WGU D118/ WGUD118 Final Exam (Latest 2026/2027
Update) Adult Primary Care for the Advanced
Practice Nurse| Questions with Verified Answers |
100% Correct | Graded A+
Question:
A primary care provider is providing care for a postsurgical client who
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
recently immigrated to the United States and speaks English only
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
marginally. What intervention will provide the most effective means of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
communicating postdischarge information to the client?? i,- i,- i,- i,- i,-
Answer:
D. Requesting the services of a professional interpreter fluent in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
client's native language
i,- i,-
Feedback:Only approved, professional interpreters experienced in health
i,- i,- i,- i,- i,- i,- i,-
care interpretation are appropriate interpreters for patients. Family
i,- i,- i,- i,- i,- i,- i,- i,-
members or friends should not be used as interpreters. Use of family
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
members or friends may create misinterpretation or misunderstanding
i,- i,- i,- i,- i,- i,- i,- i,-
between the provider and the patient. Family members may not
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
understand medical terms or may interpret only what they feel is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
important, or patients might feel uncomfortable divulging personal
i,- i,- i,- i,- i,- i,- i,- i,-
information to the person interpreting. Written information in the client's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
native language may be a means of reinforcing instructions but are not a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
substitute of person-to-person education. It is neither realistic nor
i,- i,- i,- i,- i,- i,- i,- i,- i,-
necessary to postpone discharge for this reason.
i,- i,- i,- i,- i,- i,-
Question:
,A female patient who is from the Middle East schedules an appointment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in a primary care office. To provide culturally responsive care, what will the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
clinic personnel do when meeting this patient for the first time??
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
B. Inquire about the patient's beliefs about health and treatment.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Feedback:It is important not to make assumptions about beliefs and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
practices associated with health care and to ask the patient about these.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
While certain practices are common in some cultural and ethnic groups,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
assuming that all members of those groups follow those norms is not
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
culturally responsive. i,-
Question:
Which health behavior is not included in Healthy People 2030 objectives??
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
C. Social interaction
i,- i,-
Feedback:c. SOCIAL INTERACTION IS NOT A HEALTH BEHAVIOR IN THE
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
HEALTHY PEOPLE 2030 OBJECTIVES i,- i,- i,-
Question:
An international traveler plans to travel to Kenya in sub-Saharan Africa.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Which is an important disease precaution for this person??
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
A. Starting prophylactic doxycycline before travel
i,- i,- i,- i,- i,-
,Feedback:Malaria is a greater concern worldwide than Ebola virus and i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Chikungunya fever, although both are emerging diseases. Travelers should
i,- i,- i,- i,- i,- i,- i,- i,- i,-
take antimalarial medications and, in this part of Africa, where there is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
widespread resistance to chloroquine, doxycycline is a better choice as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
prophylaxis. Even when chloroquine is appropriate, it must be taken prior
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to travel and not as needed. Chikungunya fever is a disease of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Western Hemisphere, especially in the Caribbean. Ebola virus is epidemic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in western Africa and not in Kenya
i,- i,- i,- i,- i,- i,-
Question:
A patient who is planning international travel to a developing country asks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the provider about vaccinations. Which is true about pretravel vaccines??
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
A. Requirements should be reviewed at least 4 to 6 weeks prior to travel.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Feedback:Patients seeking immunizations prior to international travel i,- i,- i,- i,- i,- i,- i,-
should have these reviewed at least 4 to 6 weeks prior so that antibody
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
responses and completion of vaccine series may occur. Country-specific
i,- i,- i,- i,- i,- i,- i,- i,- i,-
guidelines may be found on the CDC website. Malaria is not prevented by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vaccine, but by prophylactic antimalarial drugs. There are only two
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vaccines that are required. i,- i,- i,-
Question:
A woman who is currently pregnant reports that she has had three
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
previous pregnancies: twins delivered at 35-weeks gestation (both living),
i,- i,- i,- i,- i,- i,- i,- i,- i,-
one at 38-weeks gestation (living), and one miscarriage at 16-weeks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
, gestation. How will this be recorded as her G/TPAL in her electronic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medical record?? i,-
Answer:
A. G4P:1113
i,-
Feedback:G4P:1113 Using the notation G (number of pregnancies), T (term i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
deliveries), P (preterm deliveries), A (abortions—elective or spontaneous),
i,- i,- i,- i,- i,- i,- i,- i,-
and L (living children), this patient is G4P:1113. She is in her fourth
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pregnancy, so is G4. She has had one delivery at 38 weeks or more, one
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
delivery (of twins) at less than 36 weeks gestation, one spontaneous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abortion, and has three living children. i,- i,- i,- i,- i,-
Question:
What is the purpose of Level II research??
i,- i,- i,- i,- i,- i,- i,-
Answer:
B. To describe relationships among characteristics or variables
i,- i,- i,- i,- i,- i,- i,-
Feedback:Level II research is concerned with describing the relationships i,- i,- i,- i,- i,- i,- i,- i,- i,-
among characteristics or variables. Level I research is conducted to define
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the characteristics of groups of patients. Level II research evaluates the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nature of the relationships between variables. Level IV research is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
conducted to demonstrate the effectiveness of interventions or treatments.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
Which is the most appropriate research design for a Level III research
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
study??
Answer:
Update) Adult Primary Care for the Advanced
Practice Nurse| Questions with Verified Answers |
100% Correct | Graded A+
Question:
A primary care provider is providing care for a postsurgical client who
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
recently immigrated to the United States and speaks English only
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
marginally. What intervention will provide the most effective means of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
communicating postdischarge information to the client?? i,- i,- i,- i,- i,-
Answer:
D. Requesting the services of a professional interpreter fluent in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
client's native language
i,- i,-
Feedback:Only approved, professional interpreters experienced in health
i,- i,- i,- i,- i,- i,- i,-
care interpretation are appropriate interpreters for patients. Family
i,- i,- i,- i,- i,- i,- i,- i,-
members or friends should not be used as interpreters. Use of family
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
members or friends may create misinterpretation or misunderstanding
i,- i,- i,- i,- i,- i,- i,- i,-
between the provider and the patient. Family members may not
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
understand medical terms or may interpret only what they feel is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
important, or patients might feel uncomfortable divulging personal
i,- i,- i,- i,- i,- i,- i,- i,-
information to the person interpreting. Written information in the client's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
native language may be a means of reinforcing instructions but are not a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
substitute of person-to-person education. It is neither realistic nor
i,- i,- i,- i,- i,- i,- i,- i,- i,-
necessary to postpone discharge for this reason.
i,- i,- i,- i,- i,- i,-
Question:
,A female patient who is from the Middle East schedules an appointment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in a primary care office. To provide culturally responsive care, what will the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
clinic personnel do when meeting this patient for the first time??
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
B. Inquire about the patient's beliefs about health and treatment.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Feedback:It is important not to make assumptions about beliefs and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
practices associated with health care and to ask the patient about these.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
While certain practices are common in some cultural and ethnic groups,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
assuming that all members of those groups follow those norms is not
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
culturally responsive. i,-
Question:
Which health behavior is not included in Healthy People 2030 objectives??
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
C. Social interaction
i,- i,-
Feedback:c. SOCIAL INTERACTION IS NOT A HEALTH BEHAVIOR IN THE
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
HEALTHY PEOPLE 2030 OBJECTIVES i,- i,- i,-
Question:
An international traveler plans to travel to Kenya in sub-Saharan Africa.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Which is an important disease precaution for this person??
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
A. Starting prophylactic doxycycline before travel
i,- i,- i,- i,- i,-
,Feedback:Malaria is a greater concern worldwide than Ebola virus and i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Chikungunya fever, although both are emerging diseases. Travelers should
i,- i,- i,- i,- i,- i,- i,- i,- i,-
take antimalarial medications and, in this part of Africa, where there is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
widespread resistance to chloroquine, doxycycline is a better choice as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
prophylaxis. Even when chloroquine is appropriate, it must be taken prior
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to travel and not as needed. Chikungunya fever is a disease of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Western Hemisphere, especially in the Caribbean. Ebola virus is epidemic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in western Africa and not in Kenya
i,- i,- i,- i,- i,- i,-
Question:
A patient who is planning international travel to a developing country asks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the provider about vaccinations. Which is true about pretravel vaccines??
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
A. Requirements should be reviewed at least 4 to 6 weeks prior to travel.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Feedback:Patients seeking immunizations prior to international travel i,- i,- i,- i,- i,- i,- i,-
should have these reviewed at least 4 to 6 weeks prior so that antibody
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
responses and completion of vaccine series may occur. Country-specific
i,- i,- i,- i,- i,- i,- i,- i,- i,-
guidelines may be found on the CDC website. Malaria is not prevented by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vaccine, but by prophylactic antimalarial drugs. There are only two
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vaccines that are required. i,- i,- i,-
Question:
A woman who is currently pregnant reports that she has had three
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
previous pregnancies: twins delivered at 35-weeks gestation (both living),
i,- i,- i,- i,- i,- i,- i,- i,- i,-
one at 38-weeks gestation (living), and one miscarriage at 16-weeks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
, gestation. How will this be recorded as her G/TPAL in her electronic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medical record?? i,-
Answer:
A. G4P:1113
i,-
Feedback:G4P:1113 Using the notation G (number of pregnancies), T (term i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
deliveries), P (preterm deliveries), A (abortions—elective or spontaneous),
i,- i,- i,- i,- i,- i,- i,- i,-
and L (living children), this patient is G4P:1113. She is in her fourth
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pregnancy, so is G4. She has had one delivery at 38 weeks or more, one
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
delivery (of twins) at less than 36 weeks gestation, one spontaneous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abortion, and has three living children. i,- i,- i,- i,- i,-
Question:
What is the purpose of Level II research??
i,- i,- i,- i,- i,- i,- i,-
Answer:
B. To describe relationships among characteristics or variables
i,- i,- i,- i,- i,- i,- i,-
Feedback:Level II research is concerned with describing the relationships i,- i,- i,- i,- i,- i,- i,- i,- i,-
among characteristics or variables. Level I research is conducted to define
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the characteristics of groups of patients. Level II research evaluates the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nature of the relationships between variables. Level IV research is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
conducted to demonstrate the effectiveness of interventions or treatments.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
Which is the most appropriate research design for a Level III research
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
study??
Answer:
