WGU D446 ADULT HEALTH 2 EXAM 2025/2026 A
NEW UPDATED STUDY GUIDE ALL COMPLETE
ACCURATE QUESTIONS AND CORRECT
Page | 1
DETAILED ANSWERS (EXPERT VERIFIED
SOLUTIONS)
|GUARANTEED PASS|TOP RATED A+.
WGU D446
Pass the WGU D446 Adult Health II exam 2025/2026 with confidence.
This exam resource features questions in areas like: advanced medical-
surgical nursing, covering conditions such as cardiac, renal, respiratory, and
endocrine disorders. It is best suited for nursing students to apply critical
thinking and evidence-based care in adult health settings.
glomerulonephritis (teaching and interventions) ....... ANSWER
......limit proteins in diet and ensure patient finishes all antibiotics
glomerulonephritis (meds) ....... ANSWER ......A - ace and arbs (-pril
and -sartan)
D - diuretics (-ide)
bypass surgery post-op (diet) ....... ANSWER ......small frequent meals
4-6x daily
wait 30min pre/post eating to drink
consume protein first
NO SUGAR, ALCOHOL, CAFFEINE
, liquid diet first 48hrs then pureed diet for 1month
bypass surgery post-op (teaching) ....... ANSWER ......pouch holds 1-
Page | 2
2oz at a time (size of egg)
NO NSAIDS
will need to consume multivitamins and supplements (B12, calcium, iron)
medications should either be crushed or chewable
GERD (teaching and interventions) ....... ANSWER ......low-fat diet,
small frequent meals, avoid alcohol and caffeine, no tight clothes
around waist, DO NOT lie down 2-3hrs after eating, avoid eating 3hrs
before bed, HOB elevated 30 degrees
TURP ....... ANSWER ......transurethral resection of prostate
TURP post-op (normal) ....... ANSWER ......immediate - bloody urine
24hrs - light red / pink urine
36hrs (max) - small blood clots
TURP post-op (abnormal) ....... ANSWER ......output less than or
equal to input (want it to be more than input)
cast care (risks) ....... ANSWER ......hot spots, compartment
syndrome, infection, pain, neuro change, capillary refill change
, compartment syndrome ....... ANSWER ......increased pressure in
muscle compartment of extremity causing impaired circulation and
Page | 3 ischemia
fat embolism ....... ANSWER ......disruption to blood supply caused
by fat globules in vessel
fractures (interventions) ....... ANSWER ......control bleeding,
immobilize, ice, elevate, neurovascular check, assess pain & sensation,
assess skin temp & color, capillary refill, pulses, movement
HSV (herpes simplex virus) ....... ANSWER ......cold sores and genital
warts
non-curable, active lesions (pain, itch, burn)
genital warts/lesions are priority to report during pregnancy
treatment: acyclovir, compress, and petroleum jelly
liver failure (initial sign) ....... ANSWER ......often changes in
cognitive function
liver failure (interventions) ....... ANSWER ......low protein, sodium,
and fluid diet
avoid alcohol and NSAIDs
drug therapy for hepatitis
, tuberculosis (signs and symptoms) ....... ANSWER ......night sweats,
blood tinged sputum, productive persistent cough, weight loss
Page | 4
tuberculosis (diagnostic) ....... ANSWER ......intradermal injection,
chest x-ray, sputum cultures
tuberculosis (precautions) ....... ANSWER ......airborne
seizures (priority) ....... ANSWER ......airway safety, turn to side,
prepare suction, lower to floor (if not in bed)
NO RESTRAINING AND NOTHING IN MOUTH
ischemic stroke (interventions) ....... ANSWER ......thrombolytics
w/in 3 hours w/ anticoagulants, antiplatelets, and emolectomy
hemorrhagic stroke (interventions) ....... ANSWER
......antihypertensives, surgical aneurysm repair
pain assessment (unconscious patient) ....... ANSWER ......facial
expressions, vocalization (groans, etc), change in vitals, restlessness
SIADH (long meaning) ....... ANSWER ......syndrome of
inappropriate antidiuretic hormone
NEW UPDATED STUDY GUIDE ALL COMPLETE
ACCURATE QUESTIONS AND CORRECT
Page | 1
DETAILED ANSWERS (EXPERT VERIFIED
SOLUTIONS)
|GUARANTEED PASS|TOP RATED A+.
WGU D446
Pass the WGU D446 Adult Health II exam 2025/2026 with confidence.
This exam resource features questions in areas like: advanced medical-
surgical nursing, covering conditions such as cardiac, renal, respiratory, and
endocrine disorders. It is best suited for nursing students to apply critical
thinking and evidence-based care in adult health settings.
glomerulonephritis (teaching and interventions) ....... ANSWER
......limit proteins in diet and ensure patient finishes all antibiotics
glomerulonephritis (meds) ....... ANSWER ......A - ace and arbs (-pril
and -sartan)
D - diuretics (-ide)
bypass surgery post-op (diet) ....... ANSWER ......small frequent meals
4-6x daily
wait 30min pre/post eating to drink
consume protein first
NO SUGAR, ALCOHOL, CAFFEINE
, liquid diet first 48hrs then pureed diet for 1month
bypass surgery post-op (teaching) ....... ANSWER ......pouch holds 1-
Page | 2
2oz at a time (size of egg)
NO NSAIDS
will need to consume multivitamins and supplements (B12, calcium, iron)
medications should either be crushed or chewable
GERD (teaching and interventions) ....... ANSWER ......low-fat diet,
small frequent meals, avoid alcohol and caffeine, no tight clothes
around waist, DO NOT lie down 2-3hrs after eating, avoid eating 3hrs
before bed, HOB elevated 30 degrees
TURP ....... ANSWER ......transurethral resection of prostate
TURP post-op (normal) ....... ANSWER ......immediate - bloody urine
24hrs - light red / pink urine
36hrs (max) - small blood clots
TURP post-op (abnormal) ....... ANSWER ......output less than or
equal to input (want it to be more than input)
cast care (risks) ....... ANSWER ......hot spots, compartment
syndrome, infection, pain, neuro change, capillary refill change
, compartment syndrome ....... ANSWER ......increased pressure in
muscle compartment of extremity causing impaired circulation and
Page | 3 ischemia
fat embolism ....... ANSWER ......disruption to blood supply caused
by fat globules in vessel
fractures (interventions) ....... ANSWER ......control bleeding,
immobilize, ice, elevate, neurovascular check, assess pain & sensation,
assess skin temp & color, capillary refill, pulses, movement
HSV (herpes simplex virus) ....... ANSWER ......cold sores and genital
warts
non-curable, active lesions (pain, itch, burn)
genital warts/lesions are priority to report during pregnancy
treatment: acyclovir, compress, and petroleum jelly
liver failure (initial sign) ....... ANSWER ......often changes in
cognitive function
liver failure (interventions) ....... ANSWER ......low protein, sodium,
and fluid diet
avoid alcohol and NSAIDs
drug therapy for hepatitis
, tuberculosis (signs and symptoms) ....... ANSWER ......night sweats,
blood tinged sputum, productive persistent cough, weight loss
Page | 4
tuberculosis (diagnostic) ....... ANSWER ......intradermal injection,
chest x-ray, sputum cultures
tuberculosis (precautions) ....... ANSWER ......airborne
seizures (priority) ....... ANSWER ......airway safety, turn to side,
prepare suction, lower to floor (if not in bed)
NO RESTRAINING AND NOTHING IN MOUTH
ischemic stroke (interventions) ....... ANSWER ......thrombolytics
w/in 3 hours w/ anticoagulants, antiplatelets, and emolectomy
hemorrhagic stroke (interventions) ....... ANSWER
......antihypertensives, surgical aneurysm repair
pain assessment (unconscious patient) ....... ANSWER ......facial
expressions, vocalization (groans, etc), change in vitals, restlessness
SIADH (long meaning) ....... ANSWER ......syndrome of
inappropriate antidiuretic hormone
