WGU D545 OA EXAM SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A PLUS
◉ Next Generation NCLEX (NGN).
Answer: Style of questions including bowtie diagrams, select-all-
that-apply, and case-based scenarios.
◉ Exam Structure.
Answer: Includes complex case studies with multiple steps (e.g.,
bowtie questions, select-all-that-apply).
◉ Scenario-Based Topics.
Answer: Real-world nursing applications like stroke care, cardiac
interventions, and fluid management.
◉ Clinical Prioritization.
Answer: Focus on life-threatening conditions (e.g., MVA with absent
breath sounds, heart attack vs. chest pain).
◉ Asthma.
, Answer: Recognize signs of exacerbation: increased mucus, dyspnea
during exercise.
◉ Emergency interventions for Asthma.
Answer: Administer short-acting beta-agonists (e.g., albuterol),
oxygen therapy.
◉ Evaluate therapeutic responses in Asthma.
Answer: ABG interpretation and symptom improvement.
◉ COPD Oxygen therapy.
Answer: Target SpO₂ 88-92% for hypoxia.
◉ COPD Dietary Consideration.
Answer: High-protein, high-calorie small meals to maintain energy
levels.
◉ Heart Attack vs. Chest Pain.
Answer: Differentiate myocardial infarction (MI) from angina (e.g.,
persistent pain, diaphoresis, elevated troponin for MI).
◉ Medications for Heart Attack.
Answer: Morphine, oxygen, nitroglycerin, aspirin (MONA protocol).
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A PLUS
◉ Next Generation NCLEX (NGN).
Answer: Style of questions including bowtie diagrams, select-all-
that-apply, and case-based scenarios.
◉ Exam Structure.
Answer: Includes complex case studies with multiple steps (e.g.,
bowtie questions, select-all-that-apply).
◉ Scenario-Based Topics.
Answer: Real-world nursing applications like stroke care, cardiac
interventions, and fluid management.
◉ Clinical Prioritization.
Answer: Focus on life-threatening conditions (e.g., MVA with absent
breath sounds, heart attack vs. chest pain).
◉ Asthma.
, Answer: Recognize signs of exacerbation: increased mucus, dyspnea
during exercise.
◉ Emergency interventions for Asthma.
Answer: Administer short-acting beta-agonists (e.g., albuterol),
oxygen therapy.
◉ Evaluate therapeutic responses in Asthma.
Answer: ABG interpretation and symptom improvement.
◉ COPD Oxygen therapy.
Answer: Target SpO₂ 88-92% for hypoxia.
◉ COPD Dietary Consideration.
Answer: High-protein, high-calorie small meals to maintain energy
levels.
◉ Heart Attack vs. Chest Pain.
Answer: Differentiate myocardial infarction (MI) from angina (e.g.,
persistent pain, diaphoresis, elevated troponin for MI).
◉ Medications for Heart Attack.
Answer: Morphine, oxygen, nitroglycerin, aspirin (MONA protocol).
