WGU D444 is Adult Health I: Nursing |PA
|PRE Assessment -Solved
1. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen.
Which finding requires the nurse's priority intervention?
A. Oxygen saturation of 90%
B. Respiratory rate of 20/min
C. New onset of confusion and increasing drowsiness
D. Productive cough with clear sputum
2. A client with pneumonia has an oxygen saturation of 86% on room air. What
should the nurse do first?
A. Encourage oral fluids
B. Apply prescribed supplemental oxygen
C. Obtain a sputum specimen
D. Administer an antipyretic
3. Which assessment finding is most characteristic of left-sided heart failure?
A. Peripheral edema
B. Jugular venous distention
C. Crackles in the lungs
D. Enlarged liver
4. A client taking furosemide should be monitored most closely for which electrolyte
imbalance?
A. Hypercalcemia
B. Hypernatremia
C. Hypokalemia
D. Hypermagnesemia
5. Which finding is most concerning in a client with increased intracranial pressure?
A. Headache
B. Nausea
C. Decreased level of consciousness
D. Photophobia
6. A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). Which
finding should the nurse expect?
,A. Bradycardia
B. Kussmaul respirations
C. Severe hypothermia
D. Decreased serum glucose
7. Which laboratory value is most important to monitor in a client receiving an ACE
inhibitor?
A. Potassium
B. Calcium
C. Hemoglobin
D. Platelets
8. A client with cirrhosis develops confusion and altered mental status. Which
complication should the nurse suspect?
A. Hypoglycemia
B. Hepatic encephalopathy
C. Acute pancreatitis
D. Gastroesophageal reflux
9. Which food should a client with celiac disease avoid?
A. Rice
B. Corn
C. Wheat bread
D. Potatoes
10. A client with a history of esophageal varices suddenly vomits a large amount of
bright-red blood. What is the nurse's priority?
A. Offer ice chips
B. Assess airway and breathing
C. Obtain a dietary history
D. Place the client in Trendelenburg position
11. Which assessment finding is most consistent with hypovolemia?
A. Bounding pulse
B. Hypertension
C. Decreased urine output
D. Jugular venous distention
12. Which intervention is appropriate for a client with fluid volume excess?
A. Encourage increased sodium intake
B. Restrict fluids as prescribed
C. Administer hypotonic fluids rapidly
, D. Place the client flat in bed
13. A client with asthma develops severe wheezing and dyspnea. Which medication
would the nurse expect to administer for rapid bronchodilation?
A. Albuterol
B. Warfarin
C. Furosemide
D. Levothyroxine
14. Which finding indicates that a client with COPD may be experiencing respiratory
deterioration?
A. Mild fatigue after activity
B. Increasing carbon dioxide retention with decreased consciousness
C. Respiratory rate of 18/min
D. Clear bilateral breath sounds
15. A client with glaucoma is prescribed an ophthalmic medication. The nurse
understands that the primary goal of treatment is to:
A. Increase intraocular pressure
B. Reduce intraocular pressure
C. Increase tear production only
D. Dilate the pupil permanently
16. Which medication is particularly associated with hepatotoxicity when excessive
doses are taken?
A. Acetaminophen
B. Amoxicillin
C. Furosemide
D. Insulin
17. Which adverse effect should the nurse monitor for in a client receiving
vancomycin?
A. Ototoxicity
B. Severe hypoglycemia
C. Hyperthyroidism
D. Cataracts
18. A client with a myocardial infarction reports crushing chest pain. Which
assessment finding requires immediate attention?
A. Anxiety
B. Mild nausea
C. New ventricular dysrhythmia
|PRE Assessment -Solved
1. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen.
Which finding requires the nurse's priority intervention?
A. Oxygen saturation of 90%
B. Respiratory rate of 20/min
C. New onset of confusion and increasing drowsiness
D. Productive cough with clear sputum
2. A client with pneumonia has an oxygen saturation of 86% on room air. What
should the nurse do first?
A. Encourage oral fluids
B. Apply prescribed supplemental oxygen
C. Obtain a sputum specimen
D. Administer an antipyretic
3. Which assessment finding is most characteristic of left-sided heart failure?
A. Peripheral edema
B. Jugular venous distention
C. Crackles in the lungs
D. Enlarged liver
4. A client taking furosemide should be monitored most closely for which electrolyte
imbalance?
A. Hypercalcemia
B. Hypernatremia
C. Hypokalemia
D. Hypermagnesemia
5. Which finding is most concerning in a client with increased intracranial pressure?
A. Headache
B. Nausea
C. Decreased level of consciousness
D. Photophobia
6. A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). Which
finding should the nurse expect?
,A. Bradycardia
B. Kussmaul respirations
C. Severe hypothermia
D. Decreased serum glucose
7. Which laboratory value is most important to monitor in a client receiving an ACE
inhibitor?
A. Potassium
B. Calcium
C. Hemoglobin
D. Platelets
8. A client with cirrhosis develops confusion and altered mental status. Which
complication should the nurse suspect?
A. Hypoglycemia
B. Hepatic encephalopathy
C. Acute pancreatitis
D. Gastroesophageal reflux
9. Which food should a client with celiac disease avoid?
A. Rice
B. Corn
C. Wheat bread
D. Potatoes
10. A client with a history of esophageal varices suddenly vomits a large amount of
bright-red blood. What is the nurse's priority?
A. Offer ice chips
B. Assess airway and breathing
C. Obtain a dietary history
D. Place the client in Trendelenburg position
11. Which assessment finding is most consistent with hypovolemia?
A. Bounding pulse
B. Hypertension
C. Decreased urine output
D. Jugular venous distention
12. Which intervention is appropriate for a client with fluid volume excess?
A. Encourage increased sodium intake
B. Restrict fluids as prescribed
C. Administer hypotonic fluids rapidly
, D. Place the client flat in bed
13. A client with asthma develops severe wheezing and dyspnea. Which medication
would the nurse expect to administer for rapid bronchodilation?
A. Albuterol
B. Warfarin
C. Furosemide
D. Levothyroxine
14. Which finding indicates that a client with COPD may be experiencing respiratory
deterioration?
A. Mild fatigue after activity
B. Increasing carbon dioxide retention with decreased consciousness
C. Respiratory rate of 18/min
D. Clear bilateral breath sounds
15. A client with glaucoma is prescribed an ophthalmic medication. The nurse
understands that the primary goal of treatment is to:
A. Increase intraocular pressure
B. Reduce intraocular pressure
C. Increase tear production only
D. Dilate the pupil permanently
16. Which medication is particularly associated with hepatotoxicity when excessive
doses are taken?
A. Acetaminophen
B. Amoxicillin
C. Furosemide
D. Insulin
17. Which adverse effect should the nurse monitor for in a client receiving
vancomycin?
A. Ototoxicity
B. Severe hypoglycemia
C. Hyperthyroidism
D. Cataracts
18. A client with a myocardial infarction reports crushing chest pain. Which
assessment finding requires immediate attention?
A. Anxiety
B. Mild nausea
C. New ventricular dysrhythmia
