WGU D118 ACTUAL EXAM 2 QUESTIONS WITH
VERIFIED SOLUTIONS
What is the most critical medication for immediate management of anaphylaxis in a
primary care clinic?
Epinephrine — First-line, lifesaving treatment that reverses airway edema, bronchospasm, and
hypotension
What should a clinic emergency action plan identify first?
Staff roles during emergencies — Clear role assignment improves response time and patient
safety
Which patient presentation requires immediate EMS activation?
Suspected stroke within 2 hours of onset — Time-sensitive emergency requiring hospital-level
intervention
Which item is NOT required emergency equipment in a primary care clinic?
Mechanical ventilator — Clinics stabilize and transfer rather than provide ICU-level care
What is the primary benefit of mock emergency drills?
Improved staff confidence and response time — Rehearsal improves coordinated emergency
response
What is the first-line treatment for anaphylaxis?
Intramuscular epinephrine — Treats airway compromise, hypotension, and bronchospasm
What is the correct adult dose of epinephrine for anaphylaxis?
0.3-0.5 mg IM — Standard adult dose administered in the thigh
Which symptom best differentiates anaphylaxis from a mild allergic reaction?
Hypotension — Indicates systemic involvement and shock
How long should patients be observed after an anaphylactic reaction?
4-6 hours — Allows monitoring for biphasic reactions
Which medication is adjunctive and should not delay epinephrine in anaphylaxis?
Diphenhydramine — Does not reverse airway or circulatory collapse
What complication are dog bites to the hand most at risk for?
Infection — Hand anatomy increases infection risk
, What is the first-line antibiotic for dog bite prophylaxis?
Amoxicillin-clavulanate — Covers Pasteurella, anaerobes, and skin flora
Which animal bite requires immediate rabies prophylaxis if not observed?
Bat — High rabies risk even without visible bite
What symptom is characteristic of black widow spider envenomation?
Severe muscle cramping — Neurotoxin causes muscle spasms
What is the best method for tick removal?
Fine-tipped tweezers — Reduces risk of disease transmission
What is the first intervention for stable narrow-complex SVT?
Vagal maneuvers — Least invasive initial treatment
What major complication is associated with atrial fibrillation?
Stroke — Caused by atrial thrombus formation
Which cardiac rhythm requires immediate defibrillation?
Ventricular fibrillation — Shockable rhythm with no cardiac output
When does bradycardia become clinically significant?
When accompanied by hypotension — Indicates poor perfusion
What is the first-line medication for symptomatic bradycardia?
Atropine — Blocks vagal tone to increase heart rate
What is the most effective immediate treatment for acute bronchospasm?
Short-acting beta-agonist — Rapid bronchodilation
Which finding indicates a severe asthma exacerbation?
Inability to speak full sentences — Sign of respiratory distress
When is magnesium sulfate indicated in asthma management?
Severe refractory bronchospasm — Used when standard therapy fails
What does a silent chest indicate in asthma?
Impending respiratory failure — Minimal airflow is a late dangerous sign
When should systemic corticosteroids be given in asthma exacerbations?
Early in moderate to severe exacerbations — Prevents progression and relapse
VERIFIED SOLUTIONS
What is the most critical medication for immediate management of anaphylaxis in a
primary care clinic?
Epinephrine — First-line, lifesaving treatment that reverses airway edema, bronchospasm, and
hypotension
What should a clinic emergency action plan identify first?
Staff roles during emergencies — Clear role assignment improves response time and patient
safety
Which patient presentation requires immediate EMS activation?
Suspected stroke within 2 hours of onset — Time-sensitive emergency requiring hospital-level
intervention
Which item is NOT required emergency equipment in a primary care clinic?
Mechanical ventilator — Clinics stabilize and transfer rather than provide ICU-level care
What is the primary benefit of mock emergency drills?
Improved staff confidence and response time — Rehearsal improves coordinated emergency
response
What is the first-line treatment for anaphylaxis?
Intramuscular epinephrine — Treats airway compromise, hypotension, and bronchospasm
What is the correct adult dose of epinephrine for anaphylaxis?
0.3-0.5 mg IM — Standard adult dose administered in the thigh
Which symptom best differentiates anaphylaxis from a mild allergic reaction?
Hypotension — Indicates systemic involvement and shock
How long should patients be observed after an anaphylactic reaction?
4-6 hours — Allows monitoring for biphasic reactions
Which medication is adjunctive and should not delay epinephrine in anaphylaxis?
Diphenhydramine — Does not reverse airway or circulatory collapse
What complication are dog bites to the hand most at risk for?
Infection — Hand anatomy increases infection risk
, What is the first-line antibiotic for dog bite prophylaxis?
Amoxicillin-clavulanate — Covers Pasteurella, anaerobes, and skin flora
Which animal bite requires immediate rabies prophylaxis if not observed?
Bat — High rabies risk even without visible bite
What symptom is characteristic of black widow spider envenomation?
Severe muscle cramping — Neurotoxin causes muscle spasms
What is the best method for tick removal?
Fine-tipped tweezers — Reduces risk of disease transmission
What is the first intervention for stable narrow-complex SVT?
Vagal maneuvers — Least invasive initial treatment
What major complication is associated with atrial fibrillation?
Stroke — Caused by atrial thrombus formation
Which cardiac rhythm requires immediate defibrillation?
Ventricular fibrillation — Shockable rhythm with no cardiac output
When does bradycardia become clinically significant?
When accompanied by hypotension — Indicates poor perfusion
What is the first-line medication for symptomatic bradycardia?
Atropine — Blocks vagal tone to increase heart rate
What is the most effective immediate treatment for acute bronchospasm?
Short-acting beta-agonist — Rapid bronchodilation
Which finding indicates a severe asthma exacerbation?
Inability to speak full sentences — Sign of respiratory distress
When is magnesium sulfate indicated in asthma management?
Severe refractory bronchospasm — Used when standard therapy fails
What does a silent chest indicate in asthma?
Impending respiratory failure — Minimal airflow is a late dangerous sign
When should systemic corticosteroids be given in asthma exacerbations?
Early in moderate to severe exacerbations — Prevents progression and relapse
