WGU D446) NURS 3119 Adult Health II Exam Guide -
2026.
1. Clinical Prioritization - Focus on life-threatening conditions (e.g., MVA with absent breath sounds,
heart attack vs. chest pain).
2. Asthma - Recognize signs of exacerbation: increased mucus, dyspnea during exercise.
3. Emergency interventions for Asthma - Administer short-acting beta-agonists (e.g., albuterol), oxygen
therapy.
4. Evaluate therapeutic responses in Asthma - ABG interpretation and symptom improvement.
5. COPD Oxygen therapy - Target SpO₂ 88-92% for hypoxia.
6. COPD Dietary Consideration - High-protein, high-calorie small meals to maintain energy levels.
7. Heart Attack vs. Chest Pain - Differentiate myocardial infarction (MI) from angina (e.g., persistent
pain, diaphoresis, elevated troponin for MI).
8. Medications for Heart Attack - Morphine, oxygen, nitroglycerin, aspirin (MONA protocol).
9. Left-sided Heart Failure Symptoms - Pulmonary symptoms (e.g., dyspnea, orthopnea, crackles).
10. Right-sided Heart Failure Symptoms - Peripheral symptoms (e.g., edema, ascites, JVD).
11. Management of Heart Failure - Diuretics (potassium-sparing vs. wasting), ACE inhibitors.
12. Cardiac Medication Classifications - Common Classes: Beta-blockers, Calcium channel blockers,
Diuretics.
13. Beta-blockers - Reduce heart rate.
14. Calcium channel blockers - Vasodilation.
15. Diuretics - Potassium-sparing (spironolactone) vs. potassium-wasting (furosemide).
16. Ischemic Stroke Symptoms - Sudden numbness, weakness, speech difficulty.
17. Management of Ischemic Stroke - Thrombolytic therapy (e.g., tPA).
18. Hemorrhagic Stroke Symptoms - Severe headache, nausea, loss of consciousness.
19. Hemorrhagic Stroke - Severe headache, nausea, loss of consciousness. Management: Surgical
intervention and BP control.
20. FAST - Recognize FAST (Face, Arms, Speech, Time).
21. Stroke (time-sensitive emergency) - A time-sensitive emergency requiring thrombolytic therapy
evaluation, indicated by symptoms such as facial droop, severe headache, and unilateral weakness.
22. Large-bore IVs - Immediate intervention to be started for a client presenting with stroke symptoms,
preparing for inclusion criteria review for IV fibrinolytic therapy.
2026.
1. Clinical Prioritization - Focus on life-threatening conditions (e.g., MVA with absent breath sounds,
heart attack vs. chest pain).
2. Asthma - Recognize signs of exacerbation: increased mucus, dyspnea during exercise.
3. Emergency interventions for Asthma - Administer short-acting beta-agonists (e.g., albuterol), oxygen
therapy.
4. Evaluate therapeutic responses in Asthma - ABG interpretation and symptom improvement.
5. COPD Oxygen therapy - Target SpO₂ 88-92% for hypoxia.
6. COPD Dietary Consideration - High-protein, high-calorie small meals to maintain energy levels.
7. Heart Attack vs. Chest Pain - Differentiate myocardial infarction (MI) from angina (e.g., persistent
pain, diaphoresis, elevated troponin for MI).
8. Medications for Heart Attack - Morphine, oxygen, nitroglycerin, aspirin (MONA protocol).
9. Left-sided Heart Failure Symptoms - Pulmonary symptoms (e.g., dyspnea, orthopnea, crackles).
10. Right-sided Heart Failure Symptoms - Peripheral symptoms (e.g., edema, ascites, JVD).
11. Management of Heart Failure - Diuretics (potassium-sparing vs. wasting), ACE inhibitors.
12. Cardiac Medication Classifications - Common Classes: Beta-blockers, Calcium channel blockers,
Diuretics.
13. Beta-blockers - Reduce heart rate.
14. Calcium channel blockers - Vasodilation.
15. Diuretics - Potassium-sparing (spironolactone) vs. potassium-wasting (furosemide).
16. Ischemic Stroke Symptoms - Sudden numbness, weakness, speech difficulty.
17. Management of Ischemic Stroke - Thrombolytic therapy (e.g., tPA).
18. Hemorrhagic Stroke Symptoms - Severe headache, nausea, loss of consciousness.
19. Hemorrhagic Stroke - Severe headache, nausea, loss of consciousness. Management: Surgical
intervention and BP control.
20. FAST - Recognize FAST (Face, Arms, Speech, Time).
21. Stroke (time-sensitive emergency) - A time-sensitive emergency requiring thrombolytic therapy
evaluation, indicated by symptoms such as facial droop, severe headache, and unilateral weakness.
22. Large-bore IVs - Immediate intervention to be started for a client presenting with stroke symptoms,
preparing for inclusion criteria review for IV fibrinolytic therapy.
