WGU D446 – Adult Health II Objective
Assessment | OA V1 and V2 | Questions and
Answers – Update | 100% Correct 250
Practice Questions with Detailed Rationales
Question 1
A patient with rheumatoid arthritis asks why they need to take a disease-
modifying anti-rheumatic drug (DMARD) like hydroxychloroquine. What is the
nurse’s best response?Rationale: DMARDs, like hydroxychloroquine, help control
disease activity, slow progression, and prevent long-term joint damage in RA patients.
Correct Answer
"This medication helps slow the progression of your disease and prevents joint
damage."
Question 2
A patient with glomerulonephritis asks about the role of phosphorus in their
diet. Which of the following is the nurse's best response?Rationale: In
glomerulonephritis, limiting phosphorus is important to prevent the buildup of
phosphorus in the blood, which can occur due to reduced kidney function. Foods
high in phosphorus, such as dairy and beans, should be restricted.
Correct Answer
You should limit high-phosphorus foods, such as dairy products and beans."
Question 3
Pt just had a lumbar puncture, which statement needs immediate intervention.
Correct Answer
I have a headache that gets worse when I sit up.
Page 1 of 191
,Question 4
A 59-year-old male client presents to the clinic reporting pain in the right great toe.
The client says that the pain feels like it is another attack of gout, which he has had on
2 other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has no.tEach row must have at least
one, but may have more than one, response option selected.
Day 1, 0830
Correct Answer
Low grade fever
- Acute gout attack
Question 5
A nurse is caring for a patient who has just undergone a below-the-knee amputation.
Which of the following is the priority intervention during the immediate post-
operative period?Rationale: Elevating the residual limb for the first 24 hours post-
surgery can increase the risk of contractures. To prevent this, the nurse should
encourage the patient to lie prone for 30 minutes at least three times per day to
prevent hip flexion contractures.
Correct Answer
Position the patient in a prone position for 30 minutes, 3 times per day
Question 6
John, a 28-year-old male, is admitted to the emergency department with complaints
of worsening shortness of breath, chest tightness, and a dry cough for the past 24
hours. He has a history of asthma but admits to inconsistent use of his prescribed
inhalers, particularly the corticosteroid inhaler. On examination, his respiratory rate is
24 breaths per minute, heart rate is 104 beats per minute, and blood pressure is
130/80 mmHg. His oxygen saturation is 93%, and he has bilateral expiratory wheezing
on auscultation. A peak flow measurement reveals 60% of his personal best.What is
the priority nursing intervention for John at this time?
Correct Answer
Administer a nebulized bronchodilator (e.g., albuterol)
Page 2 of 191
,Question 7
Patient has excessive thirst, hunger and polyuria. Which lab value needs to be
reported? SATA - HGA1 of 7.1 and another choice (cant remember but you will be
able to see which value is abnormal)
Correct Answer
High blood glucose(e.g., >250 mg/dL or even higher)
Electrolyte imbalances(ex potassium)-dehydration or acidosis.HgbA1c of 7.1%
Question 8
A patient presents with jaundice, dark urine, and fatigue. Further tests reveal
increased bilirubin levels and the presence of fragmented RBCs. What is the most
likely diagnosis?
Correct Answer
Hemolytic anemia
Page 3 of 191
, Question 9
A 59-year-old male client presents to the clinic reporting pain in the right great toe.
The client says that the pain feels like it is another attack of gout, which he has had on
2 other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least
one, but may have more than one, response option selected. temperature 100.5° F
(38.1° C).
Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Oxygen saturation 95% on room air
Height is 5 ft 11 in (180.34 cm)
Weight is 228 lb (103.4 kg)
Body mass index (BMI) is 31.8 kg/m2
Pain rating of 8 on 0 to 10 scale, in the right foot
Day 1, 0830
Correct Answer
Renal dysfunction- Chronic gout
Question 10
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet.A light (PUVA) treatment.Which assessment finding indicates
that the client has been overexposed to the treatment?
Correct Answer
Tenderness upon palpation and generalized erythema.
Page 4 of 191
Assessment | OA V1 and V2 | Questions and
Answers – Update | 100% Correct 250
Practice Questions with Detailed Rationales
Question 1
A patient with rheumatoid arthritis asks why they need to take a disease-
modifying anti-rheumatic drug (DMARD) like hydroxychloroquine. What is the
nurse’s best response?Rationale: DMARDs, like hydroxychloroquine, help control
disease activity, slow progression, and prevent long-term joint damage in RA patients.
Correct Answer
"This medication helps slow the progression of your disease and prevents joint
damage."
Question 2
A patient with glomerulonephritis asks about the role of phosphorus in their
diet. Which of the following is the nurse's best response?Rationale: In
glomerulonephritis, limiting phosphorus is important to prevent the buildup of
phosphorus in the blood, which can occur due to reduced kidney function. Foods
high in phosphorus, such as dairy and beans, should be restricted.
Correct Answer
You should limit high-phosphorus foods, such as dairy products and beans."
Question 3
Pt just had a lumbar puncture, which statement needs immediate intervention.
Correct Answer
I have a headache that gets worse when I sit up.
Page 1 of 191
,Question 4
A 59-year-old male client presents to the clinic reporting pain in the right great toe.
The client says that the pain feels like it is another attack of gout, which he has had on
2 other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has no.tEach row must have at least
one, but may have more than one, response option selected.
Day 1, 0830
Correct Answer
Low grade fever
- Acute gout attack
Question 5
A nurse is caring for a patient who has just undergone a below-the-knee amputation.
Which of the following is the priority intervention during the immediate post-
operative period?Rationale: Elevating the residual limb for the first 24 hours post-
surgery can increase the risk of contractures. To prevent this, the nurse should
encourage the patient to lie prone for 30 minutes at least three times per day to
prevent hip flexion contractures.
Correct Answer
Position the patient in a prone position for 30 minutes, 3 times per day
Question 6
John, a 28-year-old male, is admitted to the emergency department with complaints
of worsening shortness of breath, chest tightness, and a dry cough for the past 24
hours. He has a history of asthma but admits to inconsistent use of his prescribed
inhalers, particularly the corticosteroid inhaler. On examination, his respiratory rate is
24 breaths per minute, heart rate is 104 beats per minute, and blood pressure is
130/80 mmHg. His oxygen saturation is 93%, and he has bilateral expiratory wheezing
on auscultation. A peak flow measurement reveals 60% of his personal best.What is
the priority nursing intervention for John at this time?
Correct Answer
Administer a nebulized bronchodilator (e.g., albuterol)
Page 2 of 191
,Question 7
Patient has excessive thirst, hunger and polyuria. Which lab value needs to be
reported? SATA - HGA1 of 7.1 and another choice (cant remember but you will be
able to see which value is abnormal)
Correct Answer
High blood glucose(e.g., >250 mg/dL or even higher)
Electrolyte imbalances(ex potassium)-dehydration or acidosis.HgbA1c of 7.1%
Question 8
A patient presents with jaundice, dark urine, and fatigue. Further tests reveal
increased bilirubin levels and the presence of fragmented RBCs. What is the most
likely diagnosis?
Correct Answer
Hemolytic anemia
Page 3 of 191
, Question 9
A 59-year-old male client presents to the clinic reporting pain in the right great toe.
The client says that the pain feels like it is another attack of gout, which he has had on
2 other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least
one, but may have more than one, response option selected. temperature 100.5° F
(38.1° C).
Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Oxygen saturation 95% on room air
Height is 5 ft 11 in (180.34 cm)
Weight is 228 lb (103.4 kg)
Body mass index (BMI) is 31.8 kg/m2
Pain rating of 8 on 0 to 10 scale, in the right foot
Day 1, 0830
Correct Answer
Renal dysfunction- Chronic gout
Question 10
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet.A light (PUVA) treatment.Which assessment finding indicates
that the client has been overexposed to the treatment?
Correct Answer
Tenderness upon palpation and generalized erythema.
Page 4 of 191
