WGU D446 Adult Health II New Version Question And Answers Latest Update 2026

WGU D446 Adult Health II New Version
Question And Answers Latest Update 2026




Question 1

A client is admitted to the intensive care unit following a coronary artery bypass graft (CABG)
surgery. The nurse notes a sudden drop in mediastinal chest tube output from 80 mL/hr to 5
mL/hr over the last two hours, accompanied by muffled heart sounds and rising central venous
pressure (CVP). What complication does the nurse suspect?

 A) Tension pneumothorax
 B) Cardiac tamponade
 C) Hypovolemic shock
 D) Acute left ventricular failure
 Correct Answer: Cardiac tamponade

Question 2

A nurse is caring for a client with a temporary transvenous pacemaker following an inferior wall
myocardial infarction. The monitor shows pacing spikes that are not followed by P waves or
QRS complexes. What malfunction does this rhythm strip indicate?

 A) Failure to capture
 B) Failure to sense
 C) Failure to pace
 D) Undersensing
 Correct Answer: Failure to capture

Question 3

A client with chronic heart failure is prescribed digoxin and furosemide. Which assessment
finding should prompt the nurse to withhold the digoxin dose and notify the provider?

,  A) Serum potassium level of $3.2\text{ mEq/L}$
 B) Blood pressure of $118/76\text{ mmHg}$
 C) Serum sodium level of $138\text{ mEq/L}$
 D) Respiratory rate of 16 breaths/min
 Correct Answer: Serum potassium level of $3.2\text{ mEq/L}$

Question 4

A client is admitted to the emergency department with tearing chest pain that radiates to the
back. The client's blood pressure is $210/110\text{ mmHg}$ in the right arm and $140/80\text{
mmHg}$ in the left arm. What is the most likely diagnosis?

 A) Acute myocardial infarction
 B) Pulmonary embolism
 C) Aortic dissection
 D) Cardiac tamponade
 Correct Answer: Aortic dissection

Question 5

A client with infective endocarditis develops sudden left upper quadrant abdominal pain that
radiates to the left shoulder, along with a low-grade fever. Which complication should the nurse
suspect?

 A) Acute pancreatitis
 B) Splenic infarction
 C) Renal artery thrombosis
 D) Perforated peptic ulcer
 Correct Answer: Splenic infarction

Question 6

A client with chronic obstructive pulmonary disease (COPD) is admitted with acute hypercapnic
respiratory failure. The arterial blood gas results show: $\text{pH } 7.31$, $\text{PaCO}_2
65\text{ mmHg}$, $\text{HCO}_3^- 32\text{ mEq/L}$, $\text{PaO}_2 58\text{ mmHg}$. How
does the nurse interpret these findings?

 A) Uncompensated respiratory acidosis
 B) Compensated metabolic alkalosis
 C) Acute on chronic respiratory acidosis
 D) Combined metabolic and respiratory alkalosis
 Correct Answer: Acute on chronic respiratory acidosis

, Question 7

A client is receiving mechanical ventilation via an endotracheal tube. The low-pressure alarm
sounds continuously. Which action should the nurse take first?

 A) Check the ventilator circuit for a disconnection or leak.
 B) Suction the endotracheal tube for accumulated secretions.
 C) Auscultate bilateral breath sounds for right mainstem intubation.
 D) Manually ventilate the client with a bag-valve-mask device.
 Correct Answer: Check the ventilator circuit for a disconnection or leak.

Question 8

A client undergoes a thoracentesis for pleural effusion. During the procedure, the client suddenly
complains of severe shortness of breath, becomes tachypneic, and exhibits absent breath sounds
on the affected side. What immediate complication has occurred?

 A) Pulmonary edema
 B) Iatrogenic pneumothorax
 C) Bronchospasm
 D) Cardiac arrest
 Correct Answer: Iatrogenic pneumothorax

Question 9

A client with severe asthma exacerbation is receiving continuous nebulized albuterol. Which
laboratory abnormality is a known adverse effect of high-dose beta-2 agonist therapy that the
nurse must monitor?

 A) Hypernatremia
 B) Hypokalemia
 C) Hypercalcemia
 D) Hyponatremia
 Correct Answer: Hypokalemia

Question 10

A client is admitted with fat embolism syndrome following a closed femur fracture. Which
classic clinical manifestation distinguishes this condition from a pulmonary thromboembolism?

 A) Sudden pleuritic chest pain and hemoptysis
 B) Petechial rash across the chest, neck, and axilla
 C) Marked hypotension and jugular venous distention
 D) Unilateral lower extremity swelling and tenderness
 Correct Answer: Petechial rash across the chest, neck, and axilla