Page 1 of 217
WGU D118: OA STUDY GUIDE (COMPLETE) |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
An asymptomatic pregnant woman has a positive leukocyte
esterase and positive nitrites on a urine dipstick screening. What
will the provider do next?
a. Admit to the hospital
b. Obtain a urine culture
c. Order a renal ultrasound
d. Prescribe trimethoprim-sulfamethoxazole (TMP-SMZ)
ANS: B
Urine culture is the definitive test and should be obtained in all
pregnant women. Admission to the hospital is usually not
necessary. Renal ultrasound is used to identify abnormalities or
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obstructions that may be causing recurrent symptoms. TMP-SMZ
is contraindicated in pregnant women.
An advanced practice registered nurse (APRN) is seeing a
college student who has had a fever, cough, malaise, and
myalgias for the last 24 hours. Which illness should the APRN
assess this patient for first?
a. Tuberculosis
b. Mononucleosis
c. Influenza
d. Meningitis
ANS: C
Influenza
A patient presents to the clinic reporting flu-like symptoms that
started yesterday. His rapid flu test is positive for influenza A.
What medication would the FNP consider prescribing?
a. Amoxicillin/Amoxil
b. Azithromycin/Zithromax
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c. Valacyclovir/Valtrex
d. oseltamivir (tamiflu)
ANS: D
Tamiflu can reduce complications of the flu (such as pneumonia)
by 44%, and the risk of hospitalization by 63% when taken in the
first 48 hours after contracting the virus, according to the
makers of Tamiflu.
A 65-year-old female patient presents to the clinic complaining
of abdominal pain,n/v, distention, &constipation for the past few
days. The FNP auscultates high-pitched (aka "tinkling") bowel
sounds. What condition does the FNP suspect?
a. Viral Gastroenteritis
b. IBS
c. Bowel obstruction
d. Food poisoning
ANS: C
Symptoms of intestinal obstruction are: Severe pain in your belly.
Severe cramping sensations in your belly. Throwing up. Feelings
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of fullness or swelling in your belly. Loud sounds from your belly.
Feeling gassy, but being unable to pass gas. Constipation (being
unable to pass stool)
A patient diagnosed with chronic constipation uses polyethylene
glycol and reports increased abdominal discomfort with nausea
and vomiting. What is the initial action by the provider?
a. Increase the dose of polyethylene glycol
b. Obtain radiographic abdominal studies
c. Perform a stool culture and occult blood
d. Refer to a specialist for colonoscopy
ANS: B
Patients with abdominal pain, nausea, and vomiting should have
radiologic studies to exclude obstruction, ileus, megacolon, or
volvulus. If those are ruled out, increasing the laxative may be
warranted. Stool culture is indicated if the parasite ascariasis is
suspected. Referral for colonoscopy is needed if alarm
symptoms for neoplasm are present.
WGU D118: OA STUDY GUIDE (COMPLETE) |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
An asymptomatic pregnant woman has a positive leukocyte
esterase and positive nitrites on a urine dipstick screening. What
will the provider do next?
a. Admit to the hospital
b. Obtain a urine culture
c. Order a renal ultrasound
d. Prescribe trimethoprim-sulfamethoxazole (TMP-SMZ)
ANS: B
Urine culture is the definitive test and should be obtained in all
pregnant women. Admission to the hospital is usually not
necessary. Renal ultrasound is used to identify abnormalities or
,Page 2 of 217
obstructions that may be causing recurrent symptoms. TMP-SMZ
is contraindicated in pregnant women.
An advanced practice registered nurse (APRN) is seeing a
college student who has had a fever, cough, malaise, and
myalgias for the last 24 hours. Which illness should the APRN
assess this patient for first?
a. Tuberculosis
b. Mononucleosis
c. Influenza
d. Meningitis
ANS: C
Influenza
A patient presents to the clinic reporting flu-like symptoms that
started yesterday. His rapid flu test is positive for influenza A.
What medication would the FNP consider prescribing?
a. Amoxicillin/Amoxil
b. Azithromycin/Zithromax
,Page 3 of 217
c. Valacyclovir/Valtrex
d. oseltamivir (tamiflu)
ANS: D
Tamiflu can reduce complications of the flu (such as pneumonia)
by 44%, and the risk of hospitalization by 63% when taken in the
first 48 hours after contracting the virus, according to the
makers of Tamiflu.
A 65-year-old female patient presents to the clinic complaining
of abdominal pain,n/v, distention, &constipation for the past few
days. The FNP auscultates high-pitched (aka "tinkling") bowel
sounds. What condition does the FNP suspect?
a. Viral Gastroenteritis
b. IBS
c. Bowel obstruction
d. Food poisoning
ANS: C
Symptoms of intestinal obstruction are: Severe pain in your belly.
Severe cramping sensations in your belly. Throwing up. Feelings
, Page 4 of 217
of fullness or swelling in your belly. Loud sounds from your belly.
Feeling gassy, but being unable to pass gas. Constipation (being
unable to pass stool)
A patient diagnosed with chronic constipation uses polyethylene
glycol and reports increased abdominal discomfort with nausea
and vomiting. What is the initial action by the provider?
a. Increase the dose of polyethylene glycol
b. Obtain radiographic abdominal studies
c. Perform a stool culture and occult blood
d. Refer to a specialist for colonoscopy
ANS: B
Patients with abdominal pain, nausea, and vomiting should have
radiologic studies to exclude obstruction, ileus, megacolon, or
volvulus. If those are ruled out, increasing the laxative may be
warranted. Stool culture is indicated if the parasite ascariasis is
suspected. Referral for colonoscopy is needed if alarm
symptoms for neoplasm are present.
