Page 1 of 105
WGU D454 Adult Health III Exam ACTUAL EXAM COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR-JUST RELEASED
SUMMARIZED EXAM COVERAGE
You will be tested on:
• Managing critically ill adult patients
• Recognizing life-threatening complications early
• Interpreting labs, ABGs, ECG
• Applying priority nursing interventions
• Making safe clinical decisions under pressure
✅ MCQs (Batch 1: Questions 1–50)
(≥15 words, scenario-based, exam-level, with answers and rationales, NO skipping)
1.
, Page 2 of 105
A patient admitted with Acute Respiratory Distress Syndrome is on mechanical ventilation. Which
intervention is the nurse’s highest priority?
A. Increase fluid intake
B. Maintain adequate oxygenation and monitor ABGs
C. Encourage ambulation
D. Limit sedation
Answer: B
Rationale: ARDS management prioritizes oxygenation and gas exchange monitoring.
2.
A patient presents with chest pain and ECG changes consistent with Myocardial Infarction. What is the
priority nursing action?
A. Administer stool softener
B. Provide oxygen and prepare for reperfusion therapy
C. Encourage oral fluids
D. Monitor urine output only
Answer: B
, Page 3 of 105
3.
A patient with Stroke suddenly develops decreased level of consciousness. What is the nurse’s priority
action?
A. Provide food
B. Assess airway and breathing immediately
C. Document findings later
D. Check blood sugar only
Answer: B
4.
A patient with Diabetic Ketoacidosis has a potassium level of 3.0 mEq/L. What is the priority intervention
before insulin administration?
A. Start insulin immediately
B. Replace potassium first
C. Restrict fluids
D. Administer sodium
, Page 4 of 105
Answer: B
5.
A patient in septic shock is receiving Norepinephrine. What is the primary goal of this medication?
A. Reduce heart rate
B. Increase blood pressure and perfusion
C. Lower glucose levels
D. Improve kidney filtration
Answer: B
6.
A patient with acute pulmonary embolism suddenly becomes short of breath and hypotensive. What is
the priority nursing action?
A. Encourage ambulation
B. Administer oxygen and notify provider immediately
WGU D454 Adult Health III Exam ACTUAL EXAM COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR-JUST RELEASED
SUMMARIZED EXAM COVERAGE
You will be tested on:
• Managing critically ill adult patients
• Recognizing life-threatening complications early
• Interpreting labs, ABGs, ECG
• Applying priority nursing interventions
• Making safe clinical decisions under pressure
✅ MCQs (Batch 1: Questions 1–50)
(≥15 words, scenario-based, exam-level, with answers and rationales, NO skipping)
1.
, Page 2 of 105
A patient admitted with Acute Respiratory Distress Syndrome is on mechanical ventilation. Which
intervention is the nurse’s highest priority?
A. Increase fluid intake
B. Maintain adequate oxygenation and monitor ABGs
C. Encourage ambulation
D. Limit sedation
Answer: B
Rationale: ARDS management prioritizes oxygenation and gas exchange monitoring.
2.
A patient presents with chest pain and ECG changes consistent with Myocardial Infarction. What is the
priority nursing action?
A. Administer stool softener
B. Provide oxygen and prepare for reperfusion therapy
C. Encourage oral fluids
D. Monitor urine output only
Answer: B
, Page 3 of 105
3.
A patient with Stroke suddenly develops decreased level of consciousness. What is the nurse’s priority
action?
A. Provide food
B. Assess airway and breathing immediately
C. Document findings later
D. Check blood sugar only
Answer: B
4.
A patient with Diabetic Ketoacidosis has a potassium level of 3.0 mEq/L. What is the priority intervention
before insulin administration?
A. Start insulin immediately
B. Replace potassium first
C. Restrict fluids
D. Administer sodium
, Page 4 of 105
Answer: B
5.
A patient in septic shock is receiving Norepinephrine. What is the primary goal of this medication?
A. Reduce heart rate
B. Increase blood pressure and perfusion
C. Lower glucose levels
D. Improve kidney filtration
Answer: B
6.
A patient with acute pulmonary embolism suddenly becomes short of breath and hypotensive. What is
the priority nursing action?
A. Encourage ambulation
B. Administer oxygen and notify provider immediately
