WGU D118 Adults/Older Adults in Primary Care
{Diagnosis & Management of Adult Health Problems}
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. Susan is a 19-year-old college student and avid swimmer. She frequently gets
swimmer's ear and asks if there is anything she can do to help prevent it other
than wearing earplugs, which do not really work for her. What do you suggest?
1.Start using a cotton-tipped applicator to dry the ears after swimming.
2.Use ear drops made of a solution of equal parts alcohol and vinegar in each ear
after swimming.
3.Use a hair dryer on the highest setting to dry the ears.
4.Stop swimming. - ANSWER Use ear drops made of a solution of equal parts
alcohol and vinegar in each ear after swimming.
2. Mia, a 27-year-old school teacher, has a 2-day history of severe left ear pain
that began after 1 week of upper respiratory infection (URI) symptoms. On
physical examination, you find that she has acute otitis media (AOM). She has a
severe allergy to penicillin. The most appropriate antimicrobial option for this
patient is:
1.Ciprofloxacin (Cipro).
,2.Azithromycin (Zithromax).
3.Amoxicillin (Amoxil).
4.Cephalexin (Keflex). - ANSWER Azithromycin (Zithromax).
3. Mario, a 17-year-old high school student, came to the office for evaluation. He
is complaining of persistent sore throat, fever, and malaise not relieved by the
penicillin therapy prescribed recently at the urgent care center. As the nurse
practitioner, what would you order next?
1. A throat culture.
2. A Monospot test.
3. A rapid antigen test.
4. A Thayer-Martin plate test. - ANSWER A Monospot test.
4. Ellen, a 56-year-old social worker, is seen by the nurse practitioner for
complaints of fever; left-sided facial pain; moderate amounts of purulent,
malodorous nasal discharge; and pain and headache when bending forward. The
symptoms have been occurring for approximately 6 days. On physical assessment,
there is marked redness and swelling of the nasal passages and tenderness/pain
on palpation over the cheekbones. The nurse practitioner should suspect:
1. Dental abscess.
2. Acute rhinosinusitis.
3. Chronic rhinosinusitis.
4. Nasal tumor. - ANSWER Acute rhinosinusitis.
,5. Sally, age 19, presents with pain and pressure over her cheeks and discolored
nasal discharge. You cannot transilluminate the sinuses. You suspect which sinus
to be affected?
1. Maxillary sinus.
2. Ethmoid sinus.
3. Sphenoid sinus.
4. Frontal sinus. - ANSWER Maxillary sinus.
6. You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should
include:
1. Gentamicin ophthalmic ointment.
2. Ciprofloxacin ophthalmic drops.
3. Supportive measures and lubricating drops (artificial tears).
4. Oral erythromycin for 14 days. - ANSWER Supportive measures and
lubricating drops (artificial tears).
7. Your client George, age 60, presents with pruritus and complains of
lymphadenopathy in his neck. He also complains of night sweats and has noticed a
low-grade fever. He has not lost any weight and otherwise feels well. He is
widowed and has been dating a new woman recently. On physical exam, you find
enlarged supraclavicular nodes. You suspect:
1. Lung cancer.
2. Hodgkin lymphoma.
3. A lingering viral infection from a bout of flu he had 6 weeks ago.
4. Non-Hodgkin lymphoma. - ANSWER Hodgkin lymphoma.
, 8. Ms. Jones, your client, has an elevated platelet count. You suspect:
1. Systemic lupus erythematosus (SLE).
2. Infectious mononucleosis.
3. Disseminated intravascular coagulation (DIC).
4. Splenectomy. - ANSWER Splenectomy.
9. You have a new client, Robert, age 67, who presents with generalized
lymphadenopathy. You know that this is indicative of:
1. Disseminated malignancy, particularly of the hematologic system.
2. Cancer of the liver.
3. Sjögren syndrome.
4. Pancreatic cancer. - ANSWER Disseminated malignancy, particularly of the
hematologic system.
10. Caroline, 65, is homeless and has iron deficiency anemia. She smokes and
drinks when she can and has a stomach ulcer. Which of the following is not one of
her risk factors for iron deficiency anemia?
1. Smoking.
2. Poverty.
3. Ulcer.
4. Age greater than 60. - ANSWER Smoking.
11. The gold standard for definitive diagnosis of sickle cell anemia is:
{Diagnosis & Management of Adult Health Problems}
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. Susan is a 19-year-old college student and avid swimmer. She frequently gets
swimmer's ear and asks if there is anything she can do to help prevent it other
than wearing earplugs, which do not really work for her. What do you suggest?
1.Start using a cotton-tipped applicator to dry the ears after swimming.
2.Use ear drops made of a solution of equal parts alcohol and vinegar in each ear
after swimming.
3.Use a hair dryer on the highest setting to dry the ears.
4.Stop swimming. - ANSWER Use ear drops made of a solution of equal parts
alcohol and vinegar in each ear after swimming.
2. Mia, a 27-year-old school teacher, has a 2-day history of severe left ear pain
that began after 1 week of upper respiratory infection (URI) symptoms. On
physical examination, you find that she has acute otitis media (AOM). She has a
severe allergy to penicillin. The most appropriate antimicrobial option for this
patient is:
1.Ciprofloxacin (Cipro).
,2.Azithromycin (Zithromax).
3.Amoxicillin (Amoxil).
4.Cephalexin (Keflex). - ANSWER Azithromycin (Zithromax).
3. Mario, a 17-year-old high school student, came to the office for evaluation. He
is complaining of persistent sore throat, fever, and malaise not relieved by the
penicillin therapy prescribed recently at the urgent care center. As the nurse
practitioner, what would you order next?
1. A throat culture.
2. A Monospot test.
3. A rapid antigen test.
4. A Thayer-Martin plate test. - ANSWER A Monospot test.
4. Ellen, a 56-year-old social worker, is seen by the nurse practitioner for
complaints of fever; left-sided facial pain; moderate amounts of purulent,
malodorous nasal discharge; and pain and headache when bending forward. The
symptoms have been occurring for approximately 6 days. On physical assessment,
there is marked redness and swelling of the nasal passages and tenderness/pain
on palpation over the cheekbones. The nurse practitioner should suspect:
1. Dental abscess.
2. Acute rhinosinusitis.
3. Chronic rhinosinusitis.
4. Nasal tumor. - ANSWER Acute rhinosinusitis.
,5. Sally, age 19, presents with pain and pressure over her cheeks and discolored
nasal discharge. You cannot transilluminate the sinuses. You suspect which sinus
to be affected?
1. Maxillary sinus.
2. Ethmoid sinus.
3. Sphenoid sinus.
4. Frontal sinus. - ANSWER Maxillary sinus.
6. You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should
include:
1. Gentamicin ophthalmic ointment.
2. Ciprofloxacin ophthalmic drops.
3. Supportive measures and lubricating drops (artificial tears).
4. Oral erythromycin for 14 days. - ANSWER Supportive measures and
lubricating drops (artificial tears).
7. Your client George, age 60, presents with pruritus and complains of
lymphadenopathy in his neck. He also complains of night sweats and has noticed a
low-grade fever. He has not lost any weight and otherwise feels well. He is
widowed and has been dating a new woman recently. On physical exam, you find
enlarged supraclavicular nodes. You suspect:
1. Lung cancer.
2. Hodgkin lymphoma.
3. A lingering viral infection from a bout of flu he had 6 weeks ago.
4. Non-Hodgkin lymphoma. - ANSWER Hodgkin lymphoma.
, 8. Ms. Jones, your client, has an elevated platelet count. You suspect:
1. Systemic lupus erythematosus (SLE).
2. Infectious mononucleosis.
3. Disseminated intravascular coagulation (DIC).
4. Splenectomy. - ANSWER Splenectomy.
9. You have a new client, Robert, age 67, who presents with generalized
lymphadenopathy. You know that this is indicative of:
1. Disseminated malignancy, particularly of the hematologic system.
2. Cancer of the liver.
3. Sjögren syndrome.
4. Pancreatic cancer. - ANSWER Disseminated malignancy, particularly of the
hematologic system.
10. Caroline, 65, is homeless and has iron deficiency anemia. She smokes and
drinks when she can and has a stomach ulcer. Which of the following is not one of
her risk factors for iron deficiency anemia?
1. Smoking.
2. Poverty.
3. Ulcer.
4. Age greater than 60. - ANSWER Smoking.
11. The gold standard for definitive diagnosis of sickle cell anemia is:
