WGU D118 OBJECTIVE ASSESSMENT
FINAL EXAM 2 VERSIONS EXAM
QUESTIONS 2026/2027 BANK 700
QUESTIONS AND ANSWERS LATEST
UPDATE JUST RELEASED /ALREADY
GRADED A+
A 23 year old male presents with low back pain. he lifted a
heavy box yesterday at work but had no symptoms
yesterday. Today however, he began to feel pain and
stiffness in his lower back that hurts worse when he bends
forward. On exam he has pain with flexion and extension
and a negative straight leg raise test. What management
plan would be appropriate for him at this time?
a. order lumbar spine x rays
b. refer for epidural steroid injections
c. Over the counter NSAID's, ice/heat, and return to work in
2 days
d. Order MRI lumbar spine
,ANS: C
A patient has recurrent lumbar pain which is sometimes
severe. The patient reports that prescription of
nonsteroidal anti-inflammatory drugs (NSAIDs) is no
longer effective for pain relief. What will the provider
recommend?
a. Adjunctive treatment with physical therapy
b. Beginning treatment with opioid analgesics
c. Complementary and alternative therapies
d. Referral to an interventional spine physician
ANS: D
Patients with recurrent or chronic lower back pain may benefit
from lumbar epidural corticosteroid injection performed by an
interventional spine physician. Physical therapy is often used
for acute injury if no improvement in 4 to 6 weeks. Opioid
analgesics are not usually effective.
Which maneuver during a physical examination is used to
assess the anterior cruciate ligament (ACL)?
a. Anterior drawer test
,b. Posterior drawer test
c. Valgus stress on knee joint
d. Varus stress on knee joint
ANS: A
The anterior drawer test, in which the examiner pulls the tibia
forward while the knee is flexed, is used to assess anterior
cruciate ligament laxity. The posterior drawer test is used to
determine posterior cruciate ligament laxity. The valgus stress
test assesses the medial collateral ligament (MCL) laxity and
the varus stress test assesses the lateral collateral ligament
(LCL) laxity.
John is a 16 year old boy who presents to the emergency
room after hurting his knee in a football game. He
describes twisting his knee and then not being able extend
it completely. John tells the clinician that he heard a pop
when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear.
Which test would be the most appropriate to assess for the
presence of a meniscal tear?
a. Valgus stress test
b. Lachman test
c. McMurray circumduction test
d. Varus stress test
, ANS: C
A patient diagnosed with diabetes has symptoms
consistent with renal stones. Which type of stone is most
likely in this patient?
a. Citrate
b. Cysteine
c. Oxalate
d. Uric acid
ANS: D
Uric acid stones are more prevalent in diabetics. Citrate,
cysteine, and oxalate are less common in all patients.
The family nurse practitioner is taking a history of a
patient who has been diagnosed with renal calculi. What
information in the history would the family nurse
practitioner identify as a precipitating factor in the
development of renal calculi?
a. Drinking 6-8 oz of milk daily
b. History of fractured femur and prolonged bed rest
c. Increased incidence of UTI's over the past 3 years
FINAL EXAM 2 VERSIONS EXAM
QUESTIONS 2026/2027 BANK 700
QUESTIONS AND ANSWERS LATEST
UPDATE JUST RELEASED /ALREADY
GRADED A+
A 23 year old male presents with low back pain. he lifted a
heavy box yesterday at work but had no symptoms
yesterday. Today however, he began to feel pain and
stiffness in his lower back that hurts worse when he bends
forward. On exam he has pain with flexion and extension
and a negative straight leg raise test. What management
plan would be appropriate for him at this time?
a. order lumbar spine x rays
b. refer for epidural steroid injections
c. Over the counter NSAID's, ice/heat, and return to work in
2 days
d. Order MRI lumbar spine
,ANS: C
A patient has recurrent lumbar pain which is sometimes
severe. The patient reports that prescription of
nonsteroidal anti-inflammatory drugs (NSAIDs) is no
longer effective for pain relief. What will the provider
recommend?
a. Adjunctive treatment with physical therapy
b. Beginning treatment with opioid analgesics
c. Complementary and alternative therapies
d. Referral to an interventional spine physician
ANS: D
Patients with recurrent or chronic lower back pain may benefit
from lumbar epidural corticosteroid injection performed by an
interventional spine physician. Physical therapy is often used
for acute injury if no improvement in 4 to 6 weeks. Opioid
analgesics are not usually effective.
Which maneuver during a physical examination is used to
assess the anterior cruciate ligament (ACL)?
a. Anterior drawer test
,b. Posterior drawer test
c. Valgus stress on knee joint
d. Varus stress on knee joint
ANS: A
The anterior drawer test, in which the examiner pulls the tibia
forward while the knee is flexed, is used to assess anterior
cruciate ligament laxity. The posterior drawer test is used to
determine posterior cruciate ligament laxity. The valgus stress
test assesses the medial collateral ligament (MCL) laxity and
the varus stress test assesses the lateral collateral ligament
(LCL) laxity.
John is a 16 year old boy who presents to the emergency
room after hurting his knee in a football game. He
describes twisting his knee and then not being able extend
it completely. John tells the clinician that he heard a pop
when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear.
Which test would be the most appropriate to assess for the
presence of a meniscal tear?
a. Valgus stress test
b. Lachman test
c. McMurray circumduction test
d. Varus stress test
, ANS: C
A patient diagnosed with diabetes has symptoms
consistent with renal stones. Which type of stone is most
likely in this patient?
a. Citrate
b. Cysteine
c. Oxalate
d. Uric acid
ANS: D
Uric acid stones are more prevalent in diabetics. Citrate,
cysteine, and oxalate are less common in all patients.
The family nurse practitioner is taking a history of a
patient who has been diagnosed with renal calculi. What
information in the history would the family nurse
practitioner identify as a precipitating factor in the
development of renal calculi?
a. Drinking 6-8 oz of milk daily
b. History of fractured femur and prolonged bed rest
c. Increased incidence of UTI's over the past 3 years
