1
, WGU D344 OBJECTIVE ASSESSMENT FINAL NEWEST
2026 ACTUAL EXAM TEST BANK| D344 ASSESSMENT
AND DIAGNOSTIC PROCESSES OA FINAL WITH 300
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Question 1
During a physical examination, which technique is performed
FIRST in an abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Correct Answer: D
Rationale: Inspection is always performed first in abdominal
assessment because palpation and percussion can alter bowel
sounds. Auscultation follows inspection, then percussion, then deep
palpation.
Question 2
A nurse palpates a patient's radial pulse and notes it is
2
,irregular. What is the next appropriate action?
A. Document as normal variant
B. Auscultate apical pulse for a full minute
C. Reassess in 15 minutes
D. Notify the provider immediately
Correct Answer: B
Rationale: An irregular radial pulse requires apical pulse
assessment for a full 60 seconds to accurately determine heart
rate and rhythm. Notifying the provider may be needed after
accurate assessment.
Question 3
Which percussion note is expected over a healthy, air-filled
lung?
A. Flat
B. Dull
C. Resonant
D. Tympanic
Correct Answer: C
3
, Rationale: Resonant percussion notes are heard over normal, air-
filled lung tissue. Flat is over bone or muscle, dull over solid
organs or fluid, tympanic over stomach or air-filled bowel.
Question 4
During auscultation of breath sounds, a nurse hears high-
pitched, continuous sounds during expiration. This finding
suggests:
A. Fine crackles
B. Pleural friction rub
C. Wheezing
D. Stridor
Correct Answer: C
Rationale: Wheezing is a high-pitched, continuous musical sound
typically heard during expiration, indicating narrowing of
airways (asthma, COPD). Stridor is inspiratory and indicates
upper airway obstruction.
Question 5
A patient presents with dullness to percussion at the lung
4
, WGU D344 OBJECTIVE ASSESSMENT FINAL NEWEST
2026 ACTUAL EXAM TEST BANK| D344 ASSESSMENT
AND DIAGNOSTIC PROCESSES OA FINAL WITH 300
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Question 1
During a physical examination, which technique is performed
FIRST in an abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Correct Answer: D
Rationale: Inspection is always performed first in abdominal
assessment because palpation and percussion can alter bowel
sounds. Auscultation follows inspection, then percussion, then deep
palpation.
Question 2
A nurse palpates a patient's radial pulse and notes it is
2
,irregular. What is the next appropriate action?
A. Document as normal variant
B. Auscultate apical pulse for a full minute
C. Reassess in 15 minutes
D. Notify the provider immediately
Correct Answer: B
Rationale: An irregular radial pulse requires apical pulse
assessment for a full 60 seconds to accurately determine heart
rate and rhythm. Notifying the provider may be needed after
accurate assessment.
Question 3
Which percussion note is expected over a healthy, air-filled
lung?
A. Flat
B. Dull
C. Resonant
D. Tympanic
Correct Answer: C
3
, Rationale: Resonant percussion notes are heard over normal, air-
filled lung tissue. Flat is over bone or muscle, dull over solid
organs or fluid, tympanic over stomach or air-filled bowel.
Question 4
During auscultation of breath sounds, a nurse hears high-
pitched, continuous sounds during expiration. This finding
suggests:
A. Fine crackles
B. Pleural friction rub
C. Wheezing
D. Stridor
Correct Answer: C
Rationale: Wheezing is a high-pitched, continuous musical sound
typically heard during expiration, indicating narrowing of
airways (asthma, COPD). Stridor is inspiratory and indicates
upper airway obstruction.
Question 5
A patient presents with dullness to percussion at the lung
4
