WGU D446 Adult Health 2 OA Review 2026-2027
Actual Exam with Real 270 Questions and Verified
Correct Answers Already Graded A+ Guaranteed
Success Brand New Version!!
A 5-year-old child arrives at the emergency department, and the child's parents state that the
child fell off a bunk bed. A head injury is suspected. The nurse checks the child's airway status
and assesses the child for early and late signs of increased intracranial pressure (ICP). Which is a
late sign of increased ICP? - CORRECT ANSWER: Bradycardia
A 27-year-old client is undergoing evaluation of lumps in the breasts. In determining whether the
client could have fibrocystic breast disorder, the nurse would ask the client whether the breast
lumps seem to become more prominent or troublesome at which time? - CORRECT ANSWER:
Before menses
A 46-year-old female client is admitted for acute renal failure secondary to diabetes and
hypertension. Which test is the best indicator of adequate glomerular filtration? - CORRECT
ANSWER: Serum creatinine.
A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30 pounds
overweight is diagnosed with having a gastric ulcer. Which content is most important for the
nurse to include in the discharge teaching for this client? - CORRECT ANSWER: Information
about smoking cessation.
A 58-year-old client who has been post-menopausal for 5 years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer? -
CORRECT ANSWER: Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
A 67-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor probably led to the fracture in the proximal end of her femur? - CORRECT
ANSWER: Osteoporosis resulting from hormonal changes.
,A cervical radiation implant is placed in a client who is undergoing treatment of cervical cancer.
The nurse would initiate which activity prescription as the most appropriate for this client? -
CORRECT ANSWER: Bed rest
A chaotic small, irregular, disorganized cardiac pattern suddenly appears on a client's cardiac
monitor. Which is the nurse's first action? - CORRECT ANSWER: Check the client and the chest
leads.
A client admitted to the unit from the emergency room receives a prescription for an IV infusion
of 0.9% sodium chloride 1000 mL at 750 mL/4 hours. The IV administration set delivers 60
gtts/mL. The nurse should regulate the infusion to deliver how many gtts/minute? (Enter
numerical value only. If rounding is required, round to the nearest whole number.) - CORRECT
ANSWER: 313
A client admitted with abdominal pain is diagnosed with cholelithiasis. The client asks the
registered nurse (RN) what should be expected as a common treatment. Which recommended
plan of care should the nurse provide the client? - CORRECT ANSWER: Cholecystectomy via
laparoscopy.
A client arrives at the emergency department with complaints of low abdominal pain and
hematuria. The client is afebrile. The nurse next assesses the client to determine a history of
which condition? - CORRECT ANSWER: Trauma to the bladder or abdomen
A client arrives in the hospital emergency department complaining of severe thirst and polyuria.
The client tells the nurse that they have a history of diabetes mellitus. A blood glucose level is
drawn, and the result is 685 mg/dL (39.1 mmol/L). Which intervention would the nurse
anticipate to be prescribed initially for the client? - CORRECT ANSWER: Regular insulin via
the intravenous (IV) route
A client arrives in the hospital emergency department with a bloody nose. What is the initial
nursing action? - CORRECT ANSWER: Assist the client to a sitting position with the head tilted
forward.
,A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is
still very small. Which information supports the explanation that the nurse should provide? -
CORRECT ANSWER: The cell count of the tumor reduces by half with each dose.
A client being treated for heart failure is administered intravenous bumetanide. Which outcome
indicates that the medication has achieved the expected effect? - CORRECT ANSWER: Urine
output increases from 10 mL/hour to greater than 50 mL hourly.
A client complains of fever, perineal pain, urinary urgency, frequency, and dysuria. To assess
whether the client's problem is related to bacterial prostatitis, the nurse reviews the results of the
prostate examination for which characteristic of this disorder? - CORRECT ANSWER: Tender
and edematous prostate gland
A client had a transsphenoidal resection of the pituitary gland to remove a pituitary tumor. The
nurse notes drainage on the nasal dressing. Suspecting cerebrospinal fluid (CSF) leakage, the
nurse would look for drainage that is of which characteristic? - CORRECT ANSWER:
Serosanguineous, surrounded by clear to straw-colored fluid
A client has abnormal amounts of circulating thyronine (T3) and thyroxine (T4). While obtaining
the health history, the nurse asks the client about dietary intake. Lack of which dietary element is
most likely the cause? - CORRECT ANSWER: Iodine
A client has been taking oral corticosteroids for the past five days because of seasonal allergies.
Which assessment finding is of most concern to the nurse? - CORRECT ANSWER: Purulent
sputum.
A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client
for which expected assessment finding? - CORRECT ANSWER: Malaise
A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is
the priority for this client? - CORRECT ANSWER: Respiratory distress
, A client has just had a cast removed, and the underlying skin is yellow-brown and crusted. The
nurse gives the client instructions for skin care. The nurse determines that the client needs further
teaching of the directions if which statement is made? - CORRECT ANSWER: "I need to scrub
the skin vigorously with soap and water."
A client has received an unsealed radioactive isotope for treatment of thyroid cancer. Which
instruction is essential for the nurse to provide the client? - CORRECT ANSWER: "Flush the
toilet at least 3 times after use."
A client has undergone insertion of a permanent pacemaker. When developing a discharge
teaching plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker
failure." Which symptoms are most important to teach the client? - CORRECT ANSWER:
Feelings of dizziness.
A client has urinary calculi composed of uric acid. The nurse is teaching the client dietary
measures to prevent further development of uric acid calculi. The nurse would inform the client
that it is acceptable to consume which item? - CORRECT ANSWER: Cottage cheese
A client is about to begin hemodialysis. Which measures would the nurse employ in the care of
the client? Select all that apply. - CORRECT ANSWER: Using sterile technique for needle
insertion, Using standard precautions in the care of the client, Wearing full protective clothing
such as goggles, mask, gloves, and apron
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the healthcare provider? - CORRECT
ANSWER: Lung tissue biopsy.
A client is admitted for reports of chest pain and aching for the past 4 days. The results for serum
creatine kinase-MB (CK-MB) and troponin levels are obtained. Which rationale should the nurse
use to evaluate the laboratory findings? - CORRECT ANSWER: Myocardial damage that
occurred several days earlier is best validated by serum troponin levels.
Actual Exam with Real 270 Questions and Verified
Correct Answers Already Graded A+ Guaranteed
Success Brand New Version!!
A 5-year-old child arrives at the emergency department, and the child's parents state that the
child fell off a bunk bed. A head injury is suspected. The nurse checks the child's airway status
and assesses the child for early and late signs of increased intracranial pressure (ICP). Which is a
late sign of increased ICP? - CORRECT ANSWER: Bradycardia
A 27-year-old client is undergoing evaluation of lumps in the breasts. In determining whether the
client could have fibrocystic breast disorder, the nurse would ask the client whether the breast
lumps seem to become more prominent or troublesome at which time? - CORRECT ANSWER:
Before menses
A 46-year-old female client is admitted for acute renal failure secondary to diabetes and
hypertension. Which test is the best indicator of adequate glomerular filtration? - CORRECT
ANSWER: Serum creatinine.
A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30 pounds
overweight is diagnosed with having a gastric ulcer. Which content is most important for the
nurse to include in the discharge teaching for this client? - CORRECT ANSWER: Information
about smoking cessation.
A 58-year-old client who has been post-menopausal for 5 years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer? -
CORRECT ANSWER: Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
A 67-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor probably led to the fracture in the proximal end of her femur? - CORRECT
ANSWER: Osteoporosis resulting from hormonal changes.
,A cervical radiation implant is placed in a client who is undergoing treatment of cervical cancer.
The nurse would initiate which activity prescription as the most appropriate for this client? -
CORRECT ANSWER: Bed rest
A chaotic small, irregular, disorganized cardiac pattern suddenly appears on a client's cardiac
monitor. Which is the nurse's first action? - CORRECT ANSWER: Check the client and the chest
leads.
A client admitted to the unit from the emergency room receives a prescription for an IV infusion
of 0.9% sodium chloride 1000 mL at 750 mL/4 hours. The IV administration set delivers 60
gtts/mL. The nurse should regulate the infusion to deliver how many gtts/minute? (Enter
numerical value only. If rounding is required, round to the nearest whole number.) - CORRECT
ANSWER: 313
A client admitted with abdominal pain is diagnosed with cholelithiasis. The client asks the
registered nurse (RN) what should be expected as a common treatment. Which recommended
plan of care should the nurse provide the client? - CORRECT ANSWER: Cholecystectomy via
laparoscopy.
A client arrives at the emergency department with complaints of low abdominal pain and
hematuria. The client is afebrile. The nurse next assesses the client to determine a history of
which condition? - CORRECT ANSWER: Trauma to the bladder or abdomen
A client arrives in the hospital emergency department complaining of severe thirst and polyuria.
The client tells the nurse that they have a history of diabetes mellitus. A blood glucose level is
drawn, and the result is 685 mg/dL (39.1 mmol/L). Which intervention would the nurse
anticipate to be prescribed initially for the client? - CORRECT ANSWER: Regular insulin via
the intravenous (IV) route
A client arrives in the hospital emergency department with a bloody nose. What is the initial
nursing action? - CORRECT ANSWER: Assist the client to a sitting position with the head tilted
forward.
,A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is
still very small. Which information supports the explanation that the nurse should provide? -
CORRECT ANSWER: The cell count of the tumor reduces by half with each dose.
A client being treated for heart failure is administered intravenous bumetanide. Which outcome
indicates that the medication has achieved the expected effect? - CORRECT ANSWER: Urine
output increases from 10 mL/hour to greater than 50 mL hourly.
A client complains of fever, perineal pain, urinary urgency, frequency, and dysuria. To assess
whether the client's problem is related to bacterial prostatitis, the nurse reviews the results of the
prostate examination for which characteristic of this disorder? - CORRECT ANSWER: Tender
and edematous prostate gland
A client had a transsphenoidal resection of the pituitary gland to remove a pituitary tumor. The
nurse notes drainage on the nasal dressing. Suspecting cerebrospinal fluid (CSF) leakage, the
nurse would look for drainage that is of which characteristic? - CORRECT ANSWER:
Serosanguineous, surrounded by clear to straw-colored fluid
A client has abnormal amounts of circulating thyronine (T3) and thyroxine (T4). While obtaining
the health history, the nurse asks the client about dietary intake. Lack of which dietary element is
most likely the cause? - CORRECT ANSWER: Iodine
A client has been taking oral corticosteroids for the past five days because of seasonal allergies.
Which assessment finding is of most concern to the nurse? - CORRECT ANSWER: Purulent
sputum.
A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client
for which expected assessment finding? - CORRECT ANSWER: Malaise
A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is
the priority for this client? - CORRECT ANSWER: Respiratory distress
, A client has just had a cast removed, and the underlying skin is yellow-brown and crusted. The
nurse gives the client instructions for skin care. The nurse determines that the client needs further
teaching of the directions if which statement is made? - CORRECT ANSWER: "I need to scrub
the skin vigorously with soap and water."
A client has received an unsealed radioactive isotope for treatment of thyroid cancer. Which
instruction is essential for the nurse to provide the client? - CORRECT ANSWER: "Flush the
toilet at least 3 times after use."
A client has undergone insertion of a permanent pacemaker. When developing a discharge
teaching plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker
failure." Which symptoms are most important to teach the client? - CORRECT ANSWER:
Feelings of dizziness.
A client has urinary calculi composed of uric acid. The nurse is teaching the client dietary
measures to prevent further development of uric acid calculi. The nurse would inform the client
that it is acceptable to consume which item? - CORRECT ANSWER: Cottage cheese
A client is about to begin hemodialysis. Which measures would the nurse employ in the care of
the client? Select all that apply. - CORRECT ANSWER: Using sterile technique for needle
insertion, Using standard precautions in the care of the client, Wearing full protective clothing
such as goggles, mask, gloves, and apron
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the healthcare provider? - CORRECT
ANSWER: Lung tissue biopsy.
A client is admitted for reports of chest pain and aching for the past 4 days. The results for serum
creatine kinase-MB (CK-MB) and troponin levels are obtained. Which rationale should the nurse
use to evaluate the laboratory findings? - CORRECT ANSWER: Myocardial damage that
occurred several days earlier is best validated by serum troponin levels.
