WGU D446 ADULT HEALTH EXAM 2 STUDY GUIDE
118 QUESTIONS WITH VERIFIED ANSWERS 2026
a - CORRECT ANSWER A nurse is having difficulty arousing a client following an
esophagogastrostroduodenoscopy (EGD). Which of the following is the priority
action by the nurse?
a. Assess the airway
b. Allow the client to sleep
c. Prepare to administer an antidote to the sedative
d. Evaluate procedure lab findings9*
b - CORRECT ANSWER A patient is scheduled for a liver biopsy. Which laboratory
results would be of most concern to the nurse?
a. Hemoglobin of 11 g/dL
b. Prothrombin time of 32 seconds
c. Serum ammonia level of 56 mcg N/dL
d. White blood cell count of 14.2 x 103/µL
b - CORRECT ANSWER The nurse listens to bowel sounds for 60 seconds and does
not hear gurgling. Which action should the nurse take next?
a. Document the bowel sounds as hypoactive.
b. Continue to listen for at least another 60 seconds.
c. Administer the prescribed drug for constipation.
d. Review the patient's dietary intake for the past 24 hours
,d - CORRECT ANSWER During the postoperative care of a 76-year-old patient, the
nurse monitors the patient's intake and output carefully, knowing that the patient
is at risk for fluid and electrolyte imbalances primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink
fluids.
b. water accounts for a greater percentage of body weight in the older adult than
in younger adults.
c. older adults are more likely than younger adults to lose extracellular fluid during
surgical procedures.
d. small losses of fluid are significant because body fluids account for 45% to 50%
of body weight in older adults.
a - CORRECT ANSWER In a patient with prolonged vomiting, the nurse monitors
for fluid volume deficit because vomiting results in
a. Fluid movement from the cells into the interstitial space and the blood vessels
b. Excretion of large amounts of interstitial fluid with depletion of extracellular
fluids
c. An overload of extracellular fluid with a significant increase in intracellular fluid
volume
d. Fluid movement from the vascular system into the cells, causing cellular
swelling and rupture
b - CORRECT ANSWER Which assessment action will help the nurse determine if
an obese patient has metabolic syndrome?
a. Take the patient's apical pulse.
b. Check the patient's blood pressure.
,c. Ask the patient about dietary intake.
d. Dipstick the patient's urine for protein
c - CORRECT ANSWER A patient is admitted to a medical unit with a diagnosis of
malnutrition. The student nurse asks the nurse assigned to this patient about the
relationship between drugs and nutrition. What is the most appropriate response
for the nurse to make?
a. "Foods alter the absorption or bioavailability of all drugs."
b. "If the patient skips a meal, drugs may not be taken."
c. "Some drugs increase the requirements for essential nutrients."
d. "Drugs should be taken with food to prevent GI irritation."
d - CORRECT ANSWER The nurse obtains a drug history from a patient with ascites
and elevated aspartate and alanine aminotransferase levels. The nurse is most
concerned if the patient makes which statement?
a. "Occasionally I will use Benadryl for my allergies."
b. "Sometimes probiotics can make me feel bloated."
c. "I add flaxseed powder to my cereal every morning."
d. "I take acetaminophen 4 to 5 times a day for back pain."
a - CORRECT ANSWER - M.H., a 62-year-old female, was admitted with confusion
and lethargy related to hyponatremia.
- Her husband tells you that M.H. had c/o diarrhea over the past week and was
drinking lots of water to prevent dehydration.
, What caused M.H.'s serum sodium level to fall?
a. Excessive diarrhea can cause fluid and sodium loss
b. Constipation
c. Adequate nutrition
d. Excessive vomiting and increase drainage from nasogastric tube
a, b, e - CORRECT ANSWER An older woman was admitted to the medical unit with
GI bleeding and fluid volume deficit. Clinical manifestations of this problem are
(select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure.
a - CORRECT ANSWER The nursing care for a patient with hyponatremia and fluid
volume excess includes
a. fluid restriction.
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter.
c - CORRECT ANSWER The nurse should be alert for which manifestations in a
patient receiving a loop diuretic?
118 QUESTIONS WITH VERIFIED ANSWERS 2026
a - CORRECT ANSWER A nurse is having difficulty arousing a client following an
esophagogastrostroduodenoscopy (EGD). Which of the following is the priority
action by the nurse?
a. Assess the airway
b. Allow the client to sleep
c. Prepare to administer an antidote to the sedative
d. Evaluate procedure lab findings9*
b - CORRECT ANSWER A patient is scheduled for a liver biopsy. Which laboratory
results would be of most concern to the nurse?
a. Hemoglobin of 11 g/dL
b. Prothrombin time of 32 seconds
c. Serum ammonia level of 56 mcg N/dL
d. White blood cell count of 14.2 x 103/µL
b - CORRECT ANSWER The nurse listens to bowel sounds for 60 seconds and does
not hear gurgling. Which action should the nurse take next?
a. Document the bowel sounds as hypoactive.
b. Continue to listen for at least another 60 seconds.
c. Administer the prescribed drug for constipation.
d. Review the patient's dietary intake for the past 24 hours
,d - CORRECT ANSWER During the postoperative care of a 76-year-old patient, the
nurse monitors the patient's intake and output carefully, knowing that the patient
is at risk for fluid and electrolyte imbalances primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink
fluids.
b. water accounts for a greater percentage of body weight in the older adult than
in younger adults.
c. older adults are more likely than younger adults to lose extracellular fluid during
surgical procedures.
d. small losses of fluid are significant because body fluids account for 45% to 50%
of body weight in older adults.
a - CORRECT ANSWER In a patient with prolonged vomiting, the nurse monitors
for fluid volume deficit because vomiting results in
a. Fluid movement from the cells into the interstitial space and the blood vessels
b. Excretion of large amounts of interstitial fluid with depletion of extracellular
fluids
c. An overload of extracellular fluid with a significant increase in intracellular fluid
volume
d. Fluid movement from the vascular system into the cells, causing cellular
swelling and rupture
b - CORRECT ANSWER Which assessment action will help the nurse determine if
an obese patient has metabolic syndrome?
a. Take the patient's apical pulse.
b. Check the patient's blood pressure.
,c. Ask the patient about dietary intake.
d. Dipstick the patient's urine for protein
c - CORRECT ANSWER A patient is admitted to a medical unit with a diagnosis of
malnutrition. The student nurse asks the nurse assigned to this patient about the
relationship between drugs and nutrition. What is the most appropriate response
for the nurse to make?
a. "Foods alter the absorption or bioavailability of all drugs."
b. "If the patient skips a meal, drugs may not be taken."
c. "Some drugs increase the requirements for essential nutrients."
d. "Drugs should be taken with food to prevent GI irritation."
d - CORRECT ANSWER The nurse obtains a drug history from a patient with ascites
and elevated aspartate and alanine aminotransferase levels. The nurse is most
concerned if the patient makes which statement?
a. "Occasionally I will use Benadryl for my allergies."
b. "Sometimes probiotics can make me feel bloated."
c. "I add flaxseed powder to my cereal every morning."
d. "I take acetaminophen 4 to 5 times a day for back pain."
a - CORRECT ANSWER - M.H., a 62-year-old female, was admitted with confusion
and lethargy related to hyponatremia.
- Her husband tells you that M.H. had c/o diarrhea over the past week and was
drinking lots of water to prevent dehydration.
, What caused M.H.'s serum sodium level to fall?
a. Excessive diarrhea can cause fluid and sodium loss
b. Constipation
c. Adequate nutrition
d. Excessive vomiting and increase drainage from nasogastric tube
a, b, e - CORRECT ANSWER An older woman was admitted to the medical unit with
GI bleeding and fluid volume deficit. Clinical manifestations of this problem are
(select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure.
a - CORRECT ANSWER The nursing care for a patient with hyponatremia and fluid
volume excess includes
a. fluid restriction.
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter.
c - CORRECT ANSWER The nurse should be alert for which manifestations in a
patient receiving a loop diuretic?
