WGU D444
ADULT HEALTH I
75-Question Timed Mock OA
Clinical Scenarios • Answers •
Detailed Rationales
90 Minutes • 2026/2027 Edition
Independent practice resource: This mock contains newly written original questions. It does not reproduce, recall,
predict, or claim access to WGU’s official OA. “Mock OA” describes the practice format only, and no outcome is
guaranteed.
Clinical safety: Scenarios are educational simplifications. Actual care requires patient-specific assessment, current
orders, institutional policy, scope of practice, and qualified clinical judgment.
,WGU D444 • 75-QUESTION TIMED MOCK OA
Timed Mock Instructions
Feature Structure
Questions 75 total: 55 clinical scenarios and 20 knowledge/application items
Time 90 minutes
Pacing Approximately 72 seconds per question
Checkpoints Question 25 by 30 minutes; Question 50 by 60 minutes
Formats Single-best-answer, priority-action, and select-all-that-apply
SATA scoring Select every correct option and no incorrect options
First attempt Closed notes; answer every question; flag uncertainty and return if time remains
Priority method
Identify the immediate threat before focusing on the diagnosis. Prioritize airway, breathing, circulation,
perfusion, acute neurologic change, severe bleeding, sepsis, and rapid deterioration. Choose focused
assessment, emergency escalation, and prescribed stabilization before routine teaching, documentation, or
convenience.
Candidate answer sheet
1–15 16–30 31–45 46–60 61–75
1. ____ 16. ____ 31. ____ 46. ____ 61. ____
2. ____ 17. ____ 32. ____ 47. ____ 62. ____
3. ____ 18. ____ 33. ____ 48. ____ 63. ____
4. ____ 19. ____ 34. ____ 49. ____ 64. ____
5. ____ 20. ____ 35. ____ 50. ____ 65. ____
6. ____ 21. ____ 36. ____ 51. ____ 66. ____
7. ____ 22. ____ 37. ____ 52. ____ 67. ____
8. ____ 23. ____ 38. ____ 53. ____ 68. ____
9. ____ 24. ____ 39. ____ 54. ____ 69. ____
10. ____ 25. ____ 40. ____ 55. ____ 70. ____
11. ____ 26. ____ 41. ____ 56. ____ 71. ____
12. ____ 27. ____ 42. ____ 57. ____ 72. ____
13. ____ 28. ____ 43. ____ 58. ____ 73. ____
14. ____ 29. ____ 44. ____ 59. ____ 74. ____
15. ____ 30. ____ 45. ____ 60. ____ 75. ____
2026/2027 Edition | 2
,WGU D444 • 75-QUESTION TIMED MOCK OA
Begin Timed Mock OA
1. [Clinical scenario] A 38-year-old patient with pneumonia has a new change consistent with fever,
productive cough, crackles, dyspnea, and a new infiltrate. Which nursing response is most
appropriate first?
A. Encourage ambulation without first determining physiologic stability.
B. Provide broad lifestyle teaching while postponing the acute assessment.
C. Assess oxygenation and respiratory effort; position to support ventilation; obtain cultures before first antibiotic
when ordered without delaying urgent therapy
D. Complete discharge documentation before reassessing the patient.
2. [Knowledge/application] Which statement about ongoing care for pneumonia is most accurate?
A. A single normal finding rules out deterioration.
B. Patient teaching should include: Complete prescribed therapy, hydrate if appropriate, mobilize secretions, and
use pulmonary-hygiene measures; monitoring should include oxygen saturation, respiratory status, temperature,
sputum, and response to therapy.
C. The patient should independently stop prescribed therapy once symptoms improve.
D. Teaching replaces the need to reassess new symptoms.
3. [Clinical scenario] A 46-year-old patient with copd exacerbation has a new change consistent
with worsening dyspnea, cough or sputum change with airflow limitation. Which nursing response
is most appropriate first?
A. Provide broad lifestyle teaching while postponing the acute assessment.
B. Assess airway and breathing, position upright, deliver prescribed controlled oxygen, and give ordered
bronchodilator therapy
C. Complete discharge documentation before reassessing the patient.
D. Encourage ambulation without first determining physiologic stability.
4. [Knowledge/application] Which statement about ongoing care for copd exacerbation is most
accurate?
A. The patient should independently stop prescribed therapy once symptoms improve.
B. A single normal finding rules out deterioration.
C. Teaching replaces the need to reassess new symptoms.
D. Patient teaching should include: Use inhalers correctly, avoid smoke, follow the action plan, conserve energy,
and obtain recommended vaccines; monitoring should include work of breathing, mental status, breath sounds,
oxygenation, and response to bronchodilators.
5. [Clinical scenario] A 52-year-old patient with asthma exacerbation has a new change consistent
with episodic wheeze, cough, chest tightness, and prolonged expiration. Which nursing response is
most appropriate first?
A. Complete discharge documentation before reassessing the patient.
B. Encourage ambulation without first determining physiologic stability.
C. Provide broad lifestyle teaching while postponing the acute assessment.
D. Rapidly assess severity, support oxygenation, and administer prescribed rapid-acting bronchodilator
2026/2027 Edition | 3
, WGU D444 • 75-QUESTION TIMED MOCK OA
6. [Knowledge/application] Which statement about ongoing care for asthma exacerbation is most
accurate?
A. Patient teaching should include: Identify triggers, distinguish rescue from controller medication, demonstrate
inhaler/spacer technique, and follow an action plan; monitoring should include peak flow when appropriate, work
of breathing, breath sounds, oxygenation, and rescue response.
B. Teaching replaces the need to reassess new symptoms.
C. The patient should independently stop prescribed therapy once symptoms improve.
D. A single normal finding rules out deterioration.
7. [Clinical scenario] A 57-year-old patient with pulmonary embolism has a new change consistent
with sudden dyspnea, pleuritic chest pain, tachycardia, and hypoxemia with risk factors. Which
nursing response is most appropriate first?
A. Encourage ambulation without first determining physiologic stability.
B. Provide broad lifestyle teaching while postponing the acute assessment.
C. Complete discharge documentation before reassessing the patient.
D. Treat as an emergency: support oxygenation, limit exertion, notify the rapid-response/provider team, and
prepare for diagnostic and anticoagulation protocols
8. [Knowledge/application] Which statement about ongoing care for pulmonary embolism is most
accurate?
A. The patient should independently stop prescribed therapy once symptoms improve.
B. A single normal finding rules out deterioration.
C. Teaching replaces the need to reassess new symptoms.
D. Patient teaching should include: Take anticoagulants exactly as prescribed, recognize bleeding, reduce
immobility risk, and seek urgent care for recurrent symptoms; monitoring should include respiratory and
hemodynamic status, bleeding, and ordered anticoagulation parameters.
9. [Clinical scenario] A 61-year-old patient with heart failure has a new change consistent with
dyspnea, orthopnea, fatigue, edema, crackles, and rapid weight gain from congestion. Which
nursing response is most appropriate first?
A. Assess breathing and perfusion, position upright, administer prescribed oxygen/diuretics, and monitor fluid
status
B. Complete discharge documentation before reassessing the patient.
C. Provide broad lifestyle teaching while postponing the acute assessment.
D. Encourage ambulation without first determining physiologic stability.
10. [Knowledge/application] Which statement about ongoing care for heart failure is most
accurate?
A. Patient teaching should include: Track daily weight and symptoms, follow sodium/fluid guidance, take
medications as prescribed, and report rapid change; monitoring should include daily weight, intake/output,
edema, lung sounds, renal function, electrolytes, and vital signs.
B. A single normal finding rules out deterioration.
C. The patient should independently stop prescribed therapy once symptoms improve.
D. Teaching replaces the need to reassess new symptoms.
2026/2027 Edition | 4
ADULT HEALTH I
75-Question Timed Mock OA
Clinical Scenarios • Answers •
Detailed Rationales
90 Minutes • 2026/2027 Edition
Independent practice resource: This mock contains newly written original questions. It does not reproduce, recall,
predict, or claim access to WGU’s official OA. “Mock OA” describes the practice format only, and no outcome is
guaranteed.
Clinical safety: Scenarios are educational simplifications. Actual care requires patient-specific assessment, current
orders, institutional policy, scope of practice, and qualified clinical judgment.
,WGU D444 • 75-QUESTION TIMED MOCK OA
Timed Mock Instructions
Feature Structure
Questions 75 total: 55 clinical scenarios and 20 knowledge/application items
Time 90 minutes
Pacing Approximately 72 seconds per question
Checkpoints Question 25 by 30 minutes; Question 50 by 60 minutes
Formats Single-best-answer, priority-action, and select-all-that-apply
SATA scoring Select every correct option and no incorrect options
First attempt Closed notes; answer every question; flag uncertainty and return if time remains
Priority method
Identify the immediate threat before focusing on the diagnosis. Prioritize airway, breathing, circulation,
perfusion, acute neurologic change, severe bleeding, sepsis, and rapid deterioration. Choose focused
assessment, emergency escalation, and prescribed stabilization before routine teaching, documentation, or
convenience.
Candidate answer sheet
1–15 16–30 31–45 46–60 61–75
1. ____ 16. ____ 31. ____ 46. ____ 61. ____
2. ____ 17. ____ 32. ____ 47. ____ 62. ____
3. ____ 18. ____ 33. ____ 48. ____ 63. ____
4. ____ 19. ____ 34. ____ 49. ____ 64. ____
5. ____ 20. ____ 35. ____ 50. ____ 65. ____
6. ____ 21. ____ 36. ____ 51. ____ 66. ____
7. ____ 22. ____ 37. ____ 52. ____ 67. ____
8. ____ 23. ____ 38. ____ 53. ____ 68. ____
9. ____ 24. ____ 39. ____ 54. ____ 69. ____
10. ____ 25. ____ 40. ____ 55. ____ 70. ____
11. ____ 26. ____ 41. ____ 56. ____ 71. ____
12. ____ 27. ____ 42. ____ 57. ____ 72. ____
13. ____ 28. ____ 43. ____ 58. ____ 73. ____
14. ____ 29. ____ 44. ____ 59. ____ 74. ____
15. ____ 30. ____ 45. ____ 60. ____ 75. ____
2026/2027 Edition | 2
,WGU D444 • 75-QUESTION TIMED MOCK OA
Begin Timed Mock OA
1. [Clinical scenario] A 38-year-old patient with pneumonia has a new change consistent with fever,
productive cough, crackles, dyspnea, and a new infiltrate. Which nursing response is most
appropriate first?
A. Encourage ambulation without first determining physiologic stability.
B. Provide broad lifestyle teaching while postponing the acute assessment.
C. Assess oxygenation and respiratory effort; position to support ventilation; obtain cultures before first antibiotic
when ordered without delaying urgent therapy
D. Complete discharge documentation before reassessing the patient.
2. [Knowledge/application] Which statement about ongoing care for pneumonia is most accurate?
A. A single normal finding rules out deterioration.
B. Patient teaching should include: Complete prescribed therapy, hydrate if appropriate, mobilize secretions, and
use pulmonary-hygiene measures; monitoring should include oxygen saturation, respiratory status, temperature,
sputum, and response to therapy.
C. The patient should independently stop prescribed therapy once symptoms improve.
D. Teaching replaces the need to reassess new symptoms.
3. [Clinical scenario] A 46-year-old patient with copd exacerbation has a new change consistent
with worsening dyspnea, cough or sputum change with airflow limitation. Which nursing response
is most appropriate first?
A. Provide broad lifestyle teaching while postponing the acute assessment.
B. Assess airway and breathing, position upright, deliver prescribed controlled oxygen, and give ordered
bronchodilator therapy
C. Complete discharge documentation before reassessing the patient.
D. Encourage ambulation without first determining physiologic stability.
4. [Knowledge/application] Which statement about ongoing care for copd exacerbation is most
accurate?
A. The patient should independently stop prescribed therapy once symptoms improve.
B. A single normal finding rules out deterioration.
C. Teaching replaces the need to reassess new symptoms.
D. Patient teaching should include: Use inhalers correctly, avoid smoke, follow the action plan, conserve energy,
and obtain recommended vaccines; monitoring should include work of breathing, mental status, breath sounds,
oxygenation, and response to bronchodilators.
5. [Clinical scenario] A 52-year-old patient with asthma exacerbation has a new change consistent
with episodic wheeze, cough, chest tightness, and prolonged expiration. Which nursing response is
most appropriate first?
A. Complete discharge documentation before reassessing the patient.
B. Encourage ambulation without first determining physiologic stability.
C. Provide broad lifestyle teaching while postponing the acute assessment.
D. Rapidly assess severity, support oxygenation, and administer prescribed rapid-acting bronchodilator
2026/2027 Edition | 3
, WGU D444 • 75-QUESTION TIMED MOCK OA
6. [Knowledge/application] Which statement about ongoing care for asthma exacerbation is most
accurate?
A. Patient teaching should include: Identify triggers, distinguish rescue from controller medication, demonstrate
inhaler/spacer technique, and follow an action plan; monitoring should include peak flow when appropriate, work
of breathing, breath sounds, oxygenation, and rescue response.
B. Teaching replaces the need to reassess new symptoms.
C. The patient should independently stop prescribed therapy once symptoms improve.
D. A single normal finding rules out deterioration.
7. [Clinical scenario] A 57-year-old patient with pulmonary embolism has a new change consistent
with sudden dyspnea, pleuritic chest pain, tachycardia, and hypoxemia with risk factors. Which
nursing response is most appropriate first?
A. Encourage ambulation without first determining physiologic stability.
B. Provide broad lifestyle teaching while postponing the acute assessment.
C. Complete discharge documentation before reassessing the patient.
D. Treat as an emergency: support oxygenation, limit exertion, notify the rapid-response/provider team, and
prepare for diagnostic and anticoagulation protocols
8. [Knowledge/application] Which statement about ongoing care for pulmonary embolism is most
accurate?
A. The patient should independently stop prescribed therapy once symptoms improve.
B. A single normal finding rules out deterioration.
C. Teaching replaces the need to reassess new symptoms.
D. Patient teaching should include: Take anticoagulants exactly as prescribed, recognize bleeding, reduce
immobility risk, and seek urgent care for recurrent symptoms; monitoring should include respiratory and
hemodynamic status, bleeding, and ordered anticoagulation parameters.
9. [Clinical scenario] A 61-year-old patient with heart failure has a new change consistent with
dyspnea, orthopnea, fatigue, edema, crackles, and rapid weight gain from congestion. Which
nursing response is most appropriate first?
A. Assess breathing and perfusion, position upright, administer prescribed oxygen/diuretics, and monitor fluid
status
B. Complete discharge documentation before reassessing the patient.
C. Provide broad lifestyle teaching while postponing the acute assessment.
D. Encourage ambulation without first determining physiologic stability.
10. [Knowledge/application] Which statement about ongoing care for heart failure is most
accurate?
A. Patient teaching should include: Track daily weight and symptoms, follow sodium/fluid guidance, take
medications as prescribed, and report rapid change; monitoring should include daily weight, intake/output,
edema, lung sounds, renal function, electrolytes, and vital signs.
B. A single normal finding rules out deterioration.
C. The patient should independently stop prescribed therapy once symptoms improve.
D. Teaching replaces the need to reassess new symptoms.
2026/2027 Edition | 4
