,WGUD444/WGU D444 Adult Health I Objective
Assessment | OA V1 & V2 | WGU | Q & A | 2026 Edition
1. The nurse is assessing a client who is 2 hours post-cardiac catheterization via the femoral artery.
Which finding requires immediate intervention?
A) Slight oozing at the insertion site
B) Hematoma at the insertion site
C) Pedal pulses equal bilaterally
D) Warm, pink toes
Correct Answer: Hematoma at the insertion site
Expert Rationale: A hematoma at the catheter insertion site indicates bleeding and requires immediate
intervention. Slight oozing may be normal, but a growing hematoma is concerning and may lead to
significant blood loss. Pedal pulses and warm pink toes indicate adequate perfusion.
2. A client with a history of angina is prescribed sublingual nitroglycerin. How many doses may the client
take before seeking emergency medical attention?
A) One dose
B) Two doses
C) Three doses
D) Four doses
Correct Answer: Three doses
Expert Rationale: For angina, the client should take one sublingual nitroglycerin tablet every 5 minutes,
up to a maximum of three doses. If chest pain persists after three doses, the client should call 911 or
seek emergency medical care. Nitroglycerin works by vasodilation to improve coronary blood flow.
3. During a health history, a client reports crushing substernal chest pain radiating to the jaw. Which
question should the nurse ask next?
,A) "When did the pain start?"
B) "Is the pain worse with deep breathing?"
C) "What were you doing when the pain began?"
D) "Can you rate the pain on a scale of 0 to 10?"
Correct Answer: "Can you rate the pain on a scale of 0 to 10?"
Expert Rationale: Pain assessment includes onset, location, duration, character, aggravating/alleviating
factors, and severity. Rating the pain on a 0-10 scale provides a baseline for evaluating treatment
effectiveness. While timing and activity are important, severity is a priority to guide immediate pain
management.
4. The nurse is caring for a client with a newly inserted permanent pacemaker. Which discharge
instruction should the nurse include?
A) "You may resume all physical activities immediately."
B) "You should avoid MRI machines and large electromagnetic fields."
C) "You will not need any follow-up appointments."
D) "You can stop taking your cardiac medications."
Correct Answer: "You should avoid MRI machines and large electromagnetic fields."
Expert Rationale: Clients with pacemakers should avoid MRI machines and large electromagnetic fields.
They should also avoid contact sports and follow up regularly with their cardiologist. Cardiac
medications should be continued as prescribed unless otherwise directed.
5. A client with heart failure is prescribed furosemide. Which electrolyte imbalance should the nurse
monitor for?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypermagnesemia
, Correct Answer: Hypokalemia
Expert Rationale: Furosemide is a loop diuretic that causes potassium loss, leading to hypokalemia.
Hypokalemia can cause cardiac arrhythmias. Potassium-sparing diuretics cause hyperkalemia. Sodium
and magnesium may also be affected.
6. A client with left-sided heart failure is likely to exhibit which finding?
A) Peripheral edema
B) Crackles in the lungs
C) Jugular vein distention
D) Hepatomegaly
Correct Answer: Crackles in the lungs
Expert Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles on
auscultation. Peripheral edema, jugular vein distention, and hepatomegaly are signs of right-sided heart
failure. Left-sided failure often presents with dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.
7. A client with right-sided heart failure is likely to exhibit which finding?
A) Crackles in the lungs
B) Peripheral edema
C) Orthopnea
D) Paroxysmal nocturnal dyspnea
Correct Answer: Peripheral edema
Expert Rationale: Right-sided heart failure leads to systemic venous congestion, causing peripheral
edema, jugular vein distention, and hepatomegaly. Crackles, orthopnea, and PND are signs of left-sided
heart failure. Right-sided failure often results from left-sided failure.
Assessment | OA V1 & V2 | WGU | Q & A | 2026 Edition
1. The nurse is assessing a client who is 2 hours post-cardiac catheterization via the femoral artery.
Which finding requires immediate intervention?
A) Slight oozing at the insertion site
B) Hematoma at the insertion site
C) Pedal pulses equal bilaterally
D) Warm, pink toes
Correct Answer: Hematoma at the insertion site
Expert Rationale: A hematoma at the catheter insertion site indicates bleeding and requires immediate
intervention. Slight oozing may be normal, but a growing hematoma is concerning and may lead to
significant blood loss. Pedal pulses and warm pink toes indicate adequate perfusion.
2. A client with a history of angina is prescribed sublingual nitroglycerin. How many doses may the client
take before seeking emergency medical attention?
A) One dose
B) Two doses
C) Three doses
D) Four doses
Correct Answer: Three doses
Expert Rationale: For angina, the client should take one sublingual nitroglycerin tablet every 5 minutes,
up to a maximum of three doses. If chest pain persists after three doses, the client should call 911 or
seek emergency medical care. Nitroglycerin works by vasodilation to improve coronary blood flow.
3. During a health history, a client reports crushing substernal chest pain radiating to the jaw. Which
question should the nurse ask next?
,A) "When did the pain start?"
B) "Is the pain worse with deep breathing?"
C) "What were you doing when the pain began?"
D) "Can you rate the pain on a scale of 0 to 10?"
Correct Answer: "Can you rate the pain on a scale of 0 to 10?"
Expert Rationale: Pain assessment includes onset, location, duration, character, aggravating/alleviating
factors, and severity. Rating the pain on a 0-10 scale provides a baseline for evaluating treatment
effectiveness. While timing and activity are important, severity is a priority to guide immediate pain
management.
4. The nurse is caring for a client with a newly inserted permanent pacemaker. Which discharge
instruction should the nurse include?
A) "You may resume all physical activities immediately."
B) "You should avoid MRI machines and large electromagnetic fields."
C) "You will not need any follow-up appointments."
D) "You can stop taking your cardiac medications."
Correct Answer: "You should avoid MRI machines and large electromagnetic fields."
Expert Rationale: Clients with pacemakers should avoid MRI machines and large electromagnetic fields.
They should also avoid contact sports and follow up regularly with their cardiologist. Cardiac
medications should be continued as prescribed unless otherwise directed.
5. A client with heart failure is prescribed furosemide. Which electrolyte imbalance should the nurse
monitor for?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypermagnesemia
, Correct Answer: Hypokalemia
Expert Rationale: Furosemide is a loop diuretic that causes potassium loss, leading to hypokalemia.
Hypokalemia can cause cardiac arrhythmias. Potassium-sparing diuretics cause hyperkalemia. Sodium
and magnesium may also be affected.
6. A client with left-sided heart failure is likely to exhibit which finding?
A) Peripheral edema
B) Crackles in the lungs
C) Jugular vein distention
D) Hepatomegaly
Correct Answer: Crackles in the lungs
Expert Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles on
auscultation. Peripheral edema, jugular vein distention, and hepatomegaly are signs of right-sided heart
failure. Left-sided failure often presents with dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.
7. A client with right-sided heart failure is likely to exhibit which finding?
A) Crackles in the lungs
B) Peripheral edema
C) Orthopnea
D) Paroxysmal nocturnal dyspnea
Correct Answer: Peripheral edema
Expert Rationale: Right-sided heart failure leads to systemic venous congestion, causing peripheral
edema, jugular vein distention, and hepatomegaly. Crackles, orthopnea, and PND are signs of left-sided
heart failure. Right-sided failure often results from left-sided failure.
