WGU D120 COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ 1. Identify the appropriate age and interval of recommended health
screening for women..
Answer: a. Woman 19-49 MMR, hep b, and varicella for those non
immune.b. Girls 11-26 HPV vaccinec. Tdap 19-64 replace Tdd. Women 50>
influenza annuallyi. 19-49 annually for health care workersii. Chronic
diseases, HD, DMiii. Pregnant womene. Pneumococcal 65 >or chronic
disease, alcohol, immunocompromisedf. Contraindicated in pregnant
womeni. MMRii. Varicellaiii. HPV
◍ A heath system wants to decrease the number of employee injuries from
lifting. A project team is formed to select lifting equipment that meets the
needs of several departments across the health system. An advanced practice
registered nurse (APRN) leads a team to evaluate equipment from three
manufacturers.The team develops a chart to evaluate each piece of
equipment and scores the equipment according to how it would operate in
the following categories:• Severity: Identify all activities the equipment is
expected to do.• Occurrence: For each activity, evaluate what could go
wrong.• Detection: For each thing that could go wrong, evaluate what the
effect would be.According to this scenario, which quality process did the
APRN implement for this project?FMEADMAICSMARTPDCA.
Answer: Correct! FMEA (failure mode effects analysis) is a tool for
proactively evaluating products and identifying ways to prevent defects. It
can spot problems before a piece of equipment is put into practice.
◍ A 40-year-old female patient seeks medical attention from an advanced
practice registered nurse (APRN) for increasing anxiety that is only reduced
, by ingesting alcoholic beverages. The patient reports caring for two
school-age children in addition to an adult parent who was recently
diagnosed with a cognitive disorder.Which response should the APRN give
to this patient?"Edible forms of marijuana might be better than alcohol.""A
prescription for medical marijuana may be helpful.""Alcohol can cause
rebound anxiety.""The time of day when alcohol is ingested may need to be
changed.".
Answer: Correct! Alcohol intake should be discouraged because it can cause
rebound anxiety and lead to addiction problems.
◍ First prenatal visit diagnostic testing.
Answer: CBC - screen for microcytic anemiaUA - check for bacteria,
protein, glucoseBlood, Rh type, antibody screen - screen for
incompatibilitySTI screen - screen for STIRubella titer - assess immunity
(vaccinate after delivery)TSH if symptoms, personal or family history, or
other risk factors. Untreated hypothyroidism may delay neurologic
development.
◍ TESTING-a. Chlamydia trachomatis.
Answer: i. Diagnostic testing1. Urine NAAT for N. gonorrhoeae/CT; urine
hCG2. Culture swab for C/S from cervix or urethra and if indicated, from
anal or oral sites; culture swabs should be plastic or wire shafts with rayon
or Dacron tips (cotton tips are toxic to N. gonorrhoeae and CT)3. Consider
testing for HIV and other STIs
◍ Family Planning.
Answer: Promote family planning based on a woman's reproductive life
plan. For women who are not planning on getting pregnant, promote
effective contraceptive use and discuss emergency contraception.
◍ Smell.
Answer: a. i. Decreased olfactory neurons1. Olfactory loss is a common
cause of taste disturbances, but in addition to affecting smell, medications
can also cause dry mouth (xerostomia) or persistent taste dysfunction
(dysgeusia). Dental caries, poorly fitting dentures, gingivitis, infections, and
, diseases also cause oral dryness or decrease taste.
◍ a. Varicocele.
Answer: i. varicocele is an abnormal dilation of the pampiniform plexus and
spermatic veins in the spermatic cord1. incompetent valves within the
pampiniform venous plexus, which results in a backflow of blood and
venous pooling.2. Varicoceles usually develop slowly, are often
symptomatic, and can lead to testicular damage or dysfunction and male
infertilitya. A right-sided varicocele is a a secondary cause of the varicocele,
specifically an abdominal, pelvic, or retroperitoneal mass.3. soft mass
reveals a "bag of worms" on the proximal spermatic cord, more frequently
encountered on the left sideii. Treatment1. Surgical treatment by ligation of
the spermatic vein (varicocelectomy) is often the treatment of choice, and
there are several different surgical approaches
◍ 1. PrE
P. a. Prescribing guidelines.
Answer: i. Test for HIV if + not eligibleii. Syphilis? Gonorrhea
chlamydiaiii. Check renal function and hep B statusiv. Vaccinate against
HBV1. Not contraindicated against Prep if HBV +
◍ A patient presents to an advanced practice registered nurse (APRN) for
lower-back pain that has been returning intermittently for the past year.
Corticosteroids have been tried and optimized with no relief. The APRN
notes that previous lumbar cervical spine X-rays and an MRI suggest
radiculopathy arthritis.Which action should the APRN take to assist this
patient?Schedule for outpatient mental health counselingSchedule
reassessment within six to eight weeksPrescribe a long-acting opioid using
the maximum dosePrescribe a short-acting opioid using the lowest dose.
Answer: D
◍ The largest category of psychiatric disorders in elderly patients is:Panic
disorderGeneralized anxiety disorderDepressionEating disorders.
Answer: Feedback: Depression remains the largest category of psychiatric
disorders in older adults and is associated with significant morbidity and
, mortality.
◍ What are the attributes of the patient-centered medical home?Efficiency,
time management, quality improvement, collaboration, and cost
reductionComprehensive care, cost reduction, patient safety, and quality
improvementComprehensive care; patient-centered, coordinated care;
accessible services; quality; and safetyPlanned care, quality improvement,
and team-based care.
Answer: Correct! The patient-centered medical home model comprises the
following five attributes: comprehensive care; patient-centered, coordinated
care; accessible services; quality; and safety.
◍ 1. Discuss the 4 Principles of Practice.
Answer: a. Safety is paramountb. Adhere to ethical practicesc. Value base
system health care deliveryd. Prevention and early migration of disease
◍ 1. What is the APRN consensus model for?.
Answer: a. provides guidance for states to adopt uniformity in the regulation
of APRN roles, licensure, accreditation, certification and education.b. The
COVID-19 pandemic has prompted some state governors to temporarily
remove unnecessary restrictions on APRNs. Lifting these barriers which do
not follow the Consensus Model allowed APRNs to practice across state
lines to meet the need for health care providers in surge areas. As long as
regulatory requirements differ from state to state, each border represents an
obstacle to license portability - potentially preventing access to APRN
professionals and the high-quality care they provide.c. Adoption of the
Consensus Model moves states toward uniformity and license portability.
◍ 1. vulvar and vaginal cancer.a. Clinical features.
Answer: i. Itching is the most common symptom, although some patients
present with palpable or visible abnormalities of the vulva.ii.
Asymptomaticiii. Approximately 20% of the lesions have a "warty"
appearance, and the lesions are multicentric in about two-thirds of cases.
◍ descriptor.
Answer: defines what performance looks like at each level of a rubric; must
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ 1. Identify the appropriate age and interval of recommended health
screening for women..
Answer: a. Woman 19-49 MMR, hep b, and varicella for those non
immune.b. Girls 11-26 HPV vaccinec. Tdap 19-64 replace Tdd. Women 50>
influenza annuallyi. 19-49 annually for health care workersii. Chronic
diseases, HD, DMiii. Pregnant womene. Pneumococcal 65 >or chronic
disease, alcohol, immunocompromisedf. Contraindicated in pregnant
womeni. MMRii. Varicellaiii. HPV
◍ A heath system wants to decrease the number of employee injuries from
lifting. A project team is formed to select lifting equipment that meets the
needs of several departments across the health system. An advanced practice
registered nurse (APRN) leads a team to evaluate equipment from three
manufacturers.The team develops a chart to evaluate each piece of
equipment and scores the equipment according to how it would operate in
the following categories:• Severity: Identify all activities the equipment is
expected to do.• Occurrence: For each activity, evaluate what could go
wrong.• Detection: For each thing that could go wrong, evaluate what the
effect would be.According to this scenario, which quality process did the
APRN implement for this project?FMEADMAICSMARTPDCA.
Answer: Correct! FMEA (failure mode effects analysis) is a tool for
proactively evaluating products and identifying ways to prevent defects. It
can spot problems before a piece of equipment is put into practice.
◍ A 40-year-old female patient seeks medical attention from an advanced
practice registered nurse (APRN) for increasing anxiety that is only reduced
, by ingesting alcoholic beverages. The patient reports caring for two
school-age children in addition to an adult parent who was recently
diagnosed with a cognitive disorder.Which response should the APRN give
to this patient?"Edible forms of marijuana might be better than alcohol.""A
prescription for medical marijuana may be helpful.""Alcohol can cause
rebound anxiety.""The time of day when alcohol is ingested may need to be
changed.".
Answer: Correct! Alcohol intake should be discouraged because it can cause
rebound anxiety and lead to addiction problems.
◍ First prenatal visit diagnostic testing.
Answer: CBC - screen for microcytic anemiaUA - check for bacteria,
protein, glucoseBlood, Rh type, antibody screen - screen for
incompatibilitySTI screen - screen for STIRubella titer - assess immunity
(vaccinate after delivery)TSH if symptoms, personal or family history, or
other risk factors. Untreated hypothyroidism may delay neurologic
development.
◍ TESTING-a. Chlamydia trachomatis.
Answer: i. Diagnostic testing1. Urine NAAT for N. gonorrhoeae/CT; urine
hCG2. Culture swab for C/S from cervix or urethra and if indicated, from
anal or oral sites; culture swabs should be plastic or wire shafts with rayon
or Dacron tips (cotton tips are toxic to N. gonorrhoeae and CT)3. Consider
testing for HIV and other STIs
◍ Family Planning.
Answer: Promote family planning based on a woman's reproductive life
plan. For women who are not planning on getting pregnant, promote
effective contraceptive use and discuss emergency contraception.
◍ Smell.
Answer: a. i. Decreased olfactory neurons1. Olfactory loss is a common
cause of taste disturbances, but in addition to affecting smell, medications
can also cause dry mouth (xerostomia) or persistent taste dysfunction
(dysgeusia). Dental caries, poorly fitting dentures, gingivitis, infections, and
, diseases also cause oral dryness or decrease taste.
◍ a. Varicocele.
Answer: i. varicocele is an abnormal dilation of the pampiniform plexus and
spermatic veins in the spermatic cord1. incompetent valves within the
pampiniform venous plexus, which results in a backflow of blood and
venous pooling.2. Varicoceles usually develop slowly, are often
symptomatic, and can lead to testicular damage or dysfunction and male
infertilitya. A right-sided varicocele is a a secondary cause of the varicocele,
specifically an abdominal, pelvic, or retroperitoneal mass.3. soft mass
reveals a "bag of worms" on the proximal spermatic cord, more frequently
encountered on the left sideii. Treatment1. Surgical treatment by ligation of
the spermatic vein (varicocelectomy) is often the treatment of choice, and
there are several different surgical approaches
◍ 1. PrE
P. a. Prescribing guidelines.
Answer: i. Test for HIV if + not eligibleii. Syphilis? Gonorrhea
chlamydiaiii. Check renal function and hep B statusiv. Vaccinate against
HBV1. Not contraindicated against Prep if HBV +
◍ A patient presents to an advanced practice registered nurse (APRN) for
lower-back pain that has been returning intermittently for the past year.
Corticosteroids have been tried and optimized with no relief. The APRN
notes that previous lumbar cervical spine X-rays and an MRI suggest
radiculopathy arthritis.Which action should the APRN take to assist this
patient?Schedule for outpatient mental health counselingSchedule
reassessment within six to eight weeksPrescribe a long-acting opioid using
the maximum dosePrescribe a short-acting opioid using the lowest dose.
Answer: D
◍ The largest category of psychiatric disorders in elderly patients is:Panic
disorderGeneralized anxiety disorderDepressionEating disorders.
Answer: Feedback: Depression remains the largest category of psychiatric
disorders in older adults and is associated with significant morbidity and
, mortality.
◍ What are the attributes of the patient-centered medical home?Efficiency,
time management, quality improvement, collaboration, and cost
reductionComprehensive care, cost reduction, patient safety, and quality
improvementComprehensive care; patient-centered, coordinated care;
accessible services; quality; and safetyPlanned care, quality improvement,
and team-based care.
Answer: Correct! The patient-centered medical home model comprises the
following five attributes: comprehensive care; patient-centered, coordinated
care; accessible services; quality; and safety.
◍ 1. Discuss the 4 Principles of Practice.
Answer: a. Safety is paramountb. Adhere to ethical practicesc. Value base
system health care deliveryd. Prevention and early migration of disease
◍ 1. What is the APRN consensus model for?.
Answer: a. provides guidance for states to adopt uniformity in the regulation
of APRN roles, licensure, accreditation, certification and education.b. The
COVID-19 pandemic has prompted some state governors to temporarily
remove unnecessary restrictions on APRNs. Lifting these barriers which do
not follow the Consensus Model allowed APRNs to practice across state
lines to meet the need for health care providers in surge areas. As long as
regulatory requirements differ from state to state, each border represents an
obstacle to license portability - potentially preventing access to APRN
professionals and the high-quality care they provide.c. Adoption of the
Consensus Model moves states toward uniformity and license portability.
◍ 1. vulvar and vaginal cancer.a. Clinical features.
Answer: i. Itching is the most common symptom, although some patients
present with palpable or visible abnormalities of the vulva.ii.
Asymptomaticiii. Approximately 20% of the lesions have a "warty"
appearance, and the lesions are multicentric in about two-thirds of cases.
◍ descriptor.
Answer: defines what performance looks like at each level of a rubric; must
