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WGU D446 ADULT HEALTH 2 OA EXAM QUESTIONS AND CORRECT ANSWERS |LATEST VERSION

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This document contains a comprehensive set of 174 exam questions and correct answers for Adult Health 2 (D446) at Western Governors University. The material covers key topics such as respiratory disorders, cardiovascular conditions, renal and endocrine disorders, autoimmune diseases, post-operative care, medication management, and priority nursing interventions. The questions include rationales and focus on clinical judgment, prioritization (Maslow, ABCs), medication side effects, patient education, and emergency management, making it highly aligned with the OA exam preparation.

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WGU D446 ADULT HEALTH 2 OA EXAM QUESTIONS
AND CORRECT ANSWERS |LATEST VERSION




Term 1 of 174


John, a 28-year-old male, is admitted to the emergency department with
complaints of worsening shortness of breath, chest tightness, and a dry cough
for the past 24 hours. He has a history of asthma but admits to inconsistent use
of his prescribed inhalers, particularly the corticosteroid inhaler. On
examination, his respiratory rate is 24 breaths per minute, heart rate is 104

,beats per minute, and blood pressure is 130/80 mmHg. His oxygen saturation
is 93%, and he has bilateral expiratory wheezing on auscultation. A peak flow
measurement reveals 60% of his personal best.Which of the following is the
most important aspect of asthma management for John?


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Adherence to prescribed controller
Recent exposure to allergens
medications




Proper inhaler technique History of pneumonia


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,Term 2 of 174



A patient with a chronic cough is prescribed enalapril for hypertension. The
nurse should recognize which of the following as a potential side effect of
enalapril? (Select all that apply.)



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Persistent dry Increased risk of gastrointestinal
cough.Hypotension.Hyperkalemia.A bleeding.Risk of renal toxicity.Increased
ngioedema risk of liver toxicity




The pain worsens with deep breathing or
Renal toxicity from Naproxen
coughing.


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Term 3 of 174

, A patient presents with chest pain, and the nurse suspects it may be
musculoskeletal in origin rather than cardiac. Which of the following is the
most likely indicator that the pain is not cardiac in nature?Rationale:
Musculoskeletal chest pain often worsens with movement, deep breathing, or
coughing because it is related to the muscles or ribs. Cardiac pain does not
typically change with these actions. The other options (a, c, d) are more
suggestive of a cardiac origin.

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The pain worsens with deep The pain is associated with recent anxiety
breathing or coughing. or stress.




"If my chest pain gets worse with deep
breathing or coughing, it's probably from Severe shortness of breath and chest pain
my heart."


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Term 4 of 174

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