WGU D118 ADULT PRIMARY CARE OBJECTIVE

• | P a g e

WGU D118 ADULT PRIMARY CARE OBJECTIVE

ASSESSMENT FINAL EXAM NEWEST 2024 -2025

COMPLETE 200 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+||BRAND NEW!!

A pregnant woman reports not having had any vaccinations as a child but requests vaccines during her pregnancy. Which vaccines may be given? (Select all that apply.)

• Human papillomavirus (HPV)

• Inactivated influenza

• Live, attenuated influenza

• Measles, mumps, and rubella (MMR)

• Tetanus, diphtheria, and acellular pertussis (Tdap)

f. Varicella - ANSWER- ANS: A, B, E

• / 4

• | P a g e

Rationale: Tdap is recommended to pregnant woman, optimally

between 27- and 36-weeks gestation. Inactivated is strongly recommended and may be given at any point in the pregnancy.Hepatitis B is given to women at risk if needed. Live, attenuated influenza vaccine, MMR, and varicella vaccines are not recommended during pregnancy.

An advanced practice registered nurse (APRN) is conducting the routine annual exam of a 66-year-old patient and decides that a vaccine should be recommended in addition to the typical annual influenza vaccine.Which vaccine is being recommended by the APRN?

• Tetanus, diphtheria, and pertussis
• Pneumococcal
• Measles, mumps, and rubella

d. Hepatitis B - ANSWER- ANS: B

Rationale: For older clients a one-time pneumovax is given after age

65.

A child has a primary immunodeficiency and the parent asks the provider about vaccines. What will the provider tell this patient?

• Avoid all vaccines since immunizations can cause disease in this child
• / 4

• | P a g e

• Immunized with all recommended childhood vaccines to prevent

serious disease

• Some vaccines are contraindicated in those with T-cell involvement

only

• The child may need more vaccine boosters than other children -

ANSWER- ANS: C

Rationale: Children with T-cell disorders should not receive live-

virus vaccines, but children with humoral deficiency may be given the vaccine. Vaccines are important to help prevent disease and children with immunodeficiency should receive any vaccines that are safe for them. Not all vaccines are recommended, since live-virus vaccines can cause disease in certain children

A patient asks the advanced practice registered nurse (APRN) if there are any contraindications to receiving the influenza vaccine other than an egg allergy.Which other precaution must be taken when administering this vaccine?

• A history of thrombocytopenia within six weeks of previous flu

vaccine

• A history of Guillain-Barré syndrome within six weeks of previous flu

vaccine

• / 4

• | P a g e

• A history of exposure to influenza A within the past six weeks

• A history of illness with or without fever after previous flu vaccine -

ANSWER- ANS: B

Rationale: A history of Guillain-Barre Syndrome within 6 weeks of

previous flu vaccine

Guillain-Barre syndrome attacks own immune system (neurologic), weakening motor function throughout the body. Risk of causing Guillain-Barre when administering flu shot

A 65-year-old patient who has not had an influenza vaccine is exposed to influenza and comes to the clinic the following day with fever and watery, red eyes. What will the provider do initially?

• Administer LAIV influenza vaccine

• Begin treatment with an antiviral medication

• Observe for improvement or worsening for 24 hours

d. Perform a nasal swab for RT-PCR assay - ANSWER- ANS: D

• / 4