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