WGU D444 Adult Health 1 — Comprehensive
Study Guide & Original Prac ce Ques ons
2026
Question 1
A client with glaucoma is receiving discharge teaching. Which instruction is most important?
A. Increase fluid intake rapidly when eye pain occurs.
B. Avoid activities that significantly increase intraocular pressure.
C. Apply warm compresses every 2 hours.
D. Sleep completely flat at night.
Answer: B
Rationale: Activities involving straining, forceful coughing, or bending can increase intraocular
pressure. Glaucoma management focuses on lowering intraocular pressure and preventing
optic-nerve damage.
Question 2
A client reports seeing flashes of light followed by numerous new floaters and a curtain-like
shadow across the visual field. What should the nurse do?
A. Reassure the client that this is expected with aging.
B. Recommend artificial tears.
C. Arrange immediate ophthalmic evaluation.
D. Encourage the client to rest in a dark room.
Answer: C
Rationale: Flashes, sudden floaters, and a curtain or veil over vision are classic warning signs
of retinal detachment. Retinal detachment is an ocular emergency requiring prompt evaluation.
Question 3
,Which finding is most characteristic of Ménière disease?
A. Vertigo, tinnitus, and fluctuating hearing loss
B. Facial paralysis and unilateral weakness
C. Purulent drainage and severe external-ear pain
D. Sudden painless loss of peripheral vision
Answer: A
Rationale: Ménière disease is an inner-ear disorder commonly associated with episodic vertigo,
tinnitus, aural fullness, and sensorineural hearing loss.
Question 4
A client is prescribed timolol ophthalmic drops for glaucoma. Which assessment is particularly
important?
A. Bowel sounds
B. Respiratory status and heart rate
C. Skin turgor
D. Visual acuity of the unaffected eye only
Answer: B
Rationale: Ophthalmic timolol is a beta blocker and can be systemically absorbed, potentially
causing bradycardia or bronchospasm, particularly in susceptible clients.
Question 5
A client has cataract surgery. Which postoperative instruction is appropriate?
A. Bend at the waist to put on shoes.
B. Lift heavy objects to strengthen the eye muscles.
C. Avoid activities that increase intraocular pressure.
D. Rub the operative eye if itching occurs.
Answer: C
Rationale: After cataract surgery, the client should avoid bending, heavy lifting, straining, and
other activities that can increase intraocular pressure and disrupt healing.
,Question 6
Which symptom most strongly suggests acute angle-closure glaucoma?
A. Gradual painless visual loss
B. Severe eye pain with blurred vision and halos
C. Mild itching relieved by blinking
D. Slowly increasing difficulty reading
Answer: B
Rationale: Acute angle-closure glaucoma can cause severe ocular pain, blurred vision, halos
around lights, headache, nausea, and markedly increased intraocular pressure.
Question 7
A client with a corneal abrasion reports severe eye pain and photophobia. Which intervention
should the nurse anticipate?
A. Prescribed ophthalmic antimicrobial therapy
B. Routine eye patching without assessment
C. Immediate ear irrigation
D. High-dose systemic corticosteroids for all cases
Answer: A
Rationale: Corneal abrasions may be treated with prescribed ophthalmic antimicrobial therapy
to reduce the risk of infection. Pain and photophobia are common findings.
Question 8
Which intervention is appropriate when communicating with a client who has significant hearing
loss?
A. Speak rapidly and loudly from behind the client.
B. Face the client and speak clearly at a normal pace.
C. Exaggerate lip movements.
D. Avoid written communication.
Answer: B
, Rationale: Facing the client facilitates lip reading and visual cues. Clear, normal-volume speech
is generally more effective than shouting.
Question 9
A client with glaucoma asks why treatment must continue even when vision seems normal.
Which response is best?
A. “Glaucoma always causes temporary blindness.”
B. “Treatment prevents or slows progressive optic-nerve damage.”
C. “The medication eliminates cataracts.”
D. “The condition affects only the external eye.”
Answer: B
Rationale: Glaucoma can cause progressive optic-nerve damage and visual-field loss. Treatment
is aimed at controlling intraocular pressure and preserving remaining vision.
Question 10
A client with epistaxis is actively bleeding. Which initial action is appropriate?
A. Have the client lie flat.
B. Tilt the head backward.
C. Sit the client upright and lean slightly forward.
D. Encourage forceful nose blowing.
Answer: C
Rationale: Sitting upright and leaning forward helps reduce aspiration or swallowing of blood.
Tilting the head backward can cause blood to drain into the throat.
Section 2: Skin, Wounds, Burns & Inflammation
Question 11
Which finding is most consistent with a stage 2 pressure injury?
Study Guide & Original Prac ce Ques ons
2026
Question 1
A client with glaucoma is receiving discharge teaching. Which instruction is most important?
A. Increase fluid intake rapidly when eye pain occurs.
B. Avoid activities that significantly increase intraocular pressure.
C. Apply warm compresses every 2 hours.
D. Sleep completely flat at night.
Answer: B
Rationale: Activities involving straining, forceful coughing, or bending can increase intraocular
pressure. Glaucoma management focuses on lowering intraocular pressure and preventing
optic-nerve damage.
Question 2
A client reports seeing flashes of light followed by numerous new floaters and a curtain-like
shadow across the visual field. What should the nurse do?
A. Reassure the client that this is expected with aging.
B. Recommend artificial tears.
C. Arrange immediate ophthalmic evaluation.
D. Encourage the client to rest in a dark room.
Answer: C
Rationale: Flashes, sudden floaters, and a curtain or veil over vision are classic warning signs
of retinal detachment. Retinal detachment is an ocular emergency requiring prompt evaluation.
Question 3
,Which finding is most characteristic of Ménière disease?
A. Vertigo, tinnitus, and fluctuating hearing loss
B. Facial paralysis and unilateral weakness
C. Purulent drainage and severe external-ear pain
D. Sudden painless loss of peripheral vision
Answer: A
Rationale: Ménière disease is an inner-ear disorder commonly associated with episodic vertigo,
tinnitus, aural fullness, and sensorineural hearing loss.
Question 4
A client is prescribed timolol ophthalmic drops for glaucoma. Which assessment is particularly
important?
A. Bowel sounds
B. Respiratory status and heart rate
C. Skin turgor
D. Visual acuity of the unaffected eye only
Answer: B
Rationale: Ophthalmic timolol is a beta blocker and can be systemically absorbed, potentially
causing bradycardia or bronchospasm, particularly in susceptible clients.
Question 5
A client has cataract surgery. Which postoperative instruction is appropriate?
A. Bend at the waist to put on shoes.
B. Lift heavy objects to strengthen the eye muscles.
C. Avoid activities that increase intraocular pressure.
D. Rub the operative eye if itching occurs.
Answer: C
Rationale: After cataract surgery, the client should avoid bending, heavy lifting, straining, and
other activities that can increase intraocular pressure and disrupt healing.
,Question 6
Which symptom most strongly suggests acute angle-closure glaucoma?
A. Gradual painless visual loss
B. Severe eye pain with blurred vision and halos
C. Mild itching relieved by blinking
D. Slowly increasing difficulty reading
Answer: B
Rationale: Acute angle-closure glaucoma can cause severe ocular pain, blurred vision, halos
around lights, headache, nausea, and markedly increased intraocular pressure.
Question 7
A client with a corneal abrasion reports severe eye pain and photophobia. Which intervention
should the nurse anticipate?
A. Prescribed ophthalmic antimicrobial therapy
B. Routine eye patching without assessment
C. Immediate ear irrigation
D. High-dose systemic corticosteroids for all cases
Answer: A
Rationale: Corneal abrasions may be treated with prescribed ophthalmic antimicrobial therapy
to reduce the risk of infection. Pain and photophobia are common findings.
Question 8
Which intervention is appropriate when communicating with a client who has significant hearing
loss?
A. Speak rapidly and loudly from behind the client.
B. Face the client and speak clearly at a normal pace.
C. Exaggerate lip movements.
D. Avoid written communication.
Answer: B
, Rationale: Facing the client facilitates lip reading and visual cues. Clear, normal-volume speech
is generally more effective than shouting.
Question 9
A client with glaucoma asks why treatment must continue even when vision seems normal.
Which response is best?
A. “Glaucoma always causes temporary blindness.”
B. “Treatment prevents or slows progressive optic-nerve damage.”
C. “The medication eliminates cataracts.”
D. “The condition affects only the external eye.”
Answer: B
Rationale: Glaucoma can cause progressive optic-nerve damage and visual-field loss. Treatment
is aimed at controlling intraocular pressure and preserving remaining vision.
Question 10
A client with epistaxis is actively bleeding. Which initial action is appropriate?
A. Have the client lie flat.
B. Tilt the head backward.
C. Sit the client upright and lean slightly forward.
D. Encourage forceful nose blowing.
Answer: C
Rationale: Sitting upright and leaning forward helps reduce aspiration or swallowing of blood.
Tilting the head backward can cause blood to drain into the throat.
Section 2: Skin, Wounds, Burns & Inflammation
Question 11
Which finding is most consistent with a stage 2 pressure injury?
