WGU C785 Advanced Med-Surg Assessment
Exam 2026/2027 COMPLETE ACCURATE TEST
EXAM ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED SOLUTIONS) |ALREADY GRADED
A+||NEWEST VERSION
|BEST DOCUMENT FOR EXAM-2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
A nurse is caring for a client with chronic heart failure who reports sudden weight gain
and increased shortness of breath. Which finding requires immediate intervention?
a. Weight gain of 1 lb (0.45 kg) in 24 hours
b. Bilateral ankle edema
c. Respiratory rate of 22/min
d. Mild fatigue on exertion
✔️ Correct Answer: A
Rationale: A rapid weight gain of 1 lb in 24 hours in a heart failure client suggests acute
fluid retention and possible worsening heart failure, requiring prompt intervention. This
may indicate early decompensation before overt respiratory distress occurs. Bilateral
edema, mild tachypnea, and fatigue are expected chronic findings and do not indicate
immediate deterioration. DIF: Application | REF: Cardiovascular / Heart Failure
Management | OBJ: Identify early signs of heart failure exacerbation
,A nurse is assessing a client with diabetic ketoacidosis (DKA). Which finding is most
expected?
a. Slow, shallow respirations
b. Fruity-smelling breath
c. Hypoglycemia
d. Bradycardia
✔️ Correct Answer: B
Rationale: DKA leads to metabolic acidosis, triggering Kussmaul respirations and a fruity
or acetone breath odor due to ketone accumulation. Patients are typically hyperglycemic,
not hypoglycemic. Tachycardia, not bradycardia, is more common due to dehydration.
DIF: Knowledge | REF: Endocrine / Diabetes Ketoacidosis | OBJ: Identify clinical signs of
DKA
A nurse is caring for a client receiving heparin therapy. Which lab value should the nurse
monitor?
a. INR
b. aPTT
c. Platelet count only
d. Hemoglobin A1C
✔️ Correct Answer: B
Rationale: Heparin therapy is monitored using activated partial thromboplastin time
(aPTT) to evaluate therapeutic effect and bleeding risk. INR is used for warfarin therapy.
Platelet count is important for monitoring HIT but not therapeutic dosing. Hemoglobin
A1C reflects glucose control, not anticoagulation. DIF: Knowledge | REF: Pharmacology /
Anticoagulants | OBJ: Identify appropriate lab monitoring for heparin
A client presents with chest pain and ST elevation on ECG. What is the priority nursing
action?
a. Obtain a full dietary history
b. Administer oxygen and notify provider
,c. Encourage ambulation
d. Reassess in 1 hour
✔️ Correct Answer: B
Rationale: ST elevation indicates myocardial infarction. Immediate oxygen administration
and provider notification are priority actions to reduce myocardial ischemia. Delays in
intervention increase cardiac tissue death. Ambulation and dietary history are not
priorities in acute MI. DIF: Application | REF: Cardiovascular / Myocardial Infarction | OBJ:
Prioritize interventions for acute MI
A nurse is caring for a client with hyperkalemia. Which ECG change is most expected?
a. U waves
b. Tall peaked T waves
c. ST depression
d. Prolonged QT interval
✔️ Correct Answer: B
Rationale: Hyperkalemia causes tall, peaked T waves due to altered cardiac conduction. U
waves are associated with hypokalemia. Prolonged QT and ST depression are not primary
features of elevated potassium. DIF: Knowledge | REF: Fluids and Electrolytes / Potassium
Imbalance | OBJ: Identify ECG changes in hyperkalemia
A nurse is caring for a client with COPD. Which oxygen delivery method is most
appropriate?
a. Non-rebreather mask at 15 L/min
b. Venturi mask at prescribed FiO₂
c. Nasal cannula at 10 L/min
d. Room air only
✔️ Correct Answer: B
Rationale: Clients with COPD require controlled oxygen delivery to avoid suppressing
hypoxic drive. A Venturi mask provides precise oxygen concentrations. High-flow non-
rebreather masks may cause CO₂ retention. Nasal cannula at high flow is inappropriate.
, DIF: Application | REF: Respiratory / COPD Management | OBJ: Select appropriate oxygen
therapy
A nurse is caring for a client with acute kidney injury (AKI). Which lab finding is most
concerning?
a. Elevated BUN and creatinine
b. Decreased potassium
c. Low urine specific gravity
d. Decreased sodium intake
✔️ Correct Answer: A
Rationale: AKI is characterized by decreased renal filtration leading to elevated BUN and
creatinine. Hyperkalemia, not hypokalemia, is more common. Low urine specific gravity
may occur but is less critical than worsening renal function markers. DIF: Knowledge |
REF: Renal / Acute Kidney Injury | OBJ: Identify key laboratory indicators of AKI
A nurse is caring for a client experiencing a stroke. Which assessment finding requires
immediate action?
a. Slurred speech
b. Unilateral weakness
c. Sudden loss of vision
d. Headache rated 4/10
✔️ Correct Answer: C
Rationale: Sudden vision loss suggests cerebral ischemia affecting the visual cortex or
retinal circulation and may indicate worsening stroke. All neurological deficits are
important, but sudden changes in vision may indicate evolving stroke territory
involvement requiring urgent evaluation. DIF: Analysis | REF: Neurological / Stroke | OBJ:
Identify emergent stroke symptoms
Exam 2026/2027 COMPLETE ACCURATE TEST
EXAM ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED SOLUTIONS) |ALREADY GRADED
A+||NEWEST VERSION
|BEST DOCUMENT FOR EXAM-2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
A nurse is caring for a client with chronic heart failure who reports sudden weight gain
and increased shortness of breath. Which finding requires immediate intervention?
a. Weight gain of 1 lb (0.45 kg) in 24 hours
b. Bilateral ankle edema
c. Respiratory rate of 22/min
d. Mild fatigue on exertion
✔️ Correct Answer: A
Rationale: A rapid weight gain of 1 lb in 24 hours in a heart failure client suggests acute
fluid retention and possible worsening heart failure, requiring prompt intervention. This
may indicate early decompensation before overt respiratory distress occurs. Bilateral
edema, mild tachypnea, and fatigue are expected chronic findings and do not indicate
immediate deterioration. DIF: Application | REF: Cardiovascular / Heart Failure
Management | OBJ: Identify early signs of heart failure exacerbation
,A nurse is assessing a client with diabetic ketoacidosis (DKA). Which finding is most
expected?
a. Slow, shallow respirations
b. Fruity-smelling breath
c. Hypoglycemia
d. Bradycardia
✔️ Correct Answer: B
Rationale: DKA leads to metabolic acidosis, triggering Kussmaul respirations and a fruity
or acetone breath odor due to ketone accumulation. Patients are typically hyperglycemic,
not hypoglycemic. Tachycardia, not bradycardia, is more common due to dehydration.
DIF: Knowledge | REF: Endocrine / Diabetes Ketoacidosis | OBJ: Identify clinical signs of
DKA
A nurse is caring for a client receiving heparin therapy. Which lab value should the nurse
monitor?
a. INR
b. aPTT
c. Platelet count only
d. Hemoglobin A1C
✔️ Correct Answer: B
Rationale: Heparin therapy is monitored using activated partial thromboplastin time
(aPTT) to evaluate therapeutic effect and bleeding risk. INR is used for warfarin therapy.
Platelet count is important for monitoring HIT but not therapeutic dosing. Hemoglobin
A1C reflects glucose control, not anticoagulation. DIF: Knowledge | REF: Pharmacology /
Anticoagulants | OBJ: Identify appropriate lab monitoring for heparin
A client presents with chest pain and ST elevation on ECG. What is the priority nursing
action?
a. Obtain a full dietary history
b. Administer oxygen and notify provider
,c. Encourage ambulation
d. Reassess in 1 hour
✔️ Correct Answer: B
Rationale: ST elevation indicates myocardial infarction. Immediate oxygen administration
and provider notification are priority actions to reduce myocardial ischemia. Delays in
intervention increase cardiac tissue death. Ambulation and dietary history are not
priorities in acute MI. DIF: Application | REF: Cardiovascular / Myocardial Infarction | OBJ:
Prioritize interventions for acute MI
A nurse is caring for a client with hyperkalemia. Which ECG change is most expected?
a. U waves
b. Tall peaked T waves
c. ST depression
d. Prolonged QT interval
✔️ Correct Answer: B
Rationale: Hyperkalemia causes tall, peaked T waves due to altered cardiac conduction. U
waves are associated with hypokalemia. Prolonged QT and ST depression are not primary
features of elevated potassium. DIF: Knowledge | REF: Fluids and Electrolytes / Potassium
Imbalance | OBJ: Identify ECG changes in hyperkalemia
A nurse is caring for a client with COPD. Which oxygen delivery method is most
appropriate?
a. Non-rebreather mask at 15 L/min
b. Venturi mask at prescribed FiO₂
c. Nasal cannula at 10 L/min
d. Room air only
✔️ Correct Answer: B
Rationale: Clients with COPD require controlled oxygen delivery to avoid suppressing
hypoxic drive. A Venturi mask provides precise oxygen concentrations. High-flow non-
rebreather masks may cause CO₂ retention. Nasal cannula at high flow is inappropriate.
, DIF: Application | REF: Respiratory / COPD Management | OBJ: Select appropriate oxygen
therapy
A nurse is caring for a client with acute kidney injury (AKI). Which lab finding is most
concerning?
a. Elevated BUN and creatinine
b. Decreased potassium
c. Low urine specific gravity
d. Decreased sodium intake
✔️ Correct Answer: A
Rationale: AKI is characterized by decreased renal filtration leading to elevated BUN and
creatinine. Hyperkalemia, not hypokalemia, is more common. Low urine specific gravity
may occur but is less critical than worsening renal function markers. DIF: Knowledge |
REF: Renal / Acute Kidney Injury | OBJ: Identify key laboratory indicators of AKI
A nurse is caring for a client experiencing a stroke. Which assessment finding requires
immediate action?
a. Slurred speech
b. Unilateral weakness
c. Sudden loss of vision
d. Headache rated 4/10
✔️ Correct Answer: C
Rationale: Sudden vision loss suggests cerebral ischemia affecting the visual cortex or
retinal circulation and may indicate worsening stroke. All neurological deficits are
important, but sudden changes in vision may indicate evolving stroke territory
involvement requiring urgent evaluation. DIF: Analysis | REF: Neurological / Stroke | OBJ:
Identify emergent stroke symptoms
