WGU D446 ADULT HEALTH 2 OA ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
●● Next Generation NCLEX (NGN)
Answer: Style of questions including bowtie diagrams, select-all-that-
apply, and case-based scenarios.
●● Exam Structure
Answer: Includes complex case studies with multiple steps (e.g., bowtie
questions, select-all-that-apply).
●● Scenario-Based Topics
Answer: Real-world nursing applications like stroke care, cardiac
interventions, and fluid management.
●● Clinical Prioritization
Answer: Focus on life-threatening conditions (e.g., MVA with absent
breath sounds, heart attack vs. chest pain).
●● Asthma
Answer: Recognize signs of exacerbation: increased mucus, dyspnea
during exercise.
, ●● Emergency interventions for Asthma
Answer: Administer short-acting beta-agonists (e.g., albuterol), oxygen
therapy.
●● Evaluate therapeutic responses in Asthma
Answer: ABG interpretation and symptom improvement.
●● COPD Oxygen therapy
Answer: Target SpO₂ 88-92% for hypoxia.
●● COPD Dietary Consideration
Answer: High-protein, high-calorie small meals to maintain energy
levels.
●● Heart Attack vs. Chest Pain
Answer: Differentiate myocardial infarction (MI) from angina (e.g.,
persistent pain, diaphoresis, elevated troponin for MI).
●● Medications for Heart Attack
Answer: Morphine, oxygen, nitroglycerin, aspirin (MONA protocol).
●● Left-sided Heart Failure Symptoms
EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
●● Next Generation NCLEX (NGN)
Answer: Style of questions including bowtie diagrams, select-all-that-
apply, and case-based scenarios.
●● Exam Structure
Answer: Includes complex case studies with multiple steps (e.g., bowtie
questions, select-all-that-apply).
●● Scenario-Based Topics
Answer: Real-world nursing applications like stroke care, cardiac
interventions, and fluid management.
●● Clinical Prioritization
Answer: Focus on life-threatening conditions (e.g., MVA with absent
breath sounds, heart attack vs. chest pain).
●● Asthma
Answer: Recognize signs of exacerbation: increased mucus, dyspnea
during exercise.
, ●● Emergency interventions for Asthma
Answer: Administer short-acting beta-agonists (e.g., albuterol), oxygen
therapy.
●● Evaluate therapeutic responses in Asthma
Answer: ABG interpretation and symptom improvement.
●● COPD Oxygen therapy
Answer: Target SpO₂ 88-92% for hypoxia.
●● COPD Dietary Consideration
Answer: High-protein, high-calorie small meals to maintain energy
levels.
●● Heart Attack vs. Chest Pain
Answer: Differentiate myocardial infarction (MI) from angina (e.g.,
persistent pain, diaphoresis, elevated troponin for MI).
●● Medications for Heart Attack
Answer: Morphine, oxygen, nitroglycerin, aspirin (MONA protocol).
●● Left-sided Heart Failure Symptoms
