Objective Assessment
(3 Full Exams Set)
(Health Assessment)
Actual Questions with Verified Answers
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,Contents
WGU D443 OA EXAM SET 1 .............................................................. 2
WGU D443 OA EXAM SET 2 ............................................................ 28
WGU D443 OA EXAM SET 3 ............................................................ 64
WGU D443 OA EXAM STUDY GUIDE .............................................. 90
WGU D443 OA EXAM SET 1
1. Heart sounds are loudest for S1 at the _______ and for S2 at the _______.
A. Base of the heart / Apex of the heart
B. Right side of the heart / Left side of the heart
C. Center of the heart / Base of the heart
D. Apex of the heart / Base of the heart
Correct Answer: D. Apex of the heart / Base of the heart
Rationale: S1 (the first heart sound, "lub") is produced by closure of the mitral and
tricuspid valves and is best heard at the apex of the heart (5th intercostal space,
midclavicular line). S2 (the second heart sound, "dub") is produced by closure of the
aortic and pulmonic valves and is best heard at the base of the heart (2nd intercostal
spaces). The apex is the point of maximal impulse (PMI) where S1 is most intense, while
the base at the right and left 2nd intercostal spaces provides optimal auscultation for S2.
2. When preparing a female client for an abdominal examination, the nurse should
provide her with which instruction?
A. Empty your bladder just prior to the examination
B. Refrain from eating or drinking for at least thirty minutes
C. Lie in a prone position with slightly flexed knees
D. Exhale slowly through your mouth then hold your breath
, Correct Answer: A. Empty your bladder just prior to the examination
Rationale: An empty bladder is essential for an accurate abdominal examination because
a full bladder elevates the uterus and can obscure palpation of abdominal organs,
potentially leading to misinterpretation of findings such as organomegaly or masses.
The supine position (not prone) with knees flexed is the standard positioning for
abdominal assessment, as it relaxes the abdominal wall muscles.
3. The nurse learns in report that a client is stuporous. Which assessment should the
nurse perform to confirm this report?
A. Observe for facial asymmetry
B. Determine the response to stimuli
C. Assess for a positive Romberg sign
D. Check the pupillary response to light
Correct Answer: B. Determine the response to stimuli
Rationale: Stupor is a level of consciousness characterized by deep sleep or
unresponsiveness from which the client can only be aroused by vigorous and repeated
stimulation. The defining characteristic of stupor is the client's response to external
stimuli—specifically, requiring strong, persistent stimuli to elicit any response. To
confirm stupor, the nurse must apply graduated stimuli (verbal, tactile, painful) and
document the type of stimulus required and the quality of response obtained.
4. The nurse begins a client's musculoskeletal assessment. While using the technique of
inspection, the nurse assesses for which possible findings? Select all that apply.
A. Atrophy
B. Crepitus
C. Kyphosis
D. Osteopenia
E. Contracture
Correct Answer: A, C, E