WGU D446 Adult Health II Questions And Answers Latest Update 2026 100- Pass

WGU D446 Adult Health II Questions And
Answers Latest Update 2026 100% Pass

Question 1


A patient is admitted to the cardiac care unit with acute decompensated heart failure
(ADHF) presenting with severe dyspnea, orthopnea, and pink, frothy sputum. Which
initial nursing intervention is the highest priority?

 A) Administering prescribed intravenous loop diuretics.
 B) Placing the client in a flat, supine position to maximize tissue perfusion.
 C) Encouraging high fluid intake to thin respiratory secretions.
 D) Administering oral beta-blockers immediately.
 Correct Answer: Administering prescribed intravenous loop diuretics.

Question 2


A nurse is caring for a client who has a newly inserted permanent pacemaker. Which
finding requires immediate nursing action?

 A) Mild tenderness and bruising at the insertion site.
 B) Hiccups occurring intermittently throughout the shift.
 C) A resting heart rate of 72 beats per minute.
 D) Patient reporting mild fatigue.
 Correct Answer: Hiccups occurring intermittently throughout the shift.

,Question 3


An adult client is brought to the emergency department following a motor vehicle
collision. Assessment reveals tracheal deviation to the left, absent breath sounds on the
right side, and jugular venous distention. Which equipment should the nurse
immediately prepare?

 A) Pericardiocentesis drainage tray and ultrasound.
 B) Large-bore angiocatheter for needle decompression.
 C) Endotracheal intubation tray for mechanical ventilation.
 D) Central venous pressure catheter insertion kit.
 Correct Answer: Large-bore angiocatheter for needle decompression.

Question 4


A client with chronic obstructive pulmonary disease (COPD) is receiving a mechanical
ventilator via endotracheal tube. The high-pressure alarm sounds repeatedly. Which
assessment finding best explains this alarm?

 A) Accumulation of thick secretions within the airway.
 B) Disconnection of the ventilator tubing from the endotracheal tube.
 C) Deflation of the endotracheal tube cuff.
 D) A leak in the ventilator circuit.
 Correct Answer: Accumulation of thick secretions within the airway.

Question 5


A client is admitted in diabetic ketoacidosis (DKA). Following aggressive fluid
resuscitation with normal saline, insulin therapy is initiated. Which electrolyte imbalance
must the nurse closely monitor during this phase?

 A) Hypernatremia
 B) Hypokalemia

,  C) Hypercalcemia
 D) Hypomagnesemia
 Correct Answer: Hypokalemia

Question 6


A client is diagnosed with syndrome of inappropriate antidiuretic hormone secretion
(SIADH). Which laboratory abnormality does the nurse anticipate finding?

 A) Serum sodium of $152\text{ mEq/L}$
 B) Serum sodium of $118\text{ mEq/L}$
 C) Serum osmolality of $310\text{ mOsm/kg}$
 D) Urine specific gravity of $1.002$
 Correct Answer: Serum sodium of $118\text{ mEq/L}$

Question 7


A client recovering from a subtotal thyroidectomy suddenly develops tingling around the
mouth, muscle twitching, and carpopedal spasm when blood pressure is assessed.
Which medication should the nurse have readily available?

 A) Calcium gluconate
 B) Potassium chloride
 C) Sodium bicarbonate
 D) Magnesium sulfate
 Correct Answer: Calcium gluconate

Question 8


A client with chronic kidney disease (CKD) has a serum potassium level of $6.8\text{
mEq/L}$ and peaked T waves on the ECG. Which prescribed medication should the
nurse administer first?