuse and resistance, you should order an antibiotic only if laboratory data
confirm a bacterial infection. This child is mildly ill and can be treated symptomatically. It is
unnecessary to treat with an antiviral medication. A broad-spectrum antibiotic will only
increase the risk of antibiotic resistance. Writing a prescription for the parents to fill if needed
is not recommended; parents may give an antibiotic believing that it is indicated when it is
not.
A three-year-old child whose immunizations are up to date has been exposed to measles
because of a localized outbreak among unvaccinated children. The parent reports that contact
with infected children occurred within the last two days at a birthday party.
What is the best course of action for you to take?
A. Reassure the parent that most exposed children will not get measles.
B. Give antiviral medications at the first sign of symptoms.
C. Administer the measles-mumps-rubella (MMR) vaccine to help prevent disease.
D. Give the child a measles-mumps-rubella (MMR) vaccine and a dose of immune globulin to
provide both temporary and long-term protection.
C. Administer the measles-mumps-rubella (MMR) vaccine to help prevent disease. The
measles vaccine can be given to those exposed if given within 72 hours of exposure. Immune
globulin (IG) may be given in those without a prior measles vaccine. Antiviral medications are
not effective. Nine of 10 children who are unimmunized or under immunized will contract the
disease if exposed.
A developmentally and cognitively disabled 10-year-old child who is unable to communicate
must undergo a series of surgeries, and the child's parent asks how to know if the child is in pain
2|Page
,and when to give pain medication.
What should you teach this parent to use to assess this child's pain?
A. Non-Communicating Children's Pain Checklist-Revised (NCCPC-R)
B. Comfort scale
C. Nonverbal observations
D. Face-legs-activity-cry-consolability (FLACC) scale
A. Non-Communicating Children's Pain Checklist-Revised (NCCPC-R) The Non-Communicating
Children's Pain Checklist-Revised (NCCPC-R) is designed for use with children three to 18 years
of age who have cognitive disabilities or physical impairments and are unable to
communicate through speech. The comfort scale is used for mechanically ventilated children
with normal cognition. The face-legs-activity-cry-consolability (FLACC) scale is generally used
in children under the age of three years. Nonverbal observations are useful in infants and
toddlers with normal development.
What is the most important dose-limiting factor when prescribing acetaminophen with
hydrocodone?
A. Acetaminophen dose
B. Urinary retention
C. Gastrointestinal side effects
D. Pruritis symptoms
A. Acetaminophen dose. Exceeding the recommended dose of acetaminophen can lead to
liver toxicity. The other options list potential, non-life-threatening side effects.
A parent is concerned about adverse reactions to vaccines.
What should you tell the parent, based on an Institute of Medicine (IOM) report?
A. There is some risk of central nervous system (CNS) disorders associated with the hepatitis B
vaccine.
3|Page
, B. Administering multiple vaccines may trigger the development of type 1 diabetes.
C. Vaccines containing thimerosal are linked to pervasive developmental disorders.
D. The measles-mumps-rubella (MMR) vaccine may be linked to febrile seizures in
immunocompromised children.
D. The measles-mumps-rubella (MMR) vaccine may be linked to febrile seizures in
immunocompromised children. The IOM report found that febrile seizures and measles
inclusion body encephalitis can occur in immunocompromised children. The IOM found no
substantiated evidence that multiple vaccines trigger type 1 diabetes, that hepatitis B vaccine
is associated with increased risk of central nervous system disorders (CNS), or that thimerosal-
containing vaccines are linked to pervasive developmental disorders.
The parent of a school-age child who has asthma tells you that the child often comes home
from school with severe wheezing after gym class and needs to use his metered-dose inhaler
right away.
What should you do?
A. Recommend that the child go to the school nurse when symptoms start.
B. Review the child's asthma action plan and possibly increase his steroid dose.
C. Write the prescription for two metered-dose inhalers with spacers.
D. Suggest asking the school to excuse the child from gym class.
C. Write the prescription for two metered-dose inhalers with spacers. When children take
medication at school or day care, you should dispense two units of the medication so that one
can remain at school and one at home to avoid missed doses.
Which populations may have higher rates of under immunization than others, according to
recent research?
A. Those with a lower number of primary providers
B. Those with a higher percentage of Asians
4|Page
