WGU D446
Adult Health II
Objective Assessment
(2 Full Exams)
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
STUDENT PREVIEW
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or in need of any study resources,
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Preview the selected pages below before purchase.
,Table of Contents
D446 OA EXAM SET 1 ............................................................ 2
D446 OA EXAM SET 2 .......................................................... 44
D446 OA Review 250+ Questions & Answer Review ......... 91
D446 OA Study Guide & Clinical Prioritization ................. 129
D446 OA EXAM SET 1
Question 1
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Muscle weakness in the lower extremities
B. Weakened cough
C. Difficulty swallowing
D. Slurred speech
Correct Answer:
B. Weakened cough
Rationale: A weakened cough is the most critical finding in a client with ALS, as it can
lead to ineffective airway clearance and increase the risk of aspiration pneumonia.
Immediate intervention, such as suctioning or respiratory support, may be necessary to
maintain airway patency and prevent complications. While all options are concerning in
ALS, the weakened cough directly threatens the airway and requires the most urgent
response.
Question 2
, A client with stage 4 bone cancer is admitted to the hospital and verbalizes
continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the
nurse implement?
A. Administer non-opioid medication only
B. Administer opioid medication only
C. Administer opioid and non-opioid medication
D. Apply heat therapy and reposition the client
Correct Answer:
C. Administer opioid and non-opioid medication
Rationale: Both opioids and non-opioids are appropriate for managing severe cancer
pain. This multimodal approach addresses pain from multiple pathways and provides
more effective pain relief. Opioids target the central nervous system for severe pain,
while non-opioids (such as NSAIDs or acetaminophen) address peripheral pain
mechanisms and can reduce the total opioid dose needed.
Question 3
A 59-year-old male client presents to the clinic reporting pain in the right great
toe. The client says that the pain feels like it is another attack of gout, which he
has had on 2 other occasions in the last 4 months. The client tells the nurse that
the pain started about 9 days ago in the evening and that it got very painful and
swollen shortly thereafter. In the past, the gout attacks have resolved without
treatment after about 5 days, but the client reports that his condition has not
improved. The nurse reviews the following assessment data:
Table
Assessment Finding Value
Temperature 100.5°F
Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Adult Health II
Objective Assessment
(2 Full Exams)
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
STUDENT PREVIEW
If you require further clarification
or in need of any study resources,
feel free to Message me.
Preview the selected pages below before purchase.
,Table of Contents
D446 OA EXAM SET 1 ............................................................ 2
D446 OA EXAM SET 2 .......................................................... 44
D446 OA Review 250+ Questions & Answer Review ......... 91
D446 OA Study Guide & Clinical Prioritization ................. 129
D446 OA EXAM SET 1
Question 1
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Muscle weakness in the lower extremities
B. Weakened cough
C. Difficulty swallowing
D. Slurred speech
Correct Answer:
B. Weakened cough
Rationale: A weakened cough is the most critical finding in a client with ALS, as it can
lead to ineffective airway clearance and increase the risk of aspiration pneumonia.
Immediate intervention, such as suctioning or respiratory support, may be necessary to
maintain airway patency and prevent complications. While all options are concerning in
ALS, the weakened cough directly threatens the airway and requires the most urgent
response.
Question 2
, A client with stage 4 bone cancer is admitted to the hospital and verbalizes
continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the
nurse implement?
A. Administer non-opioid medication only
B. Administer opioid medication only
C. Administer opioid and non-opioid medication
D. Apply heat therapy and reposition the client
Correct Answer:
C. Administer opioid and non-opioid medication
Rationale: Both opioids and non-opioids are appropriate for managing severe cancer
pain. This multimodal approach addresses pain from multiple pathways and provides
more effective pain relief. Opioids target the central nervous system for severe pain,
while non-opioids (such as NSAIDs or acetaminophen) address peripheral pain
mechanisms and can reduce the total opioid dose needed.
Question 3
A 59-year-old male client presents to the clinic reporting pain in the right great
toe. The client says that the pain feels like it is another attack of gout, which he
has had on 2 other occasions in the last 4 months. The client tells the nurse that
the pain started about 9 days ago in the evening and that it got very painful and
swollen shortly thereafter. In the past, the gout attacks have resolved without
treatment after about 5 days, but the client reports that his condition has not
improved. The nurse reviews the following assessment data:
Table
Assessment Finding Value
Temperature 100.5°F
Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
