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WGU D446 Adult Health II (Latest Update 2026 / 2027) Questions with Correct Answers {Grade A}100% Verified

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WGU D446 Adult Health II (Latest Update 2026 / 2027) Questions with Correct Answers {Grade A}100% Verified

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WGU D446 Adult Health II (Latest Update
) Questions with Correct
Answers {Grade A}100% Verified


Somogyi effect - correct answer too much insulin at night, hypoglycemia in morning


(typically between 2-4am)




Ketoacidosis - correct answer insulin deficiency-> decreased glucose utilization->


breakdown of fat stores-> ketones accumulate




Rapid acting insulin - correct answer aspart, lispro, glulisine


15min onset


Never give w/out food




Regular (short) acting insulin - correct answer humulin r, novolin r


Onset w/in 30min


Only one we can give via iv

,Nph (intermittent) acting insulin - correct answer humulin n, novolin n


Onset w/in 1.5hrs (peak 2-5hrs)




Long acting (lantus) insulin - correct answer glargine


Steady control (usually given at night)


Once ever 24hrs


No mix w/ other insulins




Hyperglycemic (levels) - correct answer blood glucose over 115 and a1c 6.5+




Hyperglycemic (signs and symptoms) - correct answer p- polyuria


P- polydipsia


P- polyphagia




Hypoglycemic (signs and symptoms) - correct answer cool, pale, sweaty, nervous,


tachycardia, fatigue




H- headache

,I- irritable


W- weakness


A- anxious


S- sweaty


H- hunger




Hypoglycemic (levels) - correct answer blood glucose 70 or less




Als - correct answer amyotrophic lateral sclerosis




Als (definition) - correct answer rare progressive neuromuscular disorder marked by


the loss of motor neurons


Unknown cause

More common in white, men, and military veterans


Approx 10% genetic




Limb-onset als - correct answer initial involvement in extremities, trouble w/ tasks

involving fine motor skills

, Bulbar onset als - correct answer problem speaking (e.g., slurred speech, sounds like


they're drunk)




Als (signs and symptoms) - correct answer pain, sleep disorder, spasticity,


hyperreflexia, drooling, emotional lability, constipation, esophageal reflux, progressive


muscle weakness and atrophy




Als (meds) - correct answer (may slow decline)


Riluzole and edaravone




Als (interventions) - correct answer facilitate communication, reduce aspiration risk,


early identification of respiratory problems, decrease pain, decrease fall risk, provide

diversional activities, provide compassionate end-of-life care




Med doseage (manual iv sets) - correct answer total volume (ml) / total time (min) x


drop factor (gtt) / ml = rate of flow (gtt)/ ml

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