WGU D446
Adult Health II
Objective Assessment
(2 Full Exams Set)
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢160+ OA Exam Questions w/ Answers
➢Expert Rationales included.
➢250+ OA Review Questions & Answers
➢OA Study Guide & Clinical
Prioritization
,PREVIEW PAGES BELOW
Get the Complete
PDF After Purchase
NEED HELP OR MORE RESOURCES?
?
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
D446 OA EXAM SET 1 ....................................................................... 2
D446 OA EXAM SET 2 ..................................................................... 68
D446 OA Review 250+ Questions & Answer Review ........... 143
D446 OA Study Guide & Clinical Prioritization .................... 181
D446 OA EXAM SET 1
Question 1
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most
immediate intervention by the nurse?
Table
Option Response
a. Serum sodium of 185 mEq/L
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst
, Correct Answer:
a. Serum sodium of 185 mEq/L
Rationale: Diabetes insipidus is characterized by deficient antidiuretic hormone (ADH) or
renal unresponsiveness to ADH, resulting in massive diuresis and hypernatremia. A
serum sodium of 185 mEq/L represents severe hypernatremia (normal: 135-145 mEq/L)
and indicates profound dehydration with risk of neurological complications, including
seizures, cerebral edema upon correction, and death. This is a life-threatening
electrolyte imbalance requiring immediate intervention. While dry skin (b) and
tachycardia (c) indicate dehydration, and polyuria/thirst (d) are expected findings in DI,
none are as immediately life-threatening as severe hypernatremia.
Question 2
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this medical
diagnosis?
Table
Option Response
a. Frequent use of chewable and liquid antacids for indigestion
b. Severe abdominal cramps and diarrhea after eating spicy foods
c. Upper mid-abdominal pain described as gnawing and burning
d. Marked loss of weight and appetite over the last 3 or 4 months
Correct Answer:
c. Upper mid-abdominal pain described as gnawing and burning
Rationale: The classic symptom of PUD is epigastric or upper mid-abdominal pain
described as gnawing, burning, or aching, often occurring 1-3 hours after meals or
Adult Health II
Objective Assessment
(2 Full Exams Set)
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢160+ OA Exam Questions w/ Answers
➢Expert Rationales included.
➢250+ OA Review Questions & Answers
➢OA Study Guide & Clinical
Prioritization
,PREVIEW PAGES BELOW
Get the Complete
PDF After Purchase
NEED HELP OR MORE RESOURCES?
?
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
D446 OA EXAM SET 1 ....................................................................... 2
D446 OA EXAM SET 2 ..................................................................... 68
D446 OA Review 250+ Questions & Answer Review ........... 143
D446 OA Study Guide & Clinical Prioritization .................... 181
D446 OA EXAM SET 1
Question 1
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most
immediate intervention by the nurse?
Table
Option Response
a. Serum sodium of 185 mEq/L
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst
, Correct Answer:
a. Serum sodium of 185 mEq/L
Rationale: Diabetes insipidus is characterized by deficient antidiuretic hormone (ADH) or
renal unresponsiveness to ADH, resulting in massive diuresis and hypernatremia. A
serum sodium of 185 mEq/L represents severe hypernatremia (normal: 135-145 mEq/L)
and indicates profound dehydration with risk of neurological complications, including
seizures, cerebral edema upon correction, and death. This is a life-threatening
electrolyte imbalance requiring immediate intervention. While dry skin (b) and
tachycardia (c) indicate dehydration, and polyuria/thirst (d) are expected findings in DI,
none are as immediately life-threatening as severe hypernatremia.
Question 2
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this medical
diagnosis?
Table
Option Response
a. Frequent use of chewable and liquid antacids for indigestion
b. Severe abdominal cramps and diarrhea after eating spicy foods
c. Upper mid-abdominal pain described as gnawing and burning
d. Marked loss of weight and appetite over the last 3 or 4 months
Correct Answer:
c. Upper mid-abdominal pain described as gnawing and burning
Rationale: The classic symptom of PUD is epigastric or upper mid-abdominal pain
described as gnawing, burning, or aching, often occurring 1-3 hours after meals or
