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Exam (elaborations)

WGU D444 ADULT HEALTH EXAM | ACTUAL EXAM COMPLETE QUESTIONS AND ANSWERS| LATEST UPDATE

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This document contains the complete and updated exam questions and answers for Adult Health D444 at Western Governors University. It covers key medical-surgical nursing concepts including respiratory disorders, cardiac conditions, neurological emergencies, gastrointestinal diseases, endocrine imbalances, infectious diseases, immune disorders, and pharmacological management. The material includes prioritization questions, dosage calculations, laboratory interpretation, pathophysiology-based scenarios, and clinical judgment questions aligned with the current WGU OA exam format.

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WGU D444 ADULT HEALTH EXAM | ACTUAL
EXAM COMPLETE QUESTIONS AND ANSWERS|
LATEST UPDATE



Which instruction should the nurse include in the discharge teaching plan for an
adult client with hypernatremia?
Review food labels for sodium content.




A client who is experiencing respiratory distress is admitted with respiratory
acidosis.
Which pathophysiological process supports the client's respiratory acidosis?
High levels of carbon dioxide have accumulated in the blood.




A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon
transfer to the intensive care unit, the client is confused and has had projectile
vomiting twice.
Which intervention should the nurse implement first?
Complete head-to-toe neurological assessment.

,A client has been administered lactulose for several days. Which therapeutic
response should the nurse expect for a client with hepatic encephalopathy?
Improved mental status.




Which approach is best for the nurse to use when directing a client with
Huntington's disease to the hospital cafeteria?
Escort the client to the cafeteria.




A client who is newly diagnosed with erosive esophagitis secondary to
gastroesophageal reflux disease (GERD) reports to the home health nurse that
there has been only a minimal reduction in symptoms after taking lansoprazole
PO for one full week. Which action should the nurse take?
Advise the client that healing typically takes several weeks to occur.




A client with psoriasis returns to the clinic reporting the persistence of several
silvery, scaly areas on the elbows and palms that frequently burn and
sometimes bleed. Which prescription should the nurse teach the client to use
for the skin condition?
Topical corticosteroids.

, A client with open-angle glaucoma asks the nurse how long the prescribed eye
drops will need to be used. Which response made by the nurse is accurate?
For long-term control of normal eye pressure.




A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened, tenacious mucus, and the
inability to walk up a flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client about self-care?
Increase the daily intake of oral fluids to liquefy secretions.




A client is being cared for in the emergency department with acute abdominal
pain and a provisional diagnosis of pancreatitis. The nurse assesses the client
and obtains the results from laboratory studies. Which information is most
valuable in reporting the client's status to the healthcare provider?
Severity of nausea and vomiting and serum amylase results.




The nurse is caring for a client with chronic obstructive pulmonary disease who
develops an onset of dyspnea and tachypnea with coughing. After positioning
the client upright, which action should the nurse take next?
Obtain a pulse oximetry reading.

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