WGU ADULT HEALTH 2 D446 EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED PASS
2026/2027
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 nurses 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.Each row must have at
least one, but may have more than one, response option selected. temperature 100.5° F (38.1° C).
Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Oxygen saturation 95% on room air
Height is 5 ft 11 in (180.34 cm)
Weight is 228 lb (103.4 kg)
Body mass index (BMI) is 31.8 kg/m2
Pain rating of 8 on 0 to 10 scale, in the right foot
Day 1, 0830
Renal dysfunction- Chronic gout
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 nurses 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. Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
1|Page
,Visible tophi
- Chronic gout
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 nurses 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 Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
Low grade fever
- Acute gout attack
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 nurses 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.Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
Pain at the affected joint
- Acute gout attack
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 nurses 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.Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
Occur in more than 1 joint
- Chronic gout
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 nurses 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. SATA:Rationale:Obesity is
a significant risk factor for gout as it can increase uric acid production and decrease its excretion.
Obesity
2|Page
, 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 nurses 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:Rationale:Hypertension is
commonly associated with gout, potentially due to shared risk factors including kidney health and
certain medications that can raise uric acid levels.
Hypertension
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 nurses 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 notRationale: Alcohol,
especially beer, is a well-known trigger for gout attacks because it increases uric acid production and
reduces its excretion.SATA
Drinks beer nightly
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 nurses 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 notRationale:Low doses of
aspirin can increase uric acid levels by reducing its excretion through the kidneys.SATA
Daily aspirin
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 nurses 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: Rationale: apnea and
increased risk of gout, possibly through the effects of intermittent hypoxia on uric acid levels.SATA
Sleep apnea
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 nurses 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 and that he is
unable to walk or work. Select the 3 dietary choices that are not part of the recommended diet for a
client with gout. Rationale: Organ meats like liver are very high in purines and should be avoided in a
diet for managing gout.
Liver
3|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED PASS
2026/2027
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 nurses 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.Each row must have at
least one, but may have more than one, response option selected. temperature 100.5° F (38.1° C).
Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Oxygen saturation 95% on room air
Height is 5 ft 11 in (180.34 cm)
Weight is 228 lb (103.4 kg)
Body mass index (BMI) is 31.8 kg/m2
Pain rating of 8 on 0 to 10 scale, in the right foot
Day 1, 0830
Renal dysfunction- Chronic gout
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 nurses 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. Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
1|Page
,Visible tophi
- Chronic gout
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 nurses 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 Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
Low grade fever
- Acute gout attack
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 nurses 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.Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
Pain at the affected joint
- Acute gout attack
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 nurses 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.Each row must have at
least one, but may have more than one, response option selected.
Day 1, 0830
Occur in more than 1 joint
- Chronic gout
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 nurses 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. SATA:Rationale:Obesity is
a significant risk factor for gout as it can increase uric acid production and decrease its excretion.
Obesity
2|Page
, 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 nurses 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:Rationale:Hypertension is
commonly associated with gout, potentially due to shared risk factors including kidney health and
certain medications that can raise uric acid levels.
Hypertension
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 nurses 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 notRationale: Alcohol,
especially beer, is a well-known trigger for gout attacks because it increases uric acid production and
reduces its excretion.SATA
Drinks beer nightly
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 nurses 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 notRationale:Low doses of
aspirin can increase uric acid levels by reducing its excretion through the kidneys.SATA
Daily aspirin
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 nurses 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: Rationale: apnea and
increased risk of gout, possibly through the effects of intermittent hypoxia on uric acid levels.SATA
Sleep apnea
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 nurses 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 and that he is
unable to walk or work. Select the 3 dietary choices that are not part of the recommended diet for a
client with gout. Rationale: Organ meats like liver are very high in purines and should be avoided in a
diet for managing gout.
Liver
3|Page
