WGU D118 ADULT PRIMARY CARE OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. A patient presents to the clinic with left ankle pain after rolling their ankle
when trying to kick a ball during a soccer game. Upon examination, the
advanced practice registered nurse (APRN) notes pain with movement and
swelling. The patient is diagnosed with a minor left ankle sprain.
Which treatment should the APRN prescribe first for this patient? - ANSWER
Elastic wrap
2. A patient seeks medical attention for fatigue, sleep disturbances, and vague
symptoms of pain. The advanced practice registered nurse (APRN) assesses
the patient with the fibromyalgia criteria and finds that the patient meets
the conditions for the health problem.
Which medication should the APRN prescribe to help this patient with sleep? -
ANSWER Trazodone (Desyrel)
3. An advanced practice registered nurse (APRN) is assessing a patient who
presents with a small draining wound in the left foot. The patient was
previously treated with six weeks of intravenous antibiotic therapy for
osteomyelitis of the right foot. The patient wants to know why the new
wound occurred.
,How should the APRN respond to this question? - ANSWER "This type of
infection may occasionally recur"
4. A patient is following up with the advanced practice registered nurse
(APRN) for large, painless nodules over the metacarpophalangeal joints. The
patient has a history of three prior gout attacks and takes Allopurinol
(Aloprim).
Which referral should the APRN make for this patient? - ANSWER
Rheumatology
5. A patient presents to an advanced practice registered nurse (APRN).
Symptoms include generalized stiffness with painful, tender, and swollen
joints. These symptoms started two months before and involved bilateral
upper and lower limbs.
Which diagnostic studies should the APRN order for this patient? - ANSWER
Erythocyte sedimentation rate (ESR)
6. A patient with a history of frostbite presents to an advanced practice
registered nurse (APRN) with three fingers that are white in color and
numb. The patient's vital signs are normal, and the pain is rated as a zero.
While the APRN examines the patient, the fingers change to blue and then
to red.
Which recommendation should the APRN make for this patient? - ANSWER
Limit exposure to cold temperatures
7. A 75-year-old patient is referred to the endocrinologist's office with
complaints of increasing weakness to the arms and legs over the past
several months. The patient also reports losing interest in activities that
, were previously enjoyed and slow weight gain. Upon examination, the
advanced practice registered nurse (APRN) noted multiple bruises to the
arms and legs, thin skin, and slightly protruding abdomen coinciding with
the weight gain.
Which diagnostic study should the APRN order for this patient? - ANSWER
ACTH
8. A patient is treated for a urinary tract infection and, three weeks later,
presents with pain and swelling of one knee and in one hand, along with
inflammation in both eyes. - ANSWER Reactive arthritis
Can cause arthritis, urethritis, and inflammation of the eyes one to four weeks
after a prior infection
9. What is a palpable purpuric rash most consistent with? - ANSWER
Small-vessel vasculitis
A palpable purpuric rash is the most helpful physical examination finding of a
small-vessel vasculitis
10.What is recommended to prevent ophthalmic complications in patients
with Bell palsy? - ANSWER EYE DROPS
Lubricating eye drops and taping the ipsilateral eye closed at night are
recommended measures in preventing opthalmic complications in Bell palsy
patients. Exposure keratitis from drying of the eye can result in blindness so
lubricating eye drops should be used every 2 hours
, 11.What is the recommended treatment for recurrent headaches occurring
one or two times per month that generally occur with weather changes or
when sleep patterns are disrupted and are described as severe, with
throbbing on one side of the head and sometimes accompanied by nausea?
- ANSWER Rizatriptan
patient describes migraine headache without aura and has fever than four per
month
Abortive med, such as rizatriptan is recommended
12. A patient is diagnosed with multiple sclerosis and begins disease
modulating therapy (DMT) drugs.
What will the primary care provider tell the patient about this drug regimen
during counseling? - ANSWER It reduces the exacerbation rate
Disease modulating therapy will reduce the rate of exacerbations of MS symptoms
13. A patient with Parkinson disease (PD) has been taking carbidopa-levodopa
(Sinemet) with good results, but develops increased dyskinesia.
Which drug will be added to this patient's regimen to help control this symptom? -
ANSWER Amantadine
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. A patient presents to the clinic with left ankle pain after rolling their ankle
when trying to kick a ball during a soccer game. Upon examination, the
advanced practice registered nurse (APRN) notes pain with movement and
swelling. The patient is diagnosed with a minor left ankle sprain.
Which treatment should the APRN prescribe first for this patient? - ANSWER
Elastic wrap
2. A patient seeks medical attention for fatigue, sleep disturbances, and vague
symptoms of pain. The advanced practice registered nurse (APRN) assesses
the patient with the fibromyalgia criteria and finds that the patient meets
the conditions for the health problem.
Which medication should the APRN prescribe to help this patient with sleep? -
ANSWER Trazodone (Desyrel)
3. An advanced practice registered nurse (APRN) is assessing a patient who
presents with a small draining wound in the left foot. The patient was
previously treated with six weeks of intravenous antibiotic therapy for
osteomyelitis of the right foot. The patient wants to know why the new
wound occurred.
,How should the APRN respond to this question? - ANSWER "This type of
infection may occasionally recur"
4. A patient is following up with the advanced practice registered nurse
(APRN) for large, painless nodules over the metacarpophalangeal joints. The
patient has a history of three prior gout attacks and takes Allopurinol
(Aloprim).
Which referral should the APRN make for this patient? - ANSWER
Rheumatology
5. A patient presents to an advanced practice registered nurse (APRN).
Symptoms include generalized stiffness with painful, tender, and swollen
joints. These symptoms started two months before and involved bilateral
upper and lower limbs.
Which diagnostic studies should the APRN order for this patient? - ANSWER
Erythocyte sedimentation rate (ESR)
6. A patient with a history of frostbite presents to an advanced practice
registered nurse (APRN) with three fingers that are white in color and
numb. The patient's vital signs are normal, and the pain is rated as a zero.
While the APRN examines the patient, the fingers change to blue and then
to red.
Which recommendation should the APRN make for this patient? - ANSWER
Limit exposure to cold temperatures
7. A 75-year-old patient is referred to the endocrinologist's office with
complaints of increasing weakness to the arms and legs over the past
several months. The patient also reports losing interest in activities that
, were previously enjoyed and slow weight gain. Upon examination, the
advanced practice registered nurse (APRN) noted multiple bruises to the
arms and legs, thin skin, and slightly protruding abdomen coinciding with
the weight gain.
Which diagnostic study should the APRN order for this patient? - ANSWER
ACTH
8. A patient is treated for a urinary tract infection and, three weeks later,
presents with pain and swelling of one knee and in one hand, along with
inflammation in both eyes. - ANSWER Reactive arthritis
Can cause arthritis, urethritis, and inflammation of the eyes one to four weeks
after a prior infection
9. What is a palpable purpuric rash most consistent with? - ANSWER
Small-vessel vasculitis
A palpable purpuric rash is the most helpful physical examination finding of a
small-vessel vasculitis
10.What is recommended to prevent ophthalmic complications in patients
with Bell palsy? - ANSWER EYE DROPS
Lubricating eye drops and taping the ipsilateral eye closed at night are
recommended measures in preventing opthalmic complications in Bell palsy
patients. Exposure keratitis from drying of the eye can result in blindness so
lubricating eye drops should be used every 2 hours
, 11.What is the recommended treatment for recurrent headaches occurring
one or two times per month that generally occur with weather changes or
when sleep patterns are disrupted and are described as severe, with
throbbing on one side of the head and sometimes accompanied by nausea?
- ANSWER Rizatriptan
patient describes migraine headache without aura and has fever than four per
month
Abortive med, such as rizatriptan is recommended
12. A patient is diagnosed with multiple sclerosis and begins disease
modulating therapy (DMT) drugs.
What will the primary care provider tell the patient about this drug regimen
during counseling? - ANSWER It reduces the exacerbation rate
Disease modulating therapy will reduce the rate of exacerbations of MS symptoms
13. A patient with Parkinson disease (PD) has been taking carbidopa-levodopa
(Sinemet) with good results, but develops increased dyskinesia.
Which drug will be added to this patient's regimen to help control this symptom? -
ANSWER Amantadine
