WGU D446 ADULT HEALTH 2 EXAM 1|200
QUESTIONS WITH VERIFIED ANSWERS 2026
~inspection of chest rise
~auscultate lung sounds
~apply SPO2
~assess RR
~assess cap refill - CORRECT ANSWER How do nurses assess tissue perfusion and
oxygenation? (analyzing and recognizing cues)
~helps us understand and be able to assess if the pt. is perfusing, do they have
good oxygenation - CORRECT ANSWER Why do nurses care about blood gases?
~rest
~2000-3000ml fluids daily
~soft, bland diet
~salt water gargles
~elevate HOB
~steam/humidification
~warm compresses
~saline nasal spray - CORRECT ANSWER Non pharmacological measures for
mucosal membranes to promote gas exchange
~tissue perfusion
,~oxygenation
~maintaining good gas exchange - CORRECT ANSWER Why is maintaining the
airway important
~total or partial collapse of lung tissue with loss of volume (impairs gas exchange
and impacts perfusion and oxygenation)
~prolonged bed rest or post operative pts.
~dyspnea, chest pain, hypoxemia, decreased breath sounds over affected areas
~bronchoscopy, thoracentesis, avoid over sedation
~incentive spirometer, cough and deep breath, oral care, HOB elevated, get pt up
and moving, promote gas exchange - CORRECT ANSWER Atelectasis
~basic pathos
~risk factors
~clinical manifestations
~medical management
~nursing management
~acute inflammation of the lungs, caused by various microorganisms including
bacteria, fungi, viruses
~inflammation interferes with gas exchange
~control inflammation, get rid of infection - CORRECT ANSWER Pneumonia
~pathos
~interferes with
~nurses' role
,~complication of pulmonary aspiration, pt. can aspirate GI contents, food, saliva
~sudden onset of coughing, dyspnea, crackles, rhonchi, altered mental status,
fever, chest pain - CORRECT ANSWER Aspiration pneumonia
~basic pathos
~clinical manifestation
~appropriate antibiotics AFTER culture
~supportive treatments (fluids, oxygen for hypoxia, antipyretics, antitussives,
decongestants, and antihistamines) - CORRECT ANSWER Pharmacological therapy
for pneumonia
~highly communicable
~transmitted via airborne (N95, negative pressure rooms) - CORRECT ANSWER
Pulmonary Tuberculosis (TB)
~direct contact with a positive
~immunocompromised
~substance abuse
~travel to high prevalence countries
~living in overcrowded areas, substandard housing
~health care workers
~improper use of PPE - CORRECT ANSWER Risk factors of TB
, ~early stages can be asymptomatic until advanced stages
~may progress too:
~low grade fever, night sweats, loss of appetite, fatigue, denial, anxiety,
tachycardia, sputum - CORRECT ANSWER Signs and symptoms of TB
~reliable screening tool
~positive reaction indicates exposure and possible infection (not definite) -
CORRECT ANSWER Mantoux Test
~TB Mantoux test - CORRECT ANSWER A false positive test can occur with which
test when Bacile Calmette Guerin vaccine (BCG) was previously administered
~most reliable
~but does not indicate active or latent - CORRECT ANSWER QuantiFERON- TB gold
test
~long period of treatment
~first line of drugs for the active disease (isoniazid (INH), Rifampin, pyrazinamide,
ethambutol)
~all are hepatotoxic - CORRECT ANSWER Pharmacology therapy for TB
~kills actively growing mycobacteria
~avoid antacids and take on empty stomach
~take complex B vitamins~ can deplete body of B vitamins (peripheral
neuropathy)
QUESTIONS WITH VERIFIED ANSWERS 2026
~inspection of chest rise
~auscultate lung sounds
~apply SPO2
~assess RR
~assess cap refill - CORRECT ANSWER How do nurses assess tissue perfusion and
oxygenation? (analyzing and recognizing cues)
~helps us understand and be able to assess if the pt. is perfusing, do they have
good oxygenation - CORRECT ANSWER Why do nurses care about blood gases?
~rest
~2000-3000ml fluids daily
~soft, bland diet
~salt water gargles
~elevate HOB
~steam/humidification
~warm compresses
~saline nasal spray - CORRECT ANSWER Non pharmacological measures for
mucosal membranes to promote gas exchange
~tissue perfusion
,~oxygenation
~maintaining good gas exchange - CORRECT ANSWER Why is maintaining the
airway important
~total or partial collapse of lung tissue with loss of volume (impairs gas exchange
and impacts perfusion and oxygenation)
~prolonged bed rest or post operative pts.
~dyspnea, chest pain, hypoxemia, decreased breath sounds over affected areas
~bronchoscopy, thoracentesis, avoid over sedation
~incentive spirometer, cough and deep breath, oral care, HOB elevated, get pt up
and moving, promote gas exchange - CORRECT ANSWER Atelectasis
~basic pathos
~risk factors
~clinical manifestations
~medical management
~nursing management
~acute inflammation of the lungs, caused by various microorganisms including
bacteria, fungi, viruses
~inflammation interferes with gas exchange
~control inflammation, get rid of infection - CORRECT ANSWER Pneumonia
~pathos
~interferes with
~nurses' role
,~complication of pulmonary aspiration, pt. can aspirate GI contents, food, saliva
~sudden onset of coughing, dyspnea, crackles, rhonchi, altered mental status,
fever, chest pain - CORRECT ANSWER Aspiration pneumonia
~basic pathos
~clinical manifestation
~appropriate antibiotics AFTER culture
~supportive treatments (fluids, oxygen for hypoxia, antipyretics, antitussives,
decongestants, and antihistamines) - CORRECT ANSWER Pharmacological therapy
for pneumonia
~highly communicable
~transmitted via airborne (N95, negative pressure rooms) - CORRECT ANSWER
Pulmonary Tuberculosis (TB)
~direct contact with a positive
~immunocompromised
~substance abuse
~travel to high prevalence countries
~living in overcrowded areas, substandard housing
~health care workers
~improper use of PPE - CORRECT ANSWER Risk factors of TB
, ~early stages can be asymptomatic until advanced stages
~may progress too:
~low grade fever, night sweats, loss of appetite, fatigue, denial, anxiety,
tachycardia, sputum - CORRECT ANSWER Signs and symptoms of TB
~reliable screening tool
~positive reaction indicates exposure and possible infection (not definite) -
CORRECT ANSWER Mantoux Test
~TB Mantoux test - CORRECT ANSWER A false positive test can occur with which
test when Bacile Calmette Guerin vaccine (BCG) was previously administered
~most reliable
~but does not indicate active or latent - CORRECT ANSWER QuantiFERON- TB gold
test
~long period of treatment
~first line of drugs for the active disease (isoniazid (INH), Rifampin, pyrazinamide,
ethambutol)
~all are hepatotoxic - CORRECT ANSWER Pharmacology therapy for TB
~kills actively growing mycobacteria
~avoid antacids and take on empty stomach
~take complex B vitamins~ can deplete body of B vitamins (peripheral
neuropathy)
