Page 1 of 234
WGU D115 - OA READINESS EXAM BANK |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
A 54-year-old female complains of intermittent crampy abdominal
pain over the last 18 hours, loss of appetite, vomiting, abdominal
bloating, and inability to have a bowel movement. She has a history of
hysterectomy 20 years ago, cholecystectomy 5 years ago, and two
laparoscopies for abdominal pain over the last 4 years. The FNP send
her to the ER because she suspects:
A) appendicitis
B) small bowel obstruction
C) bilary ductal obstruction
D) Gastroenteritis
B) small bowel obstruction
The patient's symptoms most likely represent SBO. The history of
multiple abdominal surgeries provides a possible cause due to
adhesions.
Non-pharmacologic management of GERD includes which of the
following?
,Page 2 of 234
A) Weight reduction and sleep with head of bed elevated 4-6 inches
with blocks
B) Lying down and resting after meals and weight reduction
C) Drinking large amounts of fluids with meals and avoiding alcohol
D) Avoiding mint, orange juice, and milk
A) Weight reduction and sleep with head of bed elevated 4-6 inches
with blocks
Advise the patient to not lie down within 2-3 hours after meals.
Patients with GERD should also reduce weight, avoid heavy meals and
exercise following meals and elevate the head of the bed. Certain
drinks such as mint, orange juice, and alcohol should be avoided due
to the increasing of acid and relaxation of the lower esophageal
sphincter.
What is an organism associate with the etiology of PUD?
A) Streptococcus pneumoniae
B) Helicobacter pylori
C) Moraxella catarrhalis
D) Staphylococcus aureus
B) Helicobacter pylori
,Page 3 of 234
Moraxella catarrhalis
otitis media
A 65-year-old male presents to the FNP for evaluation of years of
"heartburn" and recent weight loss of 30lbs over the last month. He
has been taking antacids and an oral histamine 2 receptor antagonist
for years "off and on". He has a 60 pack per year smoking history and
drinks alcohol daily. What differential diagnoses should the FNP
consider?
A) Gastric ulcer
B) GERD
C) Esophageal cancer
D) Lung cancer
C) Esophageal cancer
Long-term GERD with out effective treatment carries a risk of Barrett
esophagus and esophageal adenocarcinoma. The rapid weight loss is a
concerning clinical finding. The cigarette smoking and alcohol use also
increase his risk.
Which is true of PUD in patients over the age of 65 years?
A) smoking does not increase the risk
, Page 4 of 234
B) duodenal ulcers are common in persons over 65
C) perforation is a common complication
D) weight loss and anorexia are often the only symptoms
D) weight loss and anorexia are often the only symptoms
Patients with gastric ulcer may not have any symptoms, especially the
older adult. Weight loss and anorexia may be present.
A patient complains of melena-black, tarry stools. The FNP knows that
this:
A) has no pathologic significance
B) Involves a loss of less than 30 mL of blood
C) Is likely bleeding from the colon
D) May likely be bleeding from the esophagus or stomach
D) May likely be bleeding from the esophagus or stomach
Tarry stools indicate passage of blood usually from the upper GI tract
involving at least 60mL of blood.
A 21-year-old white college female complains of fatigue, RLQ pain, and
diarrhea for the last 2 months. She has lost 10lbs and notes chills
periodically. She denies rectal bleeding. She notes she is stressed
about final exam. The FNP would be most concerned about:
WGU D115 - OA READINESS EXAM BANK |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
A 54-year-old female complains of intermittent crampy abdominal
pain over the last 18 hours, loss of appetite, vomiting, abdominal
bloating, and inability to have a bowel movement. She has a history of
hysterectomy 20 years ago, cholecystectomy 5 years ago, and two
laparoscopies for abdominal pain over the last 4 years. The FNP send
her to the ER because she suspects:
A) appendicitis
B) small bowel obstruction
C) bilary ductal obstruction
D) Gastroenteritis
B) small bowel obstruction
The patient's symptoms most likely represent SBO. The history of
multiple abdominal surgeries provides a possible cause due to
adhesions.
Non-pharmacologic management of GERD includes which of the
following?
,Page 2 of 234
A) Weight reduction and sleep with head of bed elevated 4-6 inches
with blocks
B) Lying down and resting after meals and weight reduction
C) Drinking large amounts of fluids with meals and avoiding alcohol
D) Avoiding mint, orange juice, and milk
A) Weight reduction and sleep with head of bed elevated 4-6 inches
with blocks
Advise the patient to not lie down within 2-3 hours after meals.
Patients with GERD should also reduce weight, avoid heavy meals and
exercise following meals and elevate the head of the bed. Certain
drinks such as mint, orange juice, and alcohol should be avoided due
to the increasing of acid and relaxation of the lower esophageal
sphincter.
What is an organism associate with the etiology of PUD?
A) Streptococcus pneumoniae
B) Helicobacter pylori
C) Moraxella catarrhalis
D) Staphylococcus aureus
B) Helicobacter pylori
,Page 3 of 234
Moraxella catarrhalis
otitis media
A 65-year-old male presents to the FNP for evaluation of years of
"heartburn" and recent weight loss of 30lbs over the last month. He
has been taking antacids and an oral histamine 2 receptor antagonist
for years "off and on". He has a 60 pack per year smoking history and
drinks alcohol daily. What differential diagnoses should the FNP
consider?
A) Gastric ulcer
B) GERD
C) Esophageal cancer
D) Lung cancer
C) Esophageal cancer
Long-term GERD with out effective treatment carries a risk of Barrett
esophagus and esophageal adenocarcinoma. The rapid weight loss is a
concerning clinical finding. The cigarette smoking and alcohol use also
increase his risk.
Which is true of PUD in patients over the age of 65 years?
A) smoking does not increase the risk
, Page 4 of 234
B) duodenal ulcers are common in persons over 65
C) perforation is a common complication
D) weight loss and anorexia are often the only symptoms
D) weight loss and anorexia are often the only symptoms
Patients with gastric ulcer may not have any symptoms, especially the
older adult. Weight loss and anorexia may be present.
A patient complains of melena-black, tarry stools. The FNP knows that
this:
A) has no pathologic significance
B) Involves a loss of less than 30 mL of blood
C) Is likely bleeding from the colon
D) May likely be bleeding from the esophagus or stomach
D) May likely be bleeding from the esophagus or stomach
Tarry stools indicate passage of blood usually from the upper GI tract
involving at least 60mL of blood.
A 21-year-old white college female complains of fatigue, RLQ pain, and
diarrhea for the last 2 months. She has lost 10lbs and notes chills
periodically. She denies rectal bleeding. She notes she is stressed
about final exam. The FNP would be most concerned about:
