WGU D443 Health Assessment OA
Exam With Actual Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass 2025/2026 /Latest
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1. A 65-year-old patient presents with fatigue and pallor. Which lab test is most
appropriate to assess for anemia?
A) Serum glucose
B) Hemoglobin and hematocrit
C) Liver function tests
D) Serum electrolytes
B) Hemoglobin and hematocrit
Rationale: Hemoglobin and hematocrit are standard tests to evaluate for anemia
and can help determine its severity.
2. During a cardiovascular assessment, a nurse hears a low-pitched, rumbling diastolic
murmur at the apex. This is most consistent with:
A) Aortic stenosis
B) Mitral stenosis
C) Mitral regurgitation
D) Aortic regurgitation
B) Mitral stenosis
Rationale: Mitral stenosis produces a low-pitched, diastolic rumbling murmur best
heard at the apex with the patient in left lateral position.
3. Which cranial nerve is assessed by asking the patient to shrug their shoulders against
resistance?
A) Cranial nerve V
B) Cranial nerve VII
C) Cranial nerve XI
D) Cranial nerve XII
, C) Cranial nerve XI
Rationale: The spinal accessory nerve (CN XI) controls the sternocleidomastoid and
trapezius muscles, which are tested by shoulder shrugging.
4. A patient has a BMI of 32 kg/m². How is this classified?
A) Normal weight
B) Overweight
C) Obese
D) Underweight
C) Obese
Rationale: A BMI ≥30 kg/m² is classified as obese according to CDC guidelines.
5. Which technique is appropriate to assess liver size?
A) Palpation and percussion
B) Auscultation only
C) Inspection only
D) Percussion of the lungs
A) Palpation and percussion
Rationale: The liver edge is assessed by percussion to estimate size and palpation
to detect tenderness or enlargement.
6. A patient complains of numbness and tingling in the hands, particularly at night.
Which test would you perform?
A) Babinski reflex
B) Phalen’s test
C) McMurray test
D) Tinel’s sign
B) Phalen’s test
Rationale: Phalen’s test is used to diagnose carpal tunnel syndrome, which causes
nocturnal numbness and tingling in the hands.
7. The nurse observes clubbing of the patient’s nails. This finding is most associated
with:
A) Chronic hypoxia
B) Anemia
C) Hyperthyroidism
D) Diabetes
A) Chronic hypoxia
Rationale: Clubbing of the nails is a chronic sign of hypoxia, often associated with
lung or heart disease.
8. When auscultating lung sounds, a high-pitched, musical sound heard primarily during
expiration is called:
, A) Crackles
B) Wheezes
C) Rhonchi
D) Stridor
B) Wheezes
Rationale: Wheezes are continuous, high-pitched musical sounds usually caused by
airway constriction or obstruction.
9. A patient presents with sudden onset of unilateral facial droop. Which cranial nerve
is likely affected?
A) CN V
B) CN VII
C) CN IX
D) CN X
B) CN VII
Rationale: The facial nerve (CN VII) controls facial muscles. Unilateral droop
suggests Bell’s palsy or stroke affecting this nerve.
10. Which of the following indicates normal deep tendon reflexes in the knee?
A) 0
B) 1+
C) 2+
D) 4+
C) 2+
Rationale: A 2+ reflex is considered normal, indicating average response.
11. A 70-year-old patient presents with loss of short-term memory. Which area of the
brain is most likely affected?
A) Frontal lobe
B) Temporal lobe
C) Occipital lobe
D) Parietal lobe
B) Temporal lobe
Rationale: The temporal lobe is responsible for memory processing; damage can
result in memory deficits.
12. A patient reports pain in the right upper quadrant, radiating to the right shoulder,
after a fatty meal. The most likely diagnosis is:
A) Peptic ulcer disease
B) Gallstones (cholelithiasis)
C) Appendicitis
D) Pancreatitis
B) Gallstones (cholelithiasis)
Exam With Actual Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass 2025/2026 /Latest
Update/Instant Download Pdf
1. A 65-year-old patient presents with fatigue and pallor. Which lab test is most
appropriate to assess for anemia?
A) Serum glucose
B) Hemoglobin and hematocrit
C) Liver function tests
D) Serum electrolytes
B) Hemoglobin and hematocrit
Rationale: Hemoglobin and hematocrit are standard tests to evaluate for anemia
and can help determine its severity.
2. During a cardiovascular assessment, a nurse hears a low-pitched, rumbling diastolic
murmur at the apex. This is most consistent with:
A) Aortic stenosis
B) Mitral stenosis
C) Mitral regurgitation
D) Aortic regurgitation
B) Mitral stenosis
Rationale: Mitral stenosis produces a low-pitched, diastolic rumbling murmur best
heard at the apex with the patient in left lateral position.
3. Which cranial nerve is assessed by asking the patient to shrug their shoulders against
resistance?
A) Cranial nerve V
B) Cranial nerve VII
C) Cranial nerve XI
D) Cranial nerve XII
, C) Cranial nerve XI
Rationale: The spinal accessory nerve (CN XI) controls the sternocleidomastoid and
trapezius muscles, which are tested by shoulder shrugging.
4. A patient has a BMI of 32 kg/m². How is this classified?
A) Normal weight
B) Overweight
C) Obese
D) Underweight
C) Obese
Rationale: A BMI ≥30 kg/m² is classified as obese according to CDC guidelines.
5. Which technique is appropriate to assess liver size?
A) Palpation and percussion
B) Auscultation only
C) Inspection only
D) Percussion of the lungs
A) Palpation and percussion
Rationale: The liver edge is assessed by percussion to estimate size and palpation
to detect tenderness or enlargement.
6. A patient complains of numbness and tingling in the hands, particularly at night.
Which test would you perform?
A) Babinski reflex
B) Phalen’s test
C) McMurray test
D) Tinel’s sign
B) Phalen’s test
Rationale: Phalen’s test is used to diagnose carpal tunnel syndrome, which causes
nocturnal numbness and tingling in the hands.
7. The nurse observes clubbing of the patient’s nails. This finding is most associated
with:
A) Chronic hypoxia
B) Anemia
C) Hyperthyroidism
D) Diabetes
A) Chronic hypoxia
Rationale: Clubbing of the nails is a chronic sign of hypoxia, often associated with
lung or heart disease.
8. When auscultating lung sounds, a high-pitched, musical sound heard primarily during
expiration is called:
, A) Crackles
B) Wheezes
C) Rhonchi
D) Stridor
B) Wheezes
Rationale: Wheezes are continuous, high-pitched musical sounds usually caused by
airway constriction or obstruction.
9. A patient presents with sudden onset of unilateral facial droop. Which cranial nerve
is likely affected?
A) CN V
B) CN VII
C) CN IX
D) CN X
B) CN VII
Rationale: The facial nerve (CN VII) controls facial muscles. Unilateral droop
suggests Bell’s palsy or stroke affecting this nerve.
10. Which of the following indicates normal deep tendon reflexes in the knee?
A) 0
B) 1+
C) 2+
D) 4+
C) 2+
Rationale: A 2+ reflex is considered normal, indicating average response.
11. A 70-year-old patient presents with loss of short-term memory. Which area of the
brain is most likely affected?
A) Frontal lobe
B) Temporal lobe
C) Occipital lobe
D) Parietal lobe
B) Temporal lobe
Rationale: The temporal lobe is responsible for memory processing; damage can
result in memory deficits.
12. A patient reports pain in the right upper quadrant, radiating to the right shoulder,
after a fatty meal. The most likely diagnosis is:
A) Peptic ulcer disease
B) Gallstones (cholelithiasis)
C) Appendicitis
D) Pancreatitis
B) Gallstones (cholelithiasis)
