WGU D444 Adult Health Exam Questions and
Answers Graded A+ 2026
The nurse has instructed a patient prescribed antibiotics for conjunctivitis to
follow up in 1 week. Which assessment finding at the follow-up visit indicates
improvement?
The inner lining of the eye is pink and moist.
Rationale: A pink and moist conjunctiva following antibiotic therapy for
conjunctivitis is an expected finding and indicates improvement.
Which description defines ptosis?
Drooping eye
Rationale: Ptosis is drooping of the eye.
Which condition in the patient's health history increases the patient's risk of
becoming blind?
Hyperglycemia
Rationale: High blood glucose levels can lead to retinal damage and cause
blindness.
Which test would the nurse perform when assessing the patient's color
perception?
Ishihara test
Rationale: The Ishihara test determines ability to distinguish colors.
,Which visual assessment finding is most concerning when caring for a patient who
is 75 years old?
Sudden flashes of light
Rationale: Sudden flashes of light are a clinical manifestation of retinal
detachment. This is a medical emergency that the nurse would immediately
report to the provider.
Match the visual diagnostic test to its description.
Monitors macular problems - Amsler Grid test
Measures refractive error - Refractometry
Provides information about flow of blood through retinal vessels - Fluorescein
angiography
Detects changes in central and peripheral vision - Perimetry testing
Which response from the nurse would be important to include when providing
discharge instructions to a patient with a bacterial conjunctivitis who uses contact
lenses?
"Discard all opened or used lens care products."
Which action would the nurse take when preparing to admit a visually impaired
patient to the hospital after abdominal surgery?
Take note of the furniture placement in the room.
Which information would the nurse ensure the patient understands when
educating a patient with a chronic visual sensory perception problem? Select all
that apply. One, some, or all responses may be correct.
- Details of the treatment regimen
- Long-term effects of the disease process
,- How to recognize emergency care needs
- How food preferences and nutritional habits can affect eyesight
Which action would the nurse take when providing initial care to a patient who
got bleach in their eye at work?
Begin eye irrigation immediately.
Which information would the nurse include in discharge teaching for a patient
with viral conjunctivitis? Select all that apply. One, some, or all responses may be
correct.
- How to perform proper hand hygiene
- Applying ice packs, artificial tears, and dark glasses may provide comfort
- How to instill topical corticosteroids, if prescribed
Rationale:
- Careful hand washing is essential to prevent spread of infection from one eye to
the other eye or transmission to others.
- For serious ocular viral conjunctivitis palliative treatment includes ice packs,
artificial tears, and dark glasses. Mild cases are typically self-limiting.
- Severe cases of viral conjunctivitis may include treatment with mild topical
corticosteroids.
Which eye safety measure would the nurse recommend to the woodshop worker
during a routine occupational health visit?
- Wear protective eyewear
Rationale: Wearing appropriate eyewear can prevent many eye injuries that can
occur in this work environment such as blunt or penetrating trauma.
, Which education would the nurse provide to the patient newly diagnosed with
Acanthamoeba keratitis? Select all that apply. One, some, or all responses may be
correct.
- Notify the provider if symptoms do not improve or worsen.
- Discard any opened and used contact lens solutions and lens case.
- Avoid homemade contact lens solutions.
Rationales:
-Treatment is difficult and if the therapy fails the patient may need a corneal
transplant. It is important to ensure therapy is effective.
-Discard any opened and used contact lens solutions and lens case.
It is important to discard any potentially contaminated contact lens solutions and
lens case.
- Homemade contact lens solutions can easily become contaminated with the
parasite and should be avoided.
Which action would the nurse take when caring for a patient requiring the
instillation of 2 eye drops hourly?
Establish a schedule of giving 1 drop on the hour and 1 drop on the half hour
Rationale: Proper spacing of the eye drop installation ensures maximum
absorption.
Which response would the nurse initially give to a patient expressing anxiety over
having a corneal transplant?
Why are you worried?
Rationale: Assessment is the first part of the nursing process. It is important for
the nurse to find out why the patient is anxious about the procedure to ensure
they are addressing the underlying issue.
Answers Graded A+ 2026
The nurse has instructed a patient prescribed antibiotics for conjunctivitis to
follow up in 1 week. Which assessment finding at the follow-up visit indicates
improvement?
The inner lining of the eye is pink and moist.
Rationale: A pink and moist conjunctiva following antibiotic therapy for
conjunctivitis is an expected finding and indicates improvement.
Which description defines ptosis?
Drooping eye
Rationale: Ptosis is drooping of the eye.
Which condition in the patient's health history increases the patient's risk of
becoming blind?
Hyperglycemia
Rationale: High blood glucose levels can lead to retinal damage and cause
blindness.
Which test would the nurse perform when assessing the patient's color
perception?
Ishihara test
Rationale: The Ishihara test determines ability to distinguish colors.
,Which visual assessment finding is most concerning when caring for a patient who
is 75 years old?
Sudden flashes of light
Rationale: Sudden flashes of light are a clinical manifestation of retinal
detachment. This is a medical emergency that the nurse would immediately
report to the provider.
Match the visual diagnostic test to its description.
Monitors macular problems - Amsler Grid test
Measures refractive error - Refractometry
Provides information about flow of blood through retinal vessels - Fluorescein
angiography
Detects changes in central and peripheral vision - Perimetry testing
Which response from the nurse would be important to include when providing
discharge instructions to a patient with a bacterial conjunctivitis who uses contact
lenses?
"Discard all opened or used lens care products."
Which action would the nurse take when preparing to admit a visually impaired
patient to the hospital after abdominal surgery?
Take note of the furniture placement in the room.
Which information would the nurse ensure the patient understands when
educating a patient with a chronic visual sensory perception problem? Select all
that apply. One, some, or all responses may be correct.
- Details of the treatment regimen
- Long-term effects of the disease process
,- How to recognize emergency care needs
- How food preferences and nutritional habits can affect eyesight
Which action would the nurse take when providing initial care to a patient who
got bleach in their eye at work?
Begin eye irrigation immediately.
Which information would the nurse include in discharge teaching for a patient
with viral conjunctivitis? Select all that apply. One, some, or all responses may be
correct.
- How to perform proper hand hygiene
- Applying ice packs, artificial tears, and dark glasses may provide comfort
- How to instill topical corticosteroids, if prescribed
Rationale:
- Careful hand washing is essential to prevent spread of infection from one eye to
the other eye or transmission to others.
- For serious ocular viral conjunctivitis palliative treatment includes ice packs,
artificial tears, and dark glasses. Mild cases are typically self-limiting.
- Severe cases of viral conjunctivitis may include treatment with mild topical
corticosteroids.
Which eye safety measure would the nurse recommend to the woodshop worker
during a routine occupational health visit?
- Wear protective eyewear
Rationale: Wearing appropriate eyewear can prevent many eye injuries that can
occur in this work environment such as blunt or penetrating trauma.
, Which education would the nurse provide to the patient newly diagnosed with
Acanthamoeba keratitis? Select all that apply. One, some, or all responses may be
correct.
- Notify the provider if symptoms do not improve or worsen.
- Discard any opened and used contact lens solutions and lens case.
- Avoid homemade contact lens solutions.
Rationales:
-Treatment is difficult and if the therapy fails the patient may need a corneal
transplant. It is important to ensure therapy is effective.
-Discard any opened and used contact lens solutions and lens case.
It is important to discard any potentially contaminated contact lens solutions and
lens case.
- Homemade contact lens solutions can easily become contaminated with the
parasite and should be avoided.
Which action would the nurse take when caring for a patient requiring the
instillation of 2 eye drops hourly?
Establish a schedule of giving 1 drop on the hour and 1 drop on the half hour
Rationale: Proper spacing of the eye drop installation ensures maximum
absorption.
Which response would the nurse initially give to a patient expressing anxiety over
having a corneal transplant?
Why are you worried?
Rationale: Assessment is the first part of the nursing process. It is important for
the nurse to find out why the patient is anxious about the procedure to ensure
they are addressing the underlying issue.
