WGU D444
Adult Health 1
Objective Assessment
(3 Full Exams Set)
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢300 OA Exam Questions w/ Answers
➢Expert Rationales included.
➢OA Study Guide & Clinical Prioritization
➢Zach's Study Guide D444
➢ Adult Health Study Guide: Core Systems & Infections
,PREVIEW PAGES BELOW
Get the Complete
PDF After Purchase
NEED HELP OR MORE RESOURCES?
?
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
D444 OA EXAM 1 .............................................................................. 2
D444 OA EXAM 2 ............................................................................ 60
D444 OA EXAM 3 .......................................................................... 118
D444 OA Study Guide & Clinical Prioritization ........................................... 154
Zach's Study Guide D444 ............................................................................ 162
Adult Health Study Guide: Core Systems & Infections ............................... 178
D444 OA EXAM 1
1. A client with chronic cirrhosis has esophageal varices. It is most important for the
nurse to monitor the client for the onset of which problem?
A. Hematemesis (vomiting blood)
B. Jaundice
C. Ascites
D. Hepatic encephalopathy
Correct Answer: A
Rationale: Esophageal varices are dilated veins in the lower esophagus resulting from
portal hypertension in cirrhosis. These veins are fragile and can rupture, causing life-
threatening hemorrhage. Hematemesis (vomiting blood) indicates variceal rupture,
which is a medical emergency requiring immediate intervention. While jaundice, ascites,
and hepatic encephalopathy are complications of cirrhosis, variceal bleeding poses the
most immediate threat to life.
, 2. The client is a 51-year-old male with pneumonia. The client has a history of
hypertension and takes enalapril and a multivitamin daily. His surgical history includes
adenoid removal at age 4 and a surgical repair of a fractured tibia at age 20. The nurse
is preparing to set up oxygen administration and apply a simple face mask. Mark
whether the following assessment findings indicate that the treatment was effective or
ineffective:
Table
Assessment Finding Effective Ineffective
Ronchi in the right lung ☐
PaCO₂ 55 mm Hg on a blood gas ☐
Diminished breath sounds in the right lung ☐
Symmetric chest expansion ☐
Oxygen saturation greater than 94% ☐
Client ambulates without shortness of breath ☐
Rationale: Effective treatment for pneumonia should result in improved oxygenation
(SpO₂ >94%), symmetric chest expansion indicating equal lung ventilation, and the
ability to ambulate without dyspnea. Ineffective findings include persistent adventitious
sounds (ronchi), elevated PaCO₂ (normal 35–45 mm Hg), and diminished breath sounds
suggesting unresolved consolidation or atelectasis.
3. The client is a 51-year-old male with pneumonia (same scenario). Which technique
should the nurse use when assessing the client for early signs of rheumatoid arthritis?
Adult Health 1
Objective Assessment
(3 Full Exams Set)
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢300 OA Exam Questions w/ Answers
➢Expert Rationales included.
➢OA Study Guide & Clinical Prioritization
➢Zach's Study Guide D444
➢ Adult Health Study Guide: Core Systems & Infections
,PREVIEW PAGES BELOW
Get the Complete
PDF After Purchase
NEED HELP OR MORE RESOURCES?
?
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
D444 OA EXAM 1 .............................................................................. 2
D444 OA EXAM 2 ............................................................................ 60
D444 OA EXAM 3 .......................................................................... 118
D444 OA Study Guide & Clinical Prioritization ........................................... 154
Zach's Study Guide D444 ............................................................................ 162
Adult Health Study Guide: Core Systems & Infections ............................... 178
D444 OA EXAM 1
1. A client with chronic cirrhosis has esophageal varices. It is most important for the
nurse to monitor the client for the onset of which problem?
A. Hematemesis (vomiting blood)
B. Jaundice
C. Ascites
D. Hepatic encephalopathy
Correct Answer: A
Rationale: Esophageal varices are dilated veins in the lower esophagus resulting from
portal hypertension in cirrhosis. These veins are fragile and can rupture, causing life-
threatening hemorrhage. Hematemesis (vomiting blood) indicates variceal rupture,
which is a medical emergency requiring immediate intervention. While jaundice, ascites,
and hepatic encephalopathy are complications of cirrhosis, variceal bleeding poses the
most immediate threat to life.
, 2. The client is a 51-year-old male with pneumonia. The client has a history of
hypertension and takes enalapril and a multivitamin daily. His surgical history includes
adenoid removal at age 4 and a surgical repair of a fractured tibia at age 20. The nurse
is preparing to set up oxygen administration and apply a simple face mask. Mark
whether the following assessment findings indicate that the treatment was effective or
ineffective:
Table
Assessment Finding Effective Ineffective
Ronchi in the right lung ☐
PaCO₂ 55 mm Hg on a blood gas ☐
Diminished breath sounds in the right lung ☐
Symmetric chest expansion ☐
Oxygen saturation greater than 94% ☐
Client ambulates without shortness of breath ☐
Rationale: Effective treatment for pneumonia should result in improved oxygenation
(SpO₂ >94%), symmetric chest expansion indicating equal lung ventilation, and the
ability to ambulate without dyspnea. Ineffective findings include persistent adventitious
sounds (ronchi), elevated PaCO₂ (normal 35–45 mm Hg), and diminished breath sounds
suggesting unresolved consolidation or atelectasis.
3. The client is a 51-year-old male with pneumonia (same scenario). Which technique
should the nurse use when assessing the client for early signs of rheumatoid arthritis?
