1|Page
WGU D446 OBJECTIVE ASSESSMENT FINAL NEWEST 2026
ACTUAL EXAM| D446 ADULT HEALTH 2 OA FINAL EXAM WITH
COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
While caring for a client with amyotrophic lateral sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse?
Rationale:finding in a client with ALS, as it can lead to ineffective
airway clearance and increase the risk of aspiration pneumonia.
Immediate intervention, such as suctioning or respiratory support,
may be necessary to maintain airway patency and prevent
complications.
Weakened cough
A client with stage 4 bone cancer is admitted to the hospital verbalizes
continuous, severe pain of 8 on a 0 to 10 scale. Which intervention
should the nurse implement?
Rationales: Both opioids and nonopioids are appropriate intervention
managing severe pain as it addresses pain from multiple pathways
and provide more effective pain relief.
Administer opioid and non-opioid medication simultaneously.
,2|Page
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.
Day 1, 0830
Visible tophi
- Chronic gout
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
,3|Page
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
Low grade fever
- Acute gout attack
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.
Day 1, 0830
Pain at the affected joint
, 4|Page
- Acute gout attack
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.
Day 1, 0830
Occur in more than 1 joint
- Chronic gout
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
WGU D446 OBJECTIVE ASSESSMENT FINAL NEWEST 2026
ACTUAL EXAM| D446 ADULT HEALTH 2 OA FINAL EXAM WITH
COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
While caring for a client with amyotrophic lateral sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse?
Rationale:finding in a client with ALS, as it can lead to ineffective
airway clearance and increase the risk of aspiration pneumonia.
Immediate intervention, such as suctioning or respiratory support,
may be necessary to maintain airway patency and prevent
complications.
Weakened cough
A client with stage 4 bone cancer is admitted to the hospital verbalizes
continuous, severe pain of 8 on a 0 to 10 scale. Which intervention
should the nurse implement?
Rationales: Both opioids and nonopioids are appropriate intervention
managing severe pain as it addresses pain from multiple pathways
and provide more effective pain relief.
Administer opioid and non-opioid medication simultaneously.
,2|Page
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.
Day 1, 0830
Visible tophi
- Chronic gout
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
,3|Page
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
Low grade fever
- Acute gout attack
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.
Day 1, 0830
Pain at the affected joint
, 4|Page
- Acute gout attack
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.
Day 1, 0830
Occur in more than 1 joint
- Chronic gout
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
