WGU D120 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Operating Systems.
Answer: Allows a user to easily access hardware/software, required to
maintain computer environment.
◍ What is the purpose of clinical research trials in the spectrum of
translational research?Determination of the basis of disease and various
treatment optionsAdoption of interventions and clinical practices into
routine clinical careExploration of fundamental mechanisms of biology,
disease, or behaviorExamination of safety and effectiveness of various
interventions.
Answer: Feedback: Clinical research trials are concerned with determining
the safety and effectiveness of interventions. Adoption of interventions and
practices is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical research phase.
Exploration of the fundamental mechanisms of biology, disease, or behavior
is part of the basic research stage.
◍ String Data.
Answer: Alphanumeric or textEx: James (Last name)623 Hill Street
◍ Shell.
Answer: Interface for user, often personalized. The shell provides access to
the kernel. I.E. The GUI will translate mouse motions into calls to
kernel/routines. Desktop elements include shortcuts, windows theme,
menus, background.
◍ 1. Discuss the management of asthma in pregnancy, labor and delivery..
Answer: a. mild intermittent asthma,i. a short-acting inhaled β2-agonist
(albuterol) can be used as needed.b. mild persistent asthmai. should be
, treated with a daily low-dose inhaled glucocorticoid (budesonide).c.
moderate persistent asthmai. is either a daily medium-dose inhaled
glucocorticoidii. combination of a daily low-dose inhaled glucocorticoid and
a long-acting β2-agonist (salmeterol).d. severe persistent asthmai. should be
treated with a daily high-dose inhaled glucocorticoid combined with a
long-acting β2-agonist. They may require the addition of a systemic
glucocorticoid.e. Labori. Vaginal delivery and Prostaglandins should not be
used, because they are likely to trigger acute bronchoconstriction.
◍ A young adult female, G2P1A0L1, 10 weeks gestation with intrauterine
pregnancy is seen for her first intake and history visit. She knows when she
conceived and denies any vaginal bleeding or abdominal pain. The patient
has a soft, non-tender fundus that measures 14cm; adnexal exam negative
for masses or tenderness, no FHR audible with doppler. What is the most
likely diagnosis seen on ultrasound?Multiple gestationFibroid uterusEctopic
pregnancy14-week viable IUP.
Answer: Feedback: Multiple gestation pregnancies will cause the uterus to
enlarge faster than normal. FHR may be inaudible with the doppler due to
the 10 week gestation.
◍ IAS Availability.
Answer: Requires data/information be available when needed.
◍ 9.What finding is considered a normal surface characteristic of the
cervix?Small, yellow, raised round area on the cervix.Red patches with
occasional white spots.Friable, bleeding tissue at the opening of the cervical
os.Irregular granular surface with red patches..
Answer: Feedback: A nabothian cyst is a small, white or yellow, raised
round area on the cervix and is considered to be a normal variant.
◍ One attribute of the patient-centered medical home model of care is
accessible services.True or FalseAccessible services mean offices must be
equipped to manage patients who are differently abled.TrueFalse.
Answer: Correct! Accessible services refer to the medical home practice that
delivers shorter waiting times for urgent needs, alternative methods of
, communication, around-the-clock access to a member of the care team, and
extended office hours.
◍ What is a positive sign of pregnancy?Softening of the cervixFetal
heartbeatEnlargement of the uterus and abdomenMother's perception of fetal
movement.
Answer: Feedback: Positive evidence of pregnancy includes fetal heartbeat,
palpation of fetal movement by the provider, and visualization of the fetus
by ultrasonography.
◍ You are working as a nurse practitioner in a dermatology office. A patient
presents to you with a blood pressure of 172 /100.True or FalseIt is
permissible to prescribe an antihypertensive because you are licensed to do
so.TrueFalse.
Answer: Correct! The expectation for nurse practitioners working in a
specialty practice is that they will only treat the conditions for which they
have been consulted. Additionally, your credentialing with a specialty
practice may not allow you to prescribe certain medications that you would
be able to prescribe in other practice settings.Essential Vide
◍ Discuss the risk factors, evaluation, and management of testosterone
deficiency..
Answer: 1. a. Low testosterone levels are associated with established
cardiovascular disease (CVD) risk factors and an increased risk of death.1
Low testosterone can also significantly reduce a man's quality of life.
Common symptoms include erectile dysfunction (ED), low libido, loss of
night time erections, tiredness and depression.1. Measuring serum
luteinizing hormone (LH) helps differentiate between primary and
secondary hypogonadismii. Proven testosterone deficiency requires
testosterone replacement, either with daily testosterone gel or long-acting
testosterone undecanoate injections every 3 months. The therapeutic goal is
to achieve and maintain serum testosterone levels in the low to middle
normal range of young adult meniii. Men on TRT must be carefully
followed up with a testosterone blood test 2 hours after the gel is rubbed in
, or just before the next injection is due, plus PSA and haematocrit every 6 to
12 months once established on treatment.
◍ A 46-year-old female patient is being seen in the clinic by the FN
P. She was last seen 2 weeks ago for an upper respiratory tract infection and
was treated with amoxicillin 250mg PO TID x 10days. She completed her
medication last week, but now complains of vaginal itching and thick white
discharge. She states that she has never experienced such intense itching.
She is in a mutually monogamous relationship. Her LMP was 2 weeks ago.
Her partner had a vasectomy. Wet mount shows negative whiff test, rare
clue cells, positive lactobacilli, positive hyphae, positive spores, few WBCs,
and no trichomonads. She is leaving tomorrow for a week long cruise. She is
not taking any medications and has no known drug allergies. The FNP
should prescribe which of the following?metronidazole 500mg PO BID x
7daysclindamycin vaginal cream one applicator full vaginally at HS x
7daysfluconazole 150mg 1 tab PO x1 doseterconazole vaginal.
Answer: Feedback: Fluconazole is approved for a single-dose oral treatment
of uncomplicated vulvovaginal candidiasis. It is the most convenient
treatment for this patient who will is unlikely to be compliant with vaginal
creams given the upcoming travel.
◍ A 74-year-old female patient is brought in by her daughter for evaluation.
The patient is a widow and has lived on her own since her husband died 4
years ago. The daughter states that her mother has been increasingly
forgetful, sleeping more than normal, agitated, and recently suffered a fall in
the bathroom. The daughter also states that her mother has not eaten the
meals that she left for her 3 days prior. The FNP should consider which of
the following as a priority?CT scan or MRIScreening for cognitive
impairment.Urinalysis with cultureNutritional Assessment.
Answer: Feedback: UTIs may not cause classic symptoms in older adults.
Instead, older adults, may experience behavioral symptoms such as
confusion and agitation, in addition to lethargy and a change in oral intake.
◍ a. Anemia.
QUESTIONS WITH ANSWERS GRADED A+
◍ Operating Systems.
Answer: Allows a user to easily access hardware/software, required to
maintain computer environment.
◍ What is the purpose of clinical research trials in the spectrum of
translational research?Determination of the basis of disease and various
treatment optionsAdoption of interventions and clinical practices into
routine clinical careExploration of fundamental mechanisms of biology,
disease, or behaviorExamination of safety and effectiveness of various
interventions.
Answer: Feedback: Clinical research trials are concerned with determining
the safety and effectiveness of interventions. Adoption of interventions and
practices is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical research phase.
Exploration of the fundamental mechanisms of biology, disease, or behavior
is part of the basic research stage.
◍ String Data.
Answer: Alphanumeric or textEx: James (Last name)623 Hill Street
◍ Shell.
Answer: Interface for user, often personalized. The shell provides access to
the kernel. I.E. The GUI will translate mouse motions into calls to
kernel/routines. Desktop elements include shortcuts, windows theme,
menus, background.
◍ 1. Discuss the management of asthma in pregnancy, labor and delivery..
Answer: a. mild intermittent asthma,i. a short-acting inhaled β2-agonist
(albuterol) can be used as needed.b. mild persistent asthmai. should be
, treated with a daily low-dose inhaled glucocorticoid (budesonide).c.
moderate persistent asthmai. is either a daily medium-dose inhaled
glucocorticoidii. combination of a daily low-dose inhaled glucocorticoid and
a long-acting β2-agonist (salmeterol).d. severe persistent asthmai. should be
treated with a daily high-dose inhaled glucocorticoid combined with a
long-acting β2-agonist. They may require the addition of a systemic
glucocorticoid.e. Labori. Vaginal delivery and Prostaglandins should not be
used, because they are likely to trigger acute bronchoconstriction.
◍ A young adult female, G2P1A0L1, 10 weeks gestation with intrauterine
pregnancy is seen for her first intake and history visit. She knows when she
conceived and denies any vaginal bleeding or abdominal pain. The patient
has a soft, non-tender fundus that measures 14cm; adnexal exam negative
for masses or tenderness, no FHR audible with doppler. What is the most
likely diagnosis seen on ultrasound?Multiple gestationFibroid uterusEctopic
pregnancy14-week viable IUP.
Answer: Feedback: Multiple gestation pregnancies will cause the uterus to
enlarge faster than normal. FHR may be inaudible with the doppler due to
the 10 week gestation.
◍ IAS Availability.
Answer: Requires data/information be available when needed.
◍ 9.What finding is considered a normal surface characteristic of the
cervix?Small, yellow, raised round area on the cervix.Red patches with
occasional white spots.Friable, bleeding tissue at the opening of the cervical
os.Irregular granular surface with red patches..
Answer: Feedback: A nabothian cyst is a small, white or yellow, raised
round area on the cervix and is considered to be a normal variant.
◍ One attribute of the patient-centered medical home model of care is
accessible services.True or FalseAccessible services mean offices must be
equipped to manage patients who are differently abled.TrueFalse.
Answer: Correct! Accessible services refer to the medical home practice that
delivers shorter waiting times for urgent needs, alternative methods of
, communication, around-the-clock access to a member of the care team, and
extended office hours.
◍ What is a positive sign of pregnancy?Softening of the cervixFetal
heartbeatEnlargement of the uterus and abdomenMother's perception of fetal
movement.
Answer: Feedback: Positive evidence of pregnancy includes fetal heartbeat,
palpation of fetal movement by the provider, and visualization of the fetus
by ultrasonography.
◍ You are working as a nurse practitioner in a dermatology office. A patient
presents to you with a blood pressure of 172 /100.True or FalseIt is
permissible to prescribe an antihypertensive because you are licensed to do
so.TrueFalse.
Answer: Correct! The expectation for nurse practitioners working in a
specialty practice is that they will only treat the conditions for which they
have been consulted. Additionally, your credentialing with a specialty
practice may not allow you to prescribe certain medications that you would
be able to prescribe in other practice settings.Essential Vide
◍ Discuss the risk factors, evaluation, and management of testosterone
deficiency..
Answer: 1. a. Low testosterone levels are associated with established
cardiovascular disease (CVD) risk factors and an increased risk of death.1
Low testosterone can also significantly reduce a man's quality of life.
Common symptoms include erectile dysfunction (ED), low libido, loss of
night time erections, tiredness and depression.1. Measuring serum
luteinizing hormone (LH) helps differentiate between primary and
secondary hypogonadismii. Proven testosterone deficiency requires
testosterone replacement, either with daily testosterone gel or long-acting
testosterone undecanoate injections every 3 months. The therapeutic goal is
to achieve and maintain serum testosterone levels in the low to middle
normal range of young adult meniii. Men on TRT must be carefully
followed up with a testosterone blood test 2 hours after the gel is rubbed in
, or just before the next injection is due, plus PSA and haematocrit every 6 to
12 months once established on treatment.
◍ A 46-year-old female patient is being seen in the clinic by the FN
P. She was last seen 2 weeks ago for an upper respiratory tract infection and
was treated with amoxicillin 250mg PO TID x 10days. She completed her
medication last week, but now complains of vaginal itching and thick white
discharge. She states that she has never experienced such intense itching.
She is in a mutually monogamous relationship. Her LMP was 2 weeks ago.
Her partner had a vasectomy. Wet mount shows negative whiff test, rare
clue cells, positive lactobacilli, positive hyphae, positive spores, few WBCs,
and no trichomonads. She is leaving tomorrow for a week long cruise. She is
not taking any medications and has no known drug allergies. The FNP
should prescribe which of the following?metronidazole 500mg PO BID x
7daysclindamycin vaginal cream one applicator full vaginally at HS x
7daysfluconazole 150mg 1 tab PO x1 doseterconazole vaginal.
Answer: Feedback: Fluconazole is approved for a single-dose oral treatment
of uncomplicated vulvovaginal candidiasis. It is the most convenient
treatment for this patient who will is unlikely to be compliant with vaginal
creams given the upcoming travel.
◍ A 74-year-old female patient is brought in by her daughter for evaluation.
The patient is a widow and has lived on her own since her husband died 4
years ago. The daughter states that her mother has been increasingly
forgetful, sleeping more than normal, agitated, and recently suffered a fall in
the bathroom. The daughter also states that her mother has not eaten the
meals that she left for her 3 days prior. The FNP should consider which of
the following as a priority?CT scan or MRIScreening for cognitive
impairment.Urinalysis with cultureNutritional Assessment.
Answer: Feedback: UTIs may not cause classic symptoms in older adults.
Instead, older adults, may experience behavioral symptoms such as
confusion and agitation, in addition to lethargy and a change in oral intake.
◍ a. Anemia.
