WGU D344 OBJECTIVE ASSESSMENT FINAL NEWEST
2026 ACTUAL EXAM TEST BANK| D344 ASSESSMENT
AND DIAGNOSTIC PROCESSES OA FINAL WITH 300
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Question 1
During a physical examination, which technique is performed
FIRST in an abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Correct Answer: D
Rationale: Inspection is always performed first in abdominal
assessment because palpation and percussion can alter bowel
sounds. Auscultation follows inspection, then percussion, then deep
palpation.
Question 2
A nurse palpates a patient's radial pulse and notes it is
1
,irregular. What is the next appropriate action?
A. Document as normal variant
B. Auscultate apical pulse for a full minute
C. Reassess in 15 minutes
D. Notify the provider immediately
Correct Answer: B
Rationale: An irregular radial pulse requires apical pulse
assessment for a full 60 seconds to accurately determine heart
rate and rhythm. Notifying the provider may be needed after
accurate assessment.
Question 3
Which percussion note is expected over a healthy, air-filled
lung?
A. Flat
B. Dull
C. Resonant
D. Tympanic
Correct Answer: C
2
,Rationale: Resonant percussion notes are heard over normal, air-
filled lung tissue. Flat is over bone or muscle, dull over solid
organs or fluid, tympanic over stomach or air-filled bowel.
Question 4
During auscultation of breath sounds, a nurse hears high-
pitched, continuous sounds during expiration. This finding
suggests:
A. Fine crackles
B. Pleural friction rub
C. Wheezing
D. Stridor
Correct Answer: C
Rationale: Wheezing is a high-pitched, continuous musical sound
typically heard during expiration, indicating narrowing of
airways (asthma, COPD). Stridor is inspiratory and indicates
upper airway obstruction.
Question 5
A patient presents with dullness to percussion at the lung
3
, bases. This finding is most consistent with:
p. p. p. p. p. p.
A. Pneumothorax
B. Pleural effusion p .
C. Normal lung p.
D. Asthma
Correct Answer: B p. p.
Rationale: Dullness to percussion indicates fluid or solid tissue
p. p. p. p. p. p. p. p.
p. replacing air. Pleural effusion causes dullness at lung bases.
p. p. p. p. p. p. p. p.
Pneumothorax causes hyperresonance. p. p.
Question 6 p.
When palpating the liver, the nurse should place the right hand
p. p. p. p. p. p. p. p. p. p.
p. at which location?
p. p.
A. Right lower quadrant p. p.
B. Right upper quadrant below the costal margin
p. p. p. p. p. p.
C. Left upper quadrant
p. p.
D. Midline above the umbilicus p. p. p.
Correct Answer: B p. p.
4
2026 ACTUAL EXAM TEST BANK| D344 ASSESSMENT
AND DIAGNOSTIC PROCESSES OA FINAL WITH 300
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Question 1
During a physical examination, which technique is performed
FIRST in an abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Correct Answer: D
Rationale: Inspection is always performed first in abdominal
assessment because palpation and percussion can alter bowel
sounds. Auscultation follows inspection, then percussion, then deep
palpation.
Question 2
A nurse palpates a patient's radial pulse and notes it is
1
,irregular. What is the next appropriate action?
A. Document as normal variant
B. Auscultate apical pulse for a full minute
C. Reassess in 15 minutes
D. Notify the provider immediately
Correct Answer: B
Rationale: An irregular radial pulse requires apical pulse
assessment for a full 60 seconds to accurately determine heart
rate and rhythm. Notifying the provider may be needed after
accurate assessment.
Question 3
Which percussion note is expected over a healthy, air-filled
lung?
A. Flat
B. Dull
C. Resonant
D. Tympanic
Correct Answer: C
2
,Rationale: Resonant percussion notes are heard over normal, air-
filled lung tissue. Flat is over bone or muscle, dull over solid
organs or fluid, tympanic over stomach or air-filled bowel.
Question 4
During auscultation of breath sounds, a nurse hears high-
pitched, continuous sounds during expiration. This finding
suggests:
A. Fine crackles
B. Pleural friction rub
C. Wheezing
D. Stridor
Correct Answer: C
Rationale: Wheezing is a high-pitched, continuous musical sound
typically heard during expiration, indicating narrowing of
airways (asthma, COPD). Stridor is inspiratory and indicates
upper airway obstruction.
Question 5
A patient presents with dullness to percussion at the lung
3
, bases. This finding is most consistent with:
p. p. p. p. p. p.
A. Pneumothorax
B. Pleural effusion p .
C. Normal lung p.
D. Asthma
Correct Answer: B p. p.
Rationale: Dullness to percussion indicates fluid or solid tissue
p. p. p. p. p. p. p. p.
p. replacing air. Pleural effusion causes dullness at lung bases.
p. p. p. p. p. p. p. p.
Pneumothorax causes hyperresonance. p. p.
Question 6 p.
When palpating the liver, the nurse should place the right hand
p. p. p. p. p. p. p. p. p. p.
p. at which location?
p. p.
A. Right lower quadrant p. p.
B. Right upper quadrant below the costal margin
p. p. p. p. p. p.
C. Left upper quadrant
p. p.
D. Midline above the umbilicus p. p. p.
Correct Answer: B p. p.
4
