ACTUAL Exam Questions and CORRECT
Answers
WGU D446 Adult Health 2 OA Exam - CORRECT ANSWER - Evaluates your ability to
assess, prioritize, and manage adult patients in various clinical situations.
Next Generation NCLEX (NGN) - CORRECT ANSWER - Style of questions including
bowtie diagrams, select-all-that-apply, and case-based scenarios.
Exam Structure - CORRECT ANSWER - Includes complex case studies with multiple
steps (e.g., bowtie questions, select-all-that-apply).
Scenario-Based Topics - CORRECT ANSWER - Real-world nursing applications like
stroke care, cardiac interventions, and fluid management.
Clinical Prioritization - CORRECT ANSWER - Focus on life-threatening conditions (e.g.,
MVA with absent breath sounds, heart attack vs. chest pain).
Asthma - CORRECT ANSWER - Recognize signs of exacerbation: increased mucus,
dyspnea during exercise.
Emergency interventions for Asthma - CORRECT ANSWER - Administer short-acting
beta-agonists (e.g., albuterol), oxygen therapy.
Evaluate therapeutic responses in Asthma - CORRECT ANSWER - ABG interpretation
and symptom improvement.
COPD Oxygen therapy - CORRECT ANSWER - Target SpO₂ 88-92% for hypoxia.
, COPD Dietary Consideration - CORRECT ANSWER - High-protein, high-calorie small
meals to maintain energy levels.
Heart Attack vs. Chest Pain - CORRECT ANSWER - Differentiate myocardial infarction
(MI) from angina (e.g., persistent pain, diaphoresis, elevated troponin for MI).
Medications for Heart Attack - CORRECT ANSWER - Morphine, oxygen, nitroglycerin,
aspirin (MONA protocol).
Left-sided Heart Failure Symptoms - CORRECT ANSWER - Pulmonary symptoms (e.g.,
dyspnea, orthopnea, crackles).
Right-sided Heart Failure Symptoms - CORRECT ANSWER - Peripheral symptoms (e.g.,
edema, ascites, JVD).
Management of Heart Failure - CORRECT ANSWER - Diuretics (potassium-sparing vs.
wasting), ACE inhibitors.
Cardiac Medication Classifications - CORRECT ANSWER - Common Classes: Beta-
blockers, Calcium channel blockers, Diuretics.
Beta-blockers - CORRECT ANSWER - Reduce heart rate.
Calcium channel blockers - CORRECT ANSWER - Vasodilation.
Diuretics - CORRECT ANSWER - Potassium-sparing (spironolactone) vs. potassium-
wasting (furosemide).
Ischemic Stroke Symptoms - CORRECT ANSWER - Sudden numbness, weakness, speech
difficulty.