Questions with Answers & Rationales | 2026 update |
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Complete practice exam for WGU D443 Health Assessment Objective Assessment.
Actual questions covering physical assessment, health history, HEENT,
cardiovascular, respiratory, abdominal, neurological, and integumentary systems.
Includes:
Assessment techniques (inspection, auscultation, percussion, palpation)
Cranial nerve testing (III, IV, VI, V, VII, VIII, XII)
Normal vs. abnormal findings (PMI, lung sounds, skin lesions)
Vital signs and normal ranges
Special populations and age-related changes
Documentation and clinical judgment
Perfect for WGU nursing students preparing for the OA.
Exam Quick Facts
Feature Details
Focus Physical, behavioral, psychological, and environmental assessments;
Areas clinical judgment; ABCs prioritization; lab test identification
Format Multiple-choice and scenario-based questions
Core Interviewing & Health History, Physical Examination Techniques,
Domains General Survey & Vital Signs, Integumentary, HEENT, Thorax & Lungs,
Cardiovascular, Abdominal, Musculoskeletal & Neurological, Special
Populations
,SECTION 1: General Assessment & Health History (Questions 1-10)
1. Which assessment technique should the nurse use FIRST during a physical
examination?
A) Palpation
B) Percussion
C) Auscultation
D) Inspection
Inspection is always performed first during a physical examination. It begins at the first
moment of the nurse-patient encounter, assessing general appearance, symmetry, and
movement before hands-on techniques are applied .
2. A nurse is preparing to conduct a health history interview with a patient who
speaks limited English. What is the most appropriate action?
A) Use a family member as interpreter to maintain comfort
B) Arrange for a certified medical interpreter
C) Speak slowly and loudly in English to ensure understanding
D) Rely on nonverbal communication and skip the verbal history
A certified medical interpreter ensures accurate, confidential communication and complies
with legal and ethical standards. Family members may filter information or breach privacy .
3. Which statement best describes subjective data?
A) Measurable findings
B) Observed behaviors
C) Patient-reported symptoms
D) Diagnostic test results
Subjective data are symptoms reported by the patient, such as pain, nausea, or feelings of
anxiety. Objective data are measurable and observable by the examiner .
4. Which of the following is an example of objective data?
, A) Client states "I have a headache"
B) Client rates pain as 6/10
C) The nurse observes a red, swollen wound
D) Client reports feeling nauseated
Objective data are measurable and observable by the examiner. A red, swollen wound is a
direct observation. Patient-reported symptoms are subjective data .
5. The nurse is performing a general survey on an older adult client. Which finding is
considered a normal age-related change?
A) Increased height
B) Widened gait with increased base of support
C) Decreased thoracic kyphosis
D) Rapid, bounding pulse
Normal aging often brings a wider base of support for stability, increased thoracic kyphosis,
decreased height, and a slightly slower heart rate .
6. During a general survey, the nurse notes that the patient appears cachectic. This
finding suggests which of the following?
A) Fluid overload
B) Severe malnutrition
C) Cushing's syndrome
D) Early stage of hypertension
Cachexia is a wasting syndrome characterized by significant weight loss and muscle
atrophy, most often caused by severe malnutrition or chronic disease .
7. Which of the following are key pieces of a health assessment? (Select all that
apply)
A) Environmental assessment
B) Emotional assessment
C) Physical assessment
D) All of the above