WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
WGU D446 Objective Assessment– Adult
Health II Review (Latest 2026/ 2027 Update)
Which finding noted in the client on continuous ambulatory peritoneal dialysis (CAPD) would be
reported to the primary health care provider (PHCP)?
Cloudy yellow dialysate output
A client with a history of myasthenia gravis presents at a clinic with bilateral ptosis and is drooling, and
myasthenic crisis is suspected. The nurse assesses the client for which precipitating factor?
Omitting doses of medication
The nurse is providing teaching to a client with breast cancer who will undergo chemotherapy for
cancer, and alopecia is expected from the chemotherapeutic agent. Which statement made by the client
indicates a need for further teaching?
"I can't believe my hair loss is going to be permanent."
A client is admitted to the nursing unit after a left below-the-knee amputation after a crush injury to the
foot and lower leg. The client tells the nurse, "I think I'm going crazy. I can feel my left foot itching." How
would the nurse interpret this client statement?
A normal response that indicates the presence of phantom limb sensation
The nurse is participating in a health screening clinic and is preparing teaching materials about colorectal
cancer. Which risk factor for colorectal cancer would the nurse include?
9/2/2026
Personal history of ulcerative colitis or gastrointestinal polyps
1
, WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
The nurse is caring for a client diagnosed with breast cancer receiving combination chemotherapy.
Which nursing intervention is the most appropriate?
Avoid giving agents with the same nadirs and toxicities at the same time.
The nurse is preparing to ambulate a client on the third day after cardiac surgery. What would the nurse
plan to do to enable the client to best tolerate the ambulation?
Premedicate the client with an analgesic.
A client who suffered a brain attack (stroke) is prepared for discharge from the hospital. The primary
health care provider has prescribed range-of-motion (ROM) exercises for the client's right side. What
action would the nurse include in the client's plan of care?
Consider the use of active, passive, or active-assisted exercises in the home.
A client who had cranial surgery 5 days earlier to remove a brain tumor has a few cognitive deficits and
does not seem to be progressing as quickly as the client or family had hoped. The nurse plans to
implement which approach as most helpful to the client and family at this time?
Emphasize progress in a realistic manner.
A client is being transferred to the nursing unit from the postanesthesia care unit after spinal fusion with
rod insertion to treat spinal instability from severe arthritis. The nurse would prepare to transfer the
client from the stretcher to the bed by using which best method?
A transfer (slider) board and the assistance of three people
9/2/2026
2
, WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
A cervical radiation implant is placed in a client who is undergoing treatment of cervical cancer. The
nurse would initiate which activity prescription as the most appropriate for this client?
Bed rest
The nurse is caring for a client diagnosed with Alzheimer's disease. The nurse would anticipate that the
client has changes in which component of the nervous system?
Neuronal dendrites
The nurse is planning measures to increase bed mobility for a client in skeletal leg traction. Which item
would the nurse consider to be most helpful for this client?
Overhead trapeze
A client with chronic kidney disease who is scheduled for hemodialysis this morning is due to receive a
daily dose of enalapril. When would the nurse plan to administer this medication?
On return from dialysis
The nurse has developed a postoperative plan of care for a client who had a thyroidectomy and
documents that the client is at risk for developing an ineffective breathing pattern. Which nursing
intervention would the nurse include in the plan of care?
Monitor for neck swelling.
The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of
pheochromocytoma. The nurse reads the assessment findings and expects to note documentation of
9/2/2026
which major symptom associated with this condition?
Hypertension
3
, WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace.
Which statement by the parents indicates a need for further instruction?
"I need to apply lotion under the brace to prevent skin breakdown."
A 5-year-old child arrives at the emergency department, and the child's parents state that the child fell
off a bunk bed. A head injury is suspected. The nurse checks the child's airway status and assesses the
child for early and late signs of increased intracranial pressure (ICP). Which is a late sign of increased
ICP?
Bradycardia
The nurse provides instructions to a client diagnosed with osteoporosis. Education about prevention of
which complication is the most important?
Fractures
The nurse is collecting data related to a client's risk factors associated with osteoporosis. Which data
would the nurse include? Select all that apply.
Thin body build, Smoking history, Postmenopausal age, Chronic corticosteroid use, Family history of
osteoporosis
The nurse is caring for a client diagnosed with bacterial meningitis. Which clinical manifestation would
the nurse monitor for, indicating increased intracranial pressure?
Altered mental status
9/2/2026
4
09/02/2026
REVIEW
WGU D446 Objective Assessment– Adult
Health II Review (Latest 2026/ 2027 Update)
Which finding noted in the client on continuous ambulatory peritoneal dialysis (CAPD) would be
reported to the primary health care provider (PHCP)?
Cloudy yellow dialysate output
A client with a history of myasthenia gravis presents at a clinic with bilateral ptosis and is drooling, and
myasthenic crisis is suspected. The nurse assesses the client for which precipitating factor?
Omitting doses of medication
The nurse is providing teaching to a client with breast cancer who will undergo chemotherapy for
cancer, and alopecia is expected from the chemotherapeutic agent. Which statement made by the client
indicates a need for further teaching?
"I can't believe my hair loss is going to be permanent."
A client is admitted to the nursing unit after a left below-the-knee amputation after a crush injury to the
foot and lower leg. The client tells the nurse, "I think I'm going crazy. I can feel my left foot itching." How
would the nurse interpret this client statement?
A normal response that indicates the presence of phantom limb sensation
The nurse is participating in a health screening clinic and is preparing teaching materials about colorectal
cancer. Which risk factor for colorectal cancer would the nurse include?
9/2/2026
Personal history of ulcerative colitis or gastrointestinal polyps
1
, WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
The nurse is caring for a client diagnosed with breast cancer receiving combination chemotherapy.
Which nursing intervention is the most appropriate?
Avoid giving agents with the same nadirs and toxicities at the same time.
The nurse is preparing to ambulate a client on the third day after cardiac surgery. What would the nurse
plan to do to enable the client to best tolerate the ambulation?
Premedicate the client with an analgesic.
A client who suffered a brain attack (stroke) is prepared for discharge from the hospital. The primary
health care provider has prescribed range-of-motion (ROM) exercises for the client's right side. What
action would the nurse include in the client's plan of care?
Consider the use of active, passive, or active-assisted exercises in the home.
A client who had cranial surgery 5 days earlier to remove a brain tumor has a few cognitive deficits and
does not seem to be progressing as quickly as the client or family had hoped. The nurse plans to
implement which approach as most helpful to the client and family at this time?
Emphasize progress in a realistic manner.
A client is being transferred to the nursing unit from the postanesthesia care unit after spinal fusion with
rod insertion to treat spinal instability from severe arthritis. The nurse would prepare to transfer the
client from the stretcher to the bed by using which best method?
A transfer (slider) board and the assistance of three people
9/2/2026
2
, WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
A cervical radiation implant is placed in a client who is undergoing treatment of cervical cancer. The
nurse would initiate which activity prescription as the most appropriate for this client?
Bed rest
The nurse is caring for a client diagnosed with Alzheimer's disease. The nurse would anticipate that the
client has changes in which component of the nervous system?
Neuronal dendrites
The nurse is planning measures to increase bed mobility for a client in skeletal leg traction. Which item
would the nurse consider to be most helpful for this client?
Overhead trapeze
A client with chronic kidney disease who is scheduled for hemodialysis this morning is due to receive a
daily dose of enalapril. When would the nurse plan to administer this medication?
On return from dialysis
The nurse has developed a postoperative plan of care for a client who had a thyroidectomy and
documents that the client is at risk for developing an ineffective breathing pattern. Which nursing
intervention would the nurse include in the plan of care?
Monitor for neck swelling.
The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of
pheochromocytoma. The nurse reads the assessment findings and expects to note documentation of
9/2/2026
which major symptom associated with this condition?
Hypertension
3
, WGU D446 OBJECTIVE ASSESSMENT– ADULT HEALTH II
09/02/2026
REVIEW
The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace.
Which statement by the parents indicates a need for further instruction?
"I need to apply lotion under the brace to prevent skin breakdown."
A 5-year-old child arrives at the emergency department, and the child's parents state that the child fell
off a bunk bed. A head injury is suspected. The nurse checks the child's airway status and assesses the
child for early and late signs of increased intracranial pressure (ICP). Which is a late sign of increased
ICP?
Bradycardia
The nurse provides instructions to a client diagnosed with osteoporosis. Education about prevention of
which complication is the most important?
Fractures
The nurse is collecting data related to a client's risk factors associated with osteoporosis. Which data
would the nurse include? Select all that apply.
Thin body build, Smoking history, Postmenopausal age, Chronic corticosteroid use, Family history of
osteoporosis
The nurse is caring for a client diagnosed with bacterial meningitis. Which clinical manifestation would
the nurse monitor for, indicating increased intracranial pressure?
Altered mental status
9/2/2026
4
