WGU D118 Verified Multiple Choice and Conceptual
Actual Final Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
1. 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 - ANSWER C. Over the counter NSAID's,
ice/heat, and return to work in 2 days
2. 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 - ANSWER C. McMurray circumduction test
3. When prescribing oxybutynin (Ditropan) for the patient with overactive
bladder symptoms, which disorder in the patient's medical history must the
family nurse practitioner consider before prescribing?
A. Cough
B. Narrow angle Glaucoma
C. Diabetes
D. Gallstones - ANSWER B. Narrow angle Glaucoma is a
contraindication for oxybutynin
4. 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
D. High intake of citrus fruits and high fiber carbohydrates - ANSWER
B. Long-term bed-rest-induced renal stone formation was found
to be induced by increased urinary calcium and subsequent crystal
formation of calcium oxalate and calcium phosphate. Exercise during
bed rest for the prevention of bone mineral loss and contracture
might increase the risk of renal stone formation.
,5. A 25-year-old female comes to the outpatient clinic complaining of
suprapubic pressure and burning with urination for the past two days. She
denies having any chills but states that she may have had a fever yesterday.
The next step will be:
A. Obtain a urine dipstick.
B. Get a urine culture and sensitivity.
C. Ask about previous infections.
D. Refer the patient to a urologist. - ANSWER C. The next step in
assessing/treating this patient will depend on whether or not this
urinary tract infection is recurrent or a first occurrence.
6. If patient has UTI symptoms and states that she has not had any prior
urinary tract infections. The next step will be to:
A. Obtain a urine dipstick.
B. Get a urine culture and sensitivity.
C. Ascertain any drug allergies.
D. Refer the patient to a urologist. - ANSWER B. Get a urine culture
and sensitivity. In an uncomplicated or non-recurring urinary tract
infection, a urinalysis (dipstick or microscopic) can adequately
identify urinary tract infections. A urine culture and sensitivity should
be performed in the following cases: (1) any patient with a first
febrile infection; (2) a recurrent infection with or without fever (more
than one per year); (3) a urinary calculi; and (4) a congenital defect
, 7. A 52-year-old male patient presents to the office following a brief
hospitalization for pyelonephritis. He is currently on the second day of a 7-
day course of antibiotic. Patient education includes which of the following?
A. If you develop dysuria, increase PO fluids for two days.
B. Continue your antibiotic until you are asymptomatic
C. Return to the office in 7-10 days for a repeat urinalysis, as well as a
urine culture and sensitivity.
D. If you develop urinary frequency, decrease PO fluid intake. - ANSWER
C. The patient should complete the entire course of the
prescribed antibiotic. If symptoms of cystitis develop, he should
contact his health care provider immediately. The patient should
return to the office for a repeat urinalysis and urine culture once the
antibiotic treatment is completed. Increasing PO fluid intake is also
encouraged.
8. Which of the following groups should asymptomatic bacteriuria be treated?
A. Patients with diabetes mellitus
B. Patients with spinal cord injuries
C. Patients with indwelling catheters
D. Pregnant women - ANSWER D. Pregnant women are at an
increased risk of asymptomatic bacteriuria becoming acute cystitis
and/or acute pyelonephritis, and the maternal and obstetric risk
associated with pyelonephritis are great. However, the Infectious
Disease Society of America does not recommend that the remaining
groups in the list undergo treatment of asymptomatic bacteriuria.
Actual Final Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
1. 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 - ANSWER C. Over the counter NSAID's,
ice/heat, and return to work in 2 days
2. 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 - ANSWER C. McMurray circumduction test
3. When prescribing oxybutynin (Ditropan) for the patient with overactive
bladder symptoms, which disorder in the patient's medical history must the
family nurse practitioner consider before prescribing?
A. Cough
B. Narrow angle Glaucoma
C. Diabetes
D. Gallstones - ANSWER B. Narrow angle Glaucoma is a
contraindication for oxybutynin
4. 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
D. High intake of citrus fruits and high fiber carbohydrates - ANSWER
B. Long-term bed-rest-induced renal stone formation was found
to be induced by increased urinary calcium and subsequent crystal
formation of calcium oxalate and calcium phosphate. Exercise during
bed rest for the prevention of bone mineral loss and contracture
might increase the risk of renal stone formation.
,5. A 25-year-old female comes to the outpatient clinic complaining of
suprapubic pressure and burning with urination for the past two days. She
denies having any chills but states that she may have had a fever yesterday.
The next step will be:
A. Obtain a urine dipstick.
B. Get a urine culture and sensitivity.
C. Ask about previous infections.
D. Refer the patient to a urologist. - ANSWER C. The next step in
assessing/treating this patient will depend on whether or not this
urinary tract infection is recurrent or a first occurrence.
6. If patient has UTI symptoms and states that she has not had any prior
urinary tract infections. The next step will be to:
A. Obtain a urine dipstick.
B. Get a urine culture and sensitivity.
C. Ascertain any drug allergies.
D. Refer the patient to a urologist. - ANSWER B. Get a urine culture
and sensitivity. In an uncomplicated or non-recurring urinary tract
infection, a urinalysis (dipstick or microscopic) can adequately
identify urinary tract infections. A urine culture and sensitivity should
be performed in the following cases: (1) any patient with a first
febrile infection; (2) a recurrent infection with or without fever (more
than one per year); (3) a urinary calculi; and (4) a congenital defect
, 7. A 52-year-old male patient presents to the office following a brief
hospitalization for pyelonephritis. He is currently on the second day of a 7-
day course of antibiotic. Patient education includes which of the following?
A. If you develop dysuria, increase PO fluids for two days.
B. Continue your antibiotic until you are asymptomatic
C. Return to the office in 7-10 days for a repeat urinalysis, as well as a
urine culture and sensitivity.
D. If you develop urinary frequency, decrease PO fluid intake. - ANSWER
C. The patient should complete the entire course of the
prescribed antibiotic. If symptoms of cystitis develop, he should
contact his health care provider immediately. The patient should
return to the office for a repeat urinalysis and urine culture once the
antibiotic treatment is completed. Increasing PO fluid intake is also
encouraged.
8. Which of the following groups should asymptomatic bacteriuria be treated?
A. Patients with diabetes mellitus
B. Patients with spinal cord injuries
C. Patients with indwelling catheters
D. Pregnant women - ANSWER D. Pregnant women are at an
increased risk of asymptomatic bacteriuria becoming acute cystitis
and/or acute pyelonephritis, and the maternal and obstetric risk
associated with pyelonephritis are great. However, the Infectious
Disease Society of America does not recommend that the remaining
groups in the list undergo treatment of asymptomatic bacteriuria.
