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Adult Health WGU D444 Test Bank | Exam Questions & Answers 2026 Update

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Complete Adult Health WGU D444 Test Bank featuring verified exam questions and answers for Western Governors University nursing students. This 2026 updated resource provides comprehensive study materials, practice tests, and review content to prepare effectively for the D444 Adult Health course and nursing exams.

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The nurse has instructed a patient prescribed antibiotics for conjunctivitis to follow up in 1 week.
Which assessment finding at the follow-up visit indicates improvement?


The inner lining of the eye is pink and moist.


Rationale: A pink and moist conjunctiva following antibiotic therapy for conjunctivitis is an expected
finding and indicates improvement.


Which description defines ptosis?


Drooping eye


Rationale: Ptosis is drooping of the eye.


Which condition in the patient's health history increases the patient's risk of becoming blind?


Hyperglycemia


Rationale: High blood glucose levels can lead to retinal damage and cause blindness.

,Which test would the nurse perform when assessing the patient's color perception?


Ishihara test


Rationale: The Ishihara test determines ability to distinguish colors.


Which visual assessment finding is most concerning when caring for a patient who is 75 years old?


Sudden flashes of light


Rationale: Sudden flashes of light are a clinical manifestation of retinal detachment. This is a medical
emergency that the nurse would immediately report to the provider.


Match the visual diagnostic test to its description.


Monitors macular problems - Amsler Grid test
Measures refractive error - Refractometry
Provides information about flow of blood through retinal vessels - Fluorescein angiography
Detects changes in central and peripheral vision - Perimetry testing

,Which response from the nurse would be important to include when providing discharge
instructions to a patient with a bacterial conjunctivitis who uses contact lenses?


"Discard all opened or used lens care products."


Which action would the nurse take when preparing to admit a visually impaired patient to the
hospital after abdominal surgery?


Take note of the furniture placement in the room.


Which information would the nurse ensure the patient understands when educating a patient with a
chronic visual sensory perception problem? Select all that apply. One, some, or all responses may
be correct.


- Details of the treatment regimen
- Long-term effects of the disease process
- How to recognize emergency care needs
- How food preferences and nutritional habits can affect eyesight

, Which action would the nurse take when providing initial care to a patient who got bleach in their
eye at work?


Begin eye irrigation immediately.


Which information would the nurse include in discharge teaching for a patient with viral
conjunctivitis? Select all that apply. One, some, or all responses may be correct.


- How to perform proper hand hygiene
- Applying ice packs, artificial tears, and dark glasses may provide comfort
- How to instill topical corticosteroids, if prescribed


Rationale:
- Careful hand washing is essential to prevent spread of infection from one eye to the other eye or
transmission to others.
- For serious ocular viral conjunctivitis palliative treatment includes ice packs, artificial tears, and dark
glasses. Mild cases are typically self-limiting.
- Severe cases of viral conjunctivitis may include treatment with mild topical corticosteroids.

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