Wgu D 4 4 3 O B J E C T I V E A S S E S S M E N T
Health Assessment
Practice Exam
& Study Guide
A complete 100-question objective
assessment practice exam aligned to the
D443 Health Assessment blueprint, with the
correct answer and a full clinical rationale
following every question.
100 Questions · Answers & Rationales Included
Full Blueprint Coverage · 2026\2027 update
OA- STYLE · RATI ONALE S · SCORE B E NCH MARKS
,Suggested Method
1. Simulate the OA first. Answer questions 1 through 100 without stopping, allowing about 1.5 minutes per
item (roughly 150 minutes total). Write your chosen letter on scratch paper before reading the answer
box, because committing to a choice first is what makes the review meaningful.
2. Score yourself by topic, not just by total. As you check each answer, mark misses next to the blueprint
table below. A total of 80 or more suggests readiness, but a clustered weakness, such as five misses in
cardiovascular assessment, is a more important signal than the overall score.
3. Read every rationale, even for correct answers. Each rationale explains both why the keyed option is
correct and why the tempting distractors are wrong. Confirming the wrong answers is how you convert a
lucky guess into durable clinical knowledge.
4. Re-test within 48 hours. Re-attempt only the questions you missed after a day or two of review. If you
miss the same item twice, go back to the corresponding course material and rewrite the concept in your
own words.
5. Focus final review on high-yield systems. Cardiovascular, neurological, thorax, and vital-sign items
carry the heaviest weight in this bank and historically consume the largest share of OA questions, so
prioritize those topics in your final study sessions.
Page 1 of 36
,Blueprint Coverage
The table below shows exactly how the 100 questions distribute across the D443 content areas. Use the
question counts to allocate study time: larger rows represent larger portions of the exam.
Content Area Questions % of Exam
Assessment Foundations, History & Documentation 7 7%
General Survey, Vital Signs & Pain 11 11%
Nutrition & Metabolic 4 4%
Skin, Hair & Nails 9 9%
Head, Eyes, Ears, Nose & Throat 8 8%
Thorax & Lungs 9 9%
Cardiovascular & Peripheral Vascular 13 13%
Abdomen, Genitourinary & Renal 7 7%
Musculoskeletal 6 6%
Neurological & Cranial Nerves 13 13%
Mental Health & Cognition 4 4%
Lifespan, Culture & Special Populations 9 9%
Total 100 100%
Scoring Benchmarks
Score 90 or above and you are in excellent shape; spend your remaining time on speed and the few items you
missed. A score between 80 and 89 indicates a solid pass on most practice benchmarks, and your review
should concentrate on any topic row where you missed 20 percent or more of its items. Scores below 80
mean the content, not the test-taking strategy, needs work: re-read the corresponding chapters, redo the
missed questions, and only then attempt a fresh simulation. Treat every rationale as a miniature lecture,
because the OA rewards the same clinical reasoning modeled here: identify the normal first, recognize the
abnormal, and choose the safest, most immediate action.
Page 2 of 36
, D443 HEALTH ASSESSMENT - OBJECTIVE ASSESSMENT PRACTICE EXAM
2026 Practice Examination - 100 Questions
Examination Instructions
Each question has four options (A-D). Choose the single best answer for every item.
The correct answer and a full rationale appear immediately below each question - cover them while
answering to protect the simulation.
Each question is worth 1 point, for a total of 100 points. A target score of 80 or higher indicates strong
readiness.
Suggested time: 150 minutes. Mark items you are unsure of and review their rationales at the end of your
session.
1. The first heart sound (S1) is produced by the closure of which valves?
A. Aortic and pulmonic
B. Mitral and tricuspid
C. Mitral and aortic
D. Tricuspid and pulmonic
Correct Answer: B — Mitral and tricuspid
Rationale: S1, described as 'lub,' marks the onset of systole and is produced when the mitral (left) and tricuspid
(right) atrioventricular valves close. The aortic and pulmonic (semilunar) valves close to produce S2, the 'dub' of
diastole.
2. Using the Glasgow Coma Scale, a patient opens eyes to voice (3), is oriented when speaking (5), and
obeys commands (6). What total score should the nurse document?
A. 12
B. 13
C. 14
D. 15
Correct Answer: C — 14
Rationale: The GCS sums eye (maximum 4), verbal (maximum 5), and motor (maximum 6) responses: 3 + 5 + 6
= 14, indicating mild impairment. A perfect score of 15 requires spontaneous eye opening, so this patient is one
point below normal.
Page 3 of 36
Health Assessment
Practice Exam
& Study Guide
A complete 100-question objective
assessment practice exam aligned to the
D443 Health Assessment blueprint, with the
correct answer and a full clinical rationale
following every question.
100 Questions · Answers & Rationales Included
Full Blueprint Coverage · 2026\2027 update
OA- STYLE · RATI ONALE S · SCORE B E NCH MARKS
,Suggested Method
1. Simulate the OA first. Answer questions 1 through 100 without stopping, allowing about 1.5 minutes per
item (roughly 150 minutes total). Write your chosen letter on scratch paper before reading the answer
box, because committing to a choice first is what makes the review meaningful.
2. Score yourself by topic, not just by total. As you check each answer, mark misses next to the blueprint
table below. A total of 80 or more suggests readiness, but a clustered weakness, such as five misses in
cardiovascular assessment, is a more important signal than the overall score.
3. Read every rationale, even for correct answers. Each rationale explains both why the keyed option is
correct and why the tempting distractors are wrong. Confirming the wrong answers is how you convert a
lucky guess into durable clinical knowledge.
4. Re-test within 48 hours. Re-attempt only the questions you missed after a day or two of review. If you
miss the same item twice, go back to the corresponding course material and rewrite the concept in your
own words.
5. Focus final review on high-yield systems. Cardiovascular, neurological, thorax, and vital-sign items
carry the heaviest weight in this bank and historically consume the largest share of OA questions, so
prioritize those topics in your final study sessions.
Page 1 of 36
,Blueprint Coverage
The table below shows exactly how the 100 questions distribute across the D443 content areas. Use the
question counts to allocate study time: larger rows represent larger portions of the exam.
Content Area Questions % of Exam
Assessment Foundations, History & Documentation 7 7%
General Survey, Vital Signs & Pain 11 11%
Nutrition & Metabolic 4 4%
Skin, Hair & Nails 9 9%
Head, Eyes, Ears, Nose & Throat 8 8%
Thorax & Lungs 9 9%
Cardiovascular & Peripheral Vascular 13 13%
Abdomen, Genitourinary & Renal 7 7%
Musculoskeletal 6 6%
Neurological & Cranial Nerves 13 13%
Mental Health & Cognition 4 4%
Lifespan, Culture & Special Populations 9 9%
Total 100 100%
Scoring Benchmarks
Score 90 or above and you are in excellent shape; spend your remaining time on speed and the few items you
missed. A score between 80 and 89 indicates a solid pass on most practice benchmarks, and your review
should concentrate on any topic row where you missed 20 percent or more of its items. Scores below 80
mean the content, not the test-taking strategy, needs work: re-read the corresponding chapters, redo the
missed questions, and only then attempt a fresh simulation. Treat every rationale as a miniature lecture,
because the OA rewards the same clinical reasoning modeled here: identify the normal first, recognize the
abnormal, and choose the safest, most immediate action.
Page 2 of 36
, D443 HEALTH ASSESSMENT - OBJECTIVE ASSESSMENT PRACTICE EXAM
2026 Practice Examination - 100 Questions
Examination Instructions
Each question has four options (A-D). Choose the single best answer for every item.
The correct answer and a full rationale appear immediately below each question - cover them while
answering to protect the simulation.
Each question is worth 1 point, for a total of 100 points. A target score of 80 or higher indicates strong
readiness.
Suggested time: 150 minutes. Mark items you are unsure of and review their rationales at the end of your
session.
1. The first heart sound (S1) is produced by the closure of which valves?
A. Aortic and pulmonic
B. Mitral and tricuspid
C. Mitral and aortic
D. Tricuspid and pulmonic
Correct Answer: B — Mitral and tricuspid
Rationale: S1, described as 'lub,' marks the onset of systole and is produced when the mitral (left) and tricuspid
(right) atrioventricular valves close. The aortic and pulmonic (semilunar) valves close to produce S2, the 'dub' of
diastole.
2. Using the Glasgow Coma Scale, a patient opens eyes to voice (3), is oriented when speaking (5), and
obeys commands (6). What total score should the nurse document?
A. 12
B. 13
C. 14
D. 15
Correct Answer: C — 14
Rationale: The GCS sums eye (maximum 4), verbal (maximum 5), and motor (maximum 6) responses: 3 + 5 + 6
= 14, indicating mild impairment. A perfect score of 15 requires spontaneous eye opening, so this patient is one
point below normal.
Page 3 of 36
