WGU D444 ADULT HEALTH OA EXAM
STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS WITH VERIFIED CORRECT
ANSWERS || 100% GUARANTEED PASS
<NEWEST VERSION>
1. Next Generation NCLEX (NGN) - ANSWER ✔ A style of exam focused on
complex case studies, including bowtie diagrams and select-all-that-apply
questions.
2. Asthma Exacerbation Signs - ANSWER ✔ Increased mucus and dyspnea
during exercise.
3. Emergency Interventions for Asthma - ANSWER ✔ Administer short-acting
beta-agonists (e.g., albuterol) and oxygen therapy.
4. ABG Interpretation - ANSWER ✔ Evaluate therapeutic responses in asthma
exacerbations.
5. COPD Oxygen Therapy Target - ANSWER ✔ Target SpO₂ 88-92% for
hypoxia.
6. Dietary Consideration for COPD - ANSWER ✔ High-protein, high-calorie
small meals to maintain energy levels.
,7. Myocardial Infarction (MI) Symptoms - ANSWER ✔ Persistent pain,
diaphoresis, and elevated troponin.
8. MONA Protocol - ANSWER ✔ Medications for heart attack: Morphine,
oxygen, nitroglycerin, aspirin.
9. Left-Sided Heart Failure Symptoms - ANSWER ✔ Pulmonary symptoms
such as dyspnea, orthopnea, and crackles.
10.Right-Sided Heart Failure Symptoms - ANSWER ✔ Peripheral symptoms
such as edema, ascites, and JVD.
11.The nurse is assessing a client who is experiencing seizure activity. The
nurse understands that it is necessary to determine information about which
items as part of routine assessment of seizures? Select all that apply.
a. Postictal status
b. Duration of the seizure
c. Changes in pupil size or eye deviation
d. Seizure progression and type of movements
e. What the client ate in the 2 hours preceding seizure activity -
ANSWER ✔ a. Postictal status
b. Duration of the seizure
c. Changes in pupil size or eye deviation
d. Seizure progression and type of movements
12.Typically seizure assessment includes the time the seizure began, parts of
the body affected, type of movements and progression of the seizure, change
in pupil size or eye deviation or nystagmus, client condition during the
seizure, and postictal status. Determining what the client ate 2 hours prior to
the seizure is not a component of seizure assessment.
,13.A client with acquired immunodeficiency syndrome (AIDS) is receiving
didanosine. When the nurse reviews the client's laboratory test results, which
result would be most closely monitored?
a. Protein
b. Glucose
c. Amylase
d. Cholesterol - ANSWER ✔ c. Amylase
14.Acquired immunodeficiency syndrome is a viral disease caused by the
human immunodeficiency virus (HIV), which destroys T cells, thereby
increasing susceptibility to infection and malignancy. Didanosine is toxic to
the pancreas and the liver. A serum amylase level that is increased by 1.5 to
2 times normal may signify pancreatitis and may be fatal in the client with
AIDS. Therefore, the nurse needs to monitor the results of amylase and liver
function studies closely. Alterations in protein, glucose, and cholesterol
levels are unrelated to this medication.
15.The nurse is caring for a client diagnosed with pancreatitis. The nurse is
reviewing the client's morning laboratory results. Which laboratory result
would require a need for follow-up?
a. Serum calcium 7.0 mg/dL (1.83 mmol/L)
b. Serum calcium 9.7 mg/dL (2.54 mmol/L)
c. Serum magnesium 1.9 mEq/L (0.78 mmol/L)
d. Serum magnesium 2.3 mEq/L (0.95 mmol/L) - ANSWER ✔ a. Serum
calcium 7.0 mg/dL (1.83 mmol/L)
16.Pancreatitis refers to inflammation of the pancreas from premature activation
of pancreatic enzymes, which results in autodigestion and fibrosis of the
, pancreas. Clinical manifestations include jaundice, gray-blue discoloration
or ecchymosis surrounding the umbilicus, and gray-blue discoloration or
ecchymosis on the bilateral flanks. Hypocalcemia and hypomagnesemia
commonly occur with pancreatitis. A normal calcium level ranges from 9-
10.5 mg/dL (2.25-2.75 mmol/L). A normal magnesium level ranges from 1.8
to 2.6 mEq/L (0.74 mmol/L to 1.07 mmol/L). Option 2 is a normal calcium
level. Options 3 and 4 indicate therapeutic magnesium levels. Option 1
indicates hypocalcemia, as it is below 9 mg/dL (2.25 mmol/L).
17.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- years and a surgical repair of a
fractured tibia at age 20. The nurse is preparing to set up the oxygen
administration and apply a simple face mask.The orders would the nurse
question? (Select all that apply.) - ANSWER ✔ Ibuprofen 400 mg every 4 to
6 hours PRN for temperature greater than 100.5°F,Supplemental oxygen 10
L/min via nasal cannula
18.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- years and a surgical repair of a
fractured tibia at age 20. The nurse is preparing to set up the oxygen
administration and apply a simple face mask.SATA - ANSWER ✔ Perform
hand hygiene, Identify the client using Z client identifiers, Check the skin
around the face, Don gloves, Assess respiratory function
19.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- years and a surgical repair of a
fractured tibia at age 20. According to the client's vital signs, he is
experiencing ______ & ______ - ANSWER ✔ Tachycardia & Tachypnea
STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS WITH VERIFIED CORRECT
ANSWERS || 100% GUARANTEED PASS
<NEWEST VERSION>
1. Next Generation NCLEX (NGN) - ANSWER ✔ A style of exam focused on
complex case studies, including bowtie diagrams and select-all-that-apply
questions.
2. Asthma Exacerbation Signs - ANSWER ✔ Increased mucus and dyspnea
during exercise.
3. Emergency Interventions for Asthma - ANSWER ✔ Administer short-acting
beta-agonists (e.g., albuterol) and oxygen therapy.
4. ABG Interpretation - ANSWER ✔ Evaluate therapeutic responses in asthma
exacerbations.
5. COPD Oxygen Therapy Target - ANSWER ✔ Target SpO₂ 88-92% for
hypoxia.
6. Dietary Consideration for COPD - ANSWER ✔ High-protein, high-calorie
small meals to maintain energy levels.
,7. Myocardial Infarction (MI) Symptoms - ANSWER ✔ Persistent pain,
diaphoresis, and elevated troponin.
8. MONA Protocol - ANSWER ✔ Medications for heart attack: Morphine,
oxygen, nitroglycerin, aspirin.
9. Left-Sided Heart Failure Symptoms - ANSWER ✔ Pulmonary symptoms
such as dyspnea, orthopnea, and crackles.
10.Right-Sided Heart Failure Symptoms - ANSWER ✔ Peripheral symptoms
such as edema, ascites, and JVD.
11.The nurse is assessing a client who is experiencing seizure activity. The
nurse understands that it is necessary to determine information about which
items as part of routine assessment of seizures? Select all that apply.
a. Postictal status
b. Duration of the seizure
c. Changes in pupil size or eye deviation
d. Seizure progression and type of movements
e. What the client ate in the 2 hours preceding seizure activity -
ANSWER ✔ a. Postictal status
b. Duration of the seizure
c. Changes in pupil size or eye deviation
d. Seizure progression and type of movements
12.Typically seizure assessment includes the time the seizure began, parts of
the body affected, type of movements and progression of the seizure, change
in pupil size or eye deviation or nystagmus, client condition during the
seizure, and postictal status. Determining what the client ate 2 hours prior to
the seizure is not a component of seizure assessment.
,13.A client with acquired immunodeficiency syndrome (AIDS) is receiving
didanosine. When the nurse reviews the client's laboratory test results, which
result would be most closely monitored?
a. Protein
b. Glucose
c. Amylase
d. Cholesterol - ANSWER ✔ c. Amylase
14.Acquired immunodeficiency syndrome is a viral disease caused by the
human immunodeficiency virus (HIV), which destroys T cells, thereby
increasing susceptibility to infection and malignancy. Didanosine is toxic to
the pancreas and the liver. A serum amylase level that is increased by 1.5 to
2 times normal may signify pancreatitis and may be fatal in the client with
AIDS. Therefore, the nurse needs to monitor the results of amylase and liver
function studies closely. Alterations in protein, glucose, and cholesterol
levels are unrelated to this medication.
15.The nurse is caring for a client diagnosed with pancreatitis. The nurse is
reviewing the client's morning laboratory results. Which laboratory result
would require a need for follow-up?
a. Serum calcium 7.0 mg/dL (1.83 mmol/L)
b. Serum calcium 9.7 mg/dL (2.54 mmol/L)
c. Serum magnesium 1.9 mEq/L (0.78 mmol/L)
d. Serum magnesium 2.3 mEq/L (0.95 mmol/L) - ANSWER ✔ a. Serum
calcium 7.0 mg/dL (1.83 mmol/L)
16.Pancreatitis refers to inflammation of the pancreas from premature activation
of pancreatic enzymes, which results in autodigestion and fibrosis of the
, pancreas. Clinical manifestations include jaundice, gray-blue discoloration
or ecchymosis surrounding the umbilicus, and gray-blue discoloration or
ecchymosis on the bilateral flanks. Hypocalcemia and hypomagnesemia
commonly occur with pancreatitis. A normal calcium level ranges from 9-
10.5 mg/dL (2.25-2.75 mmol/L). A normal magnesium level ranges from 1.8
to 2.6 mEq/L (0.74 mmol/L to 1.07 mmol/L). Option 2 is a normal calcium
level. Options 3 and 4 indicate therapeutic magnesium levels. Option 1
indicates hypocalcemia, as it is below 9 mg/dL (2.25 mmol/L).
17.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- years and a surgical repair of a
fractured tibia at age 20. The nurse is preparing to set up the oxygen
administration and apply a simple face mask.The orders would the nurse
question? (Select all that apply.) - ANSWER ✔ Ibuprofen 400 mg every 4 to
6 hours PRN for temperature greater than 100.5°F,Supplemental oxygen 10
L/min via nasal cannula
18.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- years and a surgical repair of a
fractured tibia at age 20. The nurse is preparing to set up the oxygen
administration and apply a simple face mask.SATA - ANSWER ✔ Perform
hand hygiene, Identify the client using Z client identifiers, Check the skin
around the face, Don gloves, Assess respiratory function
19.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- years and a surgical repair of a
fractured tibia at age 20. According to the client's vital signs, he is
experiencing ______ & ______ - ANSWER ✔ Tachycardia & Tachypnea
