WGU D444 OA 100 QUESTIONS & CORRECT
ANSWERS LATEST 2026/2027
A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder irrigation
with normal saline is infusion and the nurse observes dark pink tined outflow with
blood clots in the tubing and collection bag. Which action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
D Monitor a catheter drainage
A client who had colon surgery three days ago is anxious and requesting assistance
to reposition. While the nurse is turning the client the wound dehisces and
eviscerates. The nurse moistens and available sterile dressing and place it over the
wound. Which intervention should the nurse implement next?
A Obtain a sample of the drainage and sent to the laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity bring
D additional sterile dressing supplies to the room
B Prepare the client to return to the operating room
A client with a fracture of the right femur has a skeletal traction applied. Which
intervention should the nurse include in the client's nursing plan of care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals around the clock
A Assess the pin site for signs of infection
A client with renal calculus reports, severe right flank pain, nausea, and vomiting
which nursing problem has the highest priority?
,A Risk for aspiration related to vomiting
B Impaired renal function related to pain
C Nutritional deficit related to nausea
D Acute pain related to renal calculus
A Risk for aspiration related to vomiting
An adult client who recently diagnosed with glaucoma tells the nurse I feel like I
am driving through a tunnel. The client expresses great concern about going blind.
Which nursing instruction is most important for the nurse to provide this client?
A Eat a diet high in carotene
B Wear prescription glasses
C Avoid frequent eye pressure measurements
D Maintain prescribed eyedrop regimen
D Maintain prescribed eyedrop regimen
When conducting discharge teaching for a client diagnosed with diverticulitis,
which diet instruction should the nurse include?
A Have small frequent meals and sit up for at least two hours after meals
B Eat a high fiber, diet and increase fluid intake
C Eat soft diet with increased intake of milk and milk products
D Eat a bland diet and avoid spicy food
B Eat a high fiber, diet and increased fluid intake
A client who works as a data in tree clerk is concerned as to how a recent diagnosis
of Raynauds syndrome is going to affect the clients job performance. Which action
should the nurse provide to this client?
A Obtain a keyboard design designated to limit wrist flexion
B Keep both hands elevated during work breaks
C Use a space heater to keep the workspace warm
D Take a multivitamin that contains vitamin D daily
C Use a space heater to keep the workspace warm
,The nurse is caring for a client who reports a sudden, severe headache and facial
numbness. The nurse asked the client to smile and observe and uneven smile with
facial droop to the right side, and a hand grasp strength that is winker on the right
side than the left. The client denies a recent history of headaches or trauma. Which
intervention should the nurse perform in the immediate management of the client?
Start two large bore IV catheters and review inclusion criteria for IV fibirnolytic
therapy
Maintain elevated positioning and the dependent joints on affected side
Verify prescribed laboratory test include pron time and platelet count
Administer aspirin to prevent further clot formation and platelet clumping
Start two large bore IV catheters and review inclusion criteria for IV fibirnolytic
therapy
a client with bilateral carpal tunnel syndrome, reports to the nurse that the pain and
tingling experienced worsens at night. Which client teaching should the nurse
provide?
A Elevate the hands on two pillows at night
B Apply cold compress for 30 minutes before bedtime
C Wear braces on both wrist during the night
D Notify the healthcare provider as soon as possible
C Wear braces on both wrist during the night
Following a lumbar puncture, a client voices several concerns. Which concerns
indicate to the nurse that the client is experiencing a complication of the
procedure?
A I have a headache that gets worse when I sit up
B I am having back pain in my lower back when I move my legs
C My throat hurts badly when I swallow and when I talk
D I feel sick to my stomach and I'm going to throw up
A I have a headache that gets worse when I sit up
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendation should the nursing encourage the client to follow?
, A Increase intake of potassium rich foods, such as banana, bananas, or cantaloupe
B Increased intake of high fiber foods such as brand cereal
C Limit oral fluid to 500 ML/day
D Restrict protein intake by limiting meats and other high protein foods
D Restrict protein intake by limiting meats and other high protein foods
A client receive a prescription of 2 L of lactated ringers IV to be infused over 20
hours. How many ML/hr should the nurse program the infusion pump to deliver
100
Which findings during the admission assessment should the nurse document that
are related to a client diagnosed with crushing syndrome?
A Husky voice and troubled by hoarseness
B Visible swelling of the neck with no pain
C Central type obesity with thin extremities
D Warm, soft, moist salmon colored skin
C Central type obesity with thin extremities
A client receives a prescription of 1 L of lactated ringers to be infused IV over
eight hours. Administration set delivers 15 get/mL How many ML/hr Should the
nurse program the infusion pump to deliver?
125
The nurse is a developing a plan of care for a client who reports blurred vision and
is newly diagnosed with cardiovascular disease. Which outcome should the nurse
include in the plan of care for this client?
A The client's daily blood pressure will be less than 140/80
B The nurse will encourage the client to walk 30 minutes every day
C The client's blood pressure readings will be less than 160/90
D The client's family will state signs and symptoms about the disease
A The clients daily blood pressure will be less than 140/80
A client who has small cell carcinoma of the lung is admitted with symptoms of
syndrome of inappropriate antidiuretic hormone (SIADH) as the client responds to
the treatment. The clients room sodium level increases from 120 mEq/L to 125.
ANSWERS LATEST 2026/2027
A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder irrigation
with normal saline is infusion and the nurse observes dark pink tined outflow with
blood clots in the tubing and collection bag. Which action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
D Monitor a catheter drainage
A client who had colon surgery three days ago is anxious and requesting assistance
to reposition. While the nurse is turning the client the wound dehisces and
eviscerates. The nurse moistens and available sterile dressing and place it over the
wound. Which intervention should the nurse implement next?
A Obtain a sample of the drainage and sent to the laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity bring
D additional sterile dressing supplies to the room
B Prepare the client to return to the operating room
A client with a fracture of the right femur has a skeletal traction applied. Which
intervention should the nurse include in the client's nursing plan of care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals around the clock
A Assess the pin site for signs of infection
A client with renal calculus reports, severe right flank pain, nausea, and vomiting
which nursing problem has the highest priority?
,A Risk for aspiration related to vomiting
B Impaired renal function related to pain
C Nutritional deficit related to nausea
D Acute pain related to renal calculus
A Risk for aspiration related to vomiting
An adult client who recently diagnosed with glaucoma tells the nurse I feel like I
am driving through a tunnel. The client expresses great concern about going blind.
Which nursing instruction is most important for the nurse to provide this client?
A Eat a diet high in carotene
B Wear prescription glasses
C Avoid frequent eye pressure measurements
D Maintain prescribed eyedrop regimen
D Maintain prescribed eyedrop regimen
When conducting discharge teaching for a client diagnosed with diverticulitis,
which diet instruction should the nurse include?
A Have small frequent meals and sit up for at least two hours after meals
B Eat a high fiber, diet and increase fluid intake
C Eat soft diet with increased intake of milk and milk products
D Eat a bland diet and avoid spicy food
B Eat a high fiber, diet and increased fluid intake
A client who works as a data in tree clerk is concerned as to how a recent diagnosis
of Raynauds syndrome is going to affect the clients job performance. Which action
should the nurse provide to this client?
A Obtain a keyboard design designated to limit wrist flexion
B Keep both hands elevated during work breaks
C Use a space heater to keep the workspace warm
D Take a multivitamin that contains vitamin D daily
C Use a space heater to keep the workspace warm
,The nurse is caring for a client who reports a sudden, severe headache and facial
numbness. The nurse asked the client to smile and observe and uneven smile with
facial droop to the right side, and a hand grasp strength that is winker on the right
side than the left. The client denies a recent history of headaches or trauma. Which
intervention should the nurse perform in the immediate management of the client?
Start two large bore IV catheters and review inclusion criteria for IV fibirnolytic
therapy
Maintain elevated positioning and the dependent joints on affected side
Verify prescribed laboratory test include pron time and platelet count
Administer aspirin to prevent further clot formation and platelet clumping
Start two large bore IV catheters and review inclusion criteria for IV fibirnolytic
therapy
a client with bilateral carpal tunnel syndrome, reports to the nurse that the pain and
tingling experienced worsens at night. Which client teaching should the nurse
provide?
A Elevate the hands on two pillows at night
B Apply cold compress for 30 minutes before bedtime
C Wear braces on both wrist during the night
D Notify the healthcare provider as soon as possible
C Wear braces on both wrist during the night
Following a lumbar puncture, a client voices several concerns. Which concerns
indicate to the nurse that the client is experiencing a complication of the
procedure?
A I have a headache that gets worse when I sit up
B I am having back pain in my lower back when I move my legs
C My throat hurts badly when I swallow and when I talk
D I feel sick to my stomach and I'm going to throw up
A I have a headache that gets worse when I sit up
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendation should the nursing encourage the client to follow?
, A Increase intake of potassium rich foods, such as banana, bananas, or cantaloupe
B Increased intake of high fiber foods such as brand cereal
C Limit oral fluid to 500 ML/day
D Restrict protein intake by limiting meats and other high protein foods
D Restrict protein intake by limiting meats and other high protein foods
A client receive a prescription of 2 L of lactated ringers IV to be infused over 20
hours. How many ML/hr should the nurse program the infusion pump to deliver
100
Which findings during the admission assessment should the nurse document that
are related to a client diagnosed with crushing syndrome?
A Husky voice and troubled by hoarseness
B Visible swelling of the neck with no pain
C Central type obesity with thin extremities
D Warm, soft, moist salmon colored skin
C Central type obesity with thin extremities
A client receives a prescription of 1 L of lactated ringers to be infused IV over
eight hours. Administration set delivers 15 get/mL How many ML/hr Should the
nurse program the infusion pump to deliver?
125
The nurse is a developing a plan of care for a client who reports blurred vision and
is newly diagnosed with cardiovascular disease. Which outcome should the nurse
include in the plan of care for this client?
A The client's daily blood pressure will be less than 140/80
B The nurse will encourage the client to walk 30 minutes every day
C The client's blood pressure readings will be less than 160/90
D The client's family will state signs and symptoms about the disease
A The clients daily blood pressure will be less than 140/80
A client who has small cell carcinoma of the lung is admitted with symptoms of
syndrome of inappropriate antidiuretic hormone (SIADH) as the client responds to
the treatment. The clients room sodium level increases from 120 mEq/L to 125.
