WESTERN GOVERNORS UNIVERSITY · PRELICENSURE NURSING PROGRAM
WGU D446 Adult Health 2
Comprehensive Practice
Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Adult Health — Cardiovascular, GI, Neurologic, Endocrine,
Infectious, & Medical-Surgical Nursing
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Adult Health 2 2
WGU D446 · Western Governors University Page 1
,WGU D446 ADULT HEALTH 2 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Adult Health — Cardiovascular, GI, Neurologic, Endocrine,
Infectious, & Medical-Surgical Nursing
1. What is percutaneous coronary intervention (PCI)?
A. A non-surgical procedure to treat blockage in coronary artery in cases of MI.
B. A surgical procedure to bypass coronary artery blockages.
C. A medication to dissolve coronary artery clots.
D. A diagnostic test to visualize coronary arteries.
✦ CORRECT ANSWER: A. A non-surgical procedure to treat blockage in
coronary artery in cases of MI.
Rationale:
Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat blockages in
coronary arteries, commonly performed during a myocardial infarction to restore blood flow.
, 2. Beta-blockers are contraindicated in patients with which condition?
A. Acute heart failure.
B. Hypertension.
C. Angina.
D. Atrial fibrillation.
✦ CORRECT ANSWER: A. Acute heart failure.
Rationale:
Beta-blockers reduce cardiac output and are contraindicated in patients with acute heart failure
because they can worsen the condition by decreasing myocardial contractility.
3. The nurse is assessing a patient with hemorrhage. Which signs and symptoms
should the nurse expect? (Select all that apply.)
A. Pallor.
B. Decreased MAP.
C. Tachycardia.
D. Hypotension.
E. Cold, clammy skin.
✦ CORRECT ANSWER: A, B, C, D, E
Rationale:
Hemorrhage presents with pallor, decreased MAP, tachycardia, decreased urinary output,
increased respiratory rate, hypotension, decreased pulse pressure, and cold, clammy skin. All of
these are signs of hypovolemic shock.
WGU D446 Adult Health 2
Comprehensive Practice
Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Adult Health — Cardiovascular, GI, Neurologic, Endocrine,
Infectious, & Medical-Surgical Nursing
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Adult Health 2 2
WGU D446 · Western Governors University Page 1
,WGU D446 ADULT HEALTH 2 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Adult Health — Cardiovascular, GI, Neurologic, Endocrine,
Infectious, & Medical-Surgical Nursing
1. What is percutaneous coronary intervention (PCI)?
A. A non-surgical procedure to treat blockage in coronary artery in cases of MI.
B. A surgical procedure to bypass coronary artery blockages.
C. A medication to dissolve coronary artery clots.
D. A diagnostic test to visualize coronary arteries.
✦ CORRECT ANSWER: A. A non-surgical procedure to treat blockage in
coronary artery in cases of MI.
Rationale:
Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat blockages in
coronary arteries, commonly performed during a myocardial infarction to restore blood flow.
, 2. Beta-blockers are contraindicated in patients with which condition?
A. Acute heart failure.
B. Hypertension.
C. Angina.
D. Atrial fibrillation.
✦ CORRECT ANSWER: A. Acute heart failure.
Rationale:
Beta-blockers reduce cardiac output and are contraindicated in patients with acute heart failure
because they can worsen the condition by decreasing myocardial contractility.
3. The nurse is assessing a patient with hemorrhage. Which signs and symptoms
should the nurse expect? (Select all that apply.)
A. Pallor.
B. Decreased MAP.
C. Tachycardia.
D. Hypotension.
E. Cold, clammy skin.
✦ CORRECT ANSWER: A, B, C, D, E
Rationale:
Hemorrhage presents with pallor, decreased MAP, tachycardia, decreased urinary output,
increased respiratory rate, hypotension, decreased pulse pressure, and cold, clammy skin. All of
these are signs of hypovolemic shock.
