WGU D444 Adult Health 1 Focused Study Guide 2026 | Fast
Track Exam Prep & High-Yield Content
1. When caring for a patient with pneumonia, nursing management includes:
Placing in HIgh-Fowler's
Droplet precaution
Encouraging rest and fluid intake of 2-3L/day
Mobilize secretions and expand lungs
All of the above
2. What is the primary cause of esophageal varices?
alcohol irritating the mucosa
failure to inactivate estrogen
portal hypertension
poor nutritional status
3. Why is implementing fall precautions important for patients experiencing
Ménière's disease?
Because it reduces the need for medication.
Because Ménière's disease can cause vertigo, increasing the risk of
falls.
Because it helps in managing blood pressure.
Because patients need to avoid physical activity.
4. Which precautionary measure should a nurse take when administering
pyridostigmine to a patient when treating myasthenia gravis (MG)?
, Administering the medication 30 to 60 minutes before a meal
Educating the patient about side effects of steroids
Checking if calcium and vitamin D supplements have been ordered
Monitoring the blood glucose level, which may fluctuate
5. What condition is often associated with hypoventilation leading to respiratory
acidosis?
Asthma
Tuberculosis
Pneumonia
COPD
6. Which of the following is a characteristic feature of Myasthenia Gravis?
Muscles become stronger with use.
Muscle weakness worsens with use.
Muscle weakness is more severe in the morning.
Muscle weakness improves with exercise.
7. Describe the implications of a CD4+ count below 200 cells/mm3 for an HIV
patient’s health status.
It means the patient is free from opportunistic infections.
It shows the patient is responding well to treatment.
It suggests the patient has a normal immune function.
It indicates a severely weakened immune system and a transition to
AIDS.
,8. What type of mask is recommended for healthcare workers caring for
patients with tuberculosis?
Surgical mask
Cloth mask
No mask required
N95 mask
9. Describe the sequence of actions that should be taken during an
anaphylactic reaction.
The sequence includes stopping the trigger, administering IM
Epinephrine, and maintaining the airway.
The sequence includes assessing the patient's history and
documenting the event.
The sequence includes calling for help, providing oxygen, and
monitoring vital signs.
The sequence includes administering oral antihistamines and waiting
for symptoms to subside.
10. A patient with glaucoma who is prescribed Timolol should be educated to:
Use the medication only when experiencing eye pain.
Drink at least 3 liters of water daily.
Apply pressure over the lacrimal sac after administration.
Get up rapidly from a sitting or lying position.
11. If a nurse finds a patient in respiratory distress with symptoms of a pulmonary
embolism, what should be the nurse's first action?
, Administer pain medication immediately.
Perform a full assessment before taking any action.
Call for a respiratory therapist first.
Sit the patient up and apply oxygen.
12. What do the acronyms ALT and AST stand for in the context of liver function
tests?
Aspartate and alanine transaminase
Alanine aminotransferase and aspartate aminotransferase
Amino acid transfer and serum transaminase
Acute liver transaminase and alanine transferase
13. Describe the significance of monitoring urinary tract infections (UTIs) in
patients with BPH.
Monitoring for UTIs is crucial because urinary retention in BPH can
lead to infections.
Monitoring for UTIs helps in diagnosing prostate cancer.
Monitoring for UTIs is unnecessary as BPH does not affect the urinary
system.
Monitoring for UTIs is only important in elderly patients.
14. When a patient is diagnosed with HIV, what is the criteria for the progression
to AIDS?
CD4+ is <500 cells/uL
CD4+ is >200 cells/uL
CD4+ is > 500 cells/uL
Track Exam Prep & High-Yield Content
1. When caring for a patient with pneumonia, nursing management includes:
Placing in HIgh-Fowler's
Droplet precaution
Encouraging rest and fluid intake of 2-3L/day
Mobilize secretions and expand lungs
All of the above
2. What is the primary cause of esophageal varices?
alcohol irritating the mucosa
failure to inactivate estrogen
portal hypertension
poor nutritional status
3. Why is implementing fall precautions important for patients experiencing
Ménière's disease?
Because it reduces the need for medication.
Because Ménière's disease can cause vertigo, increasing the risk of
falls.
Because it helps in managing blood pressure.
Because patients need to avoid physical activity.
4. Which precautionary measure should a nurse take when administering
pyridostigmine to a patient when treating myasthenia gravis (MG)?
, Administering the medication 30 to 60 minutes before a meal
Educating the patient about side effects of steroids
Checking if calcium and vitamin D supplements have been ordered
Monitoring the blood glucose level, which may fluctuate
5. What condition is often associated with hypoventilation leading to respiratory
acidosis?
Asthma
Tuberculosis
Pneumonia
COPD
6. Which of the following is a characteristic feature of Myasthenia Gravis?
Muscles become stronger with use.
Muscle weakness worsens with use.
Muscle weakness is more severe in the morning.
Muscle weakness improves with exercise.
7. Describe the implications of a CD4+ count below 200 cells/mm3 for an HIV
patient’s health status.
It means the patient is free from opportunistic infections.
It shows the patient is responding well to treatment.
It suggests the patient has a normal immune function.
It indicates a severely weakened immune system and a transition to
AIDS.
,8. What type of mask is recommended for healthcare workers caring for
patients with tuberculosis?
Surgical mask
Cloth mask
No mask required
N95 mask
9. Describe the sequence of actions that should be taken during an
anaphylactic reaction.
The sequence includes stopping the trigger, administering IM
Epinephrine, and maintaining the airway.
The sequence includes assessing the patient's history and
documenting the event.
The sequence includes calling for help, providing oxygen, and
monitoring vital signs.
The sequence includes administering oral antihistamines and waiting
for symptoms to subside.
10. A patient with glaucoma who is prescribed Timolol should be educated to:
Use the medication only when experiencing eye pain.
Drink at least 3 liters of water daily.
Apply pressure over the lacrimal sac after administration.
Get up rapidly from a sitting or lying position.
11. If a nurse finds a patient in respiratory distress with symptoms of a pulmonary
embolism, what should be the nurse's first action?
, Administer pain medication immediately.
Perform a full assessment before taking any action.
Call for a respiratory therapist first.
Sit the patient up and apply oxygen.
12. What do the acronyms ALT and AST stand for in the context of liver function
tests?
Aspartate and alanine transaminase
Alanine aminotransferase and aspartate aminotransferase
Amino acid transfer and serum transaminase
Acute liver transaminase and alanine transferase
13. Describe the significance of monitoring urinary tract infections (UTIs) in
patients with BPH.
Monitoring for UTIs is crucial because urinary retention in BPH can
lead to infections.
Monitoring for UTIs helps in diagnosing prostate cancer.
Monitoring for UTIs is unnecessary as BPH does not affect the urinary
system.
Monitoring for UTIs is only important in elderly patients.
14. When a patient is diagnosed with HIV, what is the criteria for the progression
to AIDS?
CD4+ is <500 cells/uL
CD4+ is >200 cells/uL
CD4+ is > 500 cells/uL
