WGU D446 ADULT HEALTH 2 OA QUESTIONS
WITH CORRECT ANSWERS
◉ Which finding noted in the client on continuous ambulatory
peritoneal dialysis (CAPD) would be reported to the primary health
care provider (PHCP)?
Answer: Cloudy yellow dialysate output
◉ A client with a history of myasthenia gravis presents at a clinic
with bilateral ptosis and is drooling, and myasthenic crisis is
suspected. The nurse assesses the client for which precipitating
factor?
Answer: Omitting doses of medication
◉ The nurse is providing teaching to a client with breast cancer who
will undergo chemotherapy for cancer, and alopecia is expected from
the chemotherapeutic agent. Which statement made by the client
indicates a need for further teaching?
Answer: "I can't believe my hair loss is going to be permanent."
◉ A client is admitted to the nursing unit after a left below-the-knee
amputation after a crush injury to the foot and lower leg. The client
tells the nurse, "I think I'm going crazy. I can feel my left foot itching."
How would the nurse interpret this client statement?
,Answer: A normal response that indicates the presence of phantom
limb sensation
◉ The nurse is participating in a health screening clinic and is
preparing teaching materials about colorectal cancer. Which risk
factor for colorectal cancer would the nurse include?
Answer: Personal history of ulcerative colitis or gastrointestinal
polyps
◉ The nurse is caring for a client diagnosed with breast cancer
receiving combination chemotherapy. Which nursing intervention is
the most appropriate?
Answer: Avoid giving agents with the same nadirs and toxicities at
the same time.
◉ The nurse is preparing to ambulate a client on the third day after
cardiac surgery. What would the nurse plan to do to enable the client
to best tolerate the ambulation?
Answer: Premedicate the client with an analgesic.
◉ A client who suffered a brain attack (stroke) is prepared for
discharge from the hospital. The primary health care provider has
prescribed range-of-motion (ROM) exercises for the client's right
side. What action would the nurse include in the client's plan of
care?
,Answer: Consider the use of active, passive, or active-assisted
exercises in the home.
◉ A client who had cranial surgery 5 days earlier to remove a brain
tumor has a few cognitive deficits and does not seem to be
progressing as quickly as the client or family had hoped. The nurse
plans to implement which approach as most helpful to the client and
family at this time?
Answer: Emphasize progress in a realistic manner.
◉ A client is being transferred to the nursing unit from the
postanesthesia care unit after spinal fusion with rod insertion to
treat spinal instability from severe arthritis. The nurse would
prepare to transfer the client from the stretcher to the bed by using
which best method?
Answer: A transfer (slider) board and the assistance of three people
◉ A cervical radiation implant is placed in a client who is
undergoing treatment of cervical cancer. The nurse would initiate
which activity prescription as the most appropriate for this client?
Answer: Bed rest
◉ The nurse is caring for a client diagnosed with Alzheimer's
disease. The nurse would anticipate that the client has changes in
which component of the nervous system?
, Answer: Neuronal dendrites
◉ The nurse is planning measures to increase bed mobility for a
client in skeletal leg traction. Which item would the nurse consider
to be most helpful for this client?
Answer: Overhead trapeze
◉ A client with chronic kidney disease who is scheduled for
hemodialysis this morning is due to receive a daily dose of enalapril.
When would the nurse plan to administer this medication?
Answer: On return from dialysis
◉ The nurse has developed a postoperative plan of care for a client
who had a thyroidectomy and documents that the client is at risk for
developing an ineffective breathing pattern. Which nursing
intervention would the nurse include in the plan of care?
Answer: Monitor for neck swelling.
◉ The nurse is reviewing the record of a client admitted to the
hospital with a diagnosis of pheochromocytoma. The nurse reads
the assessment findings and expects to note documentation of which
major symptom associated with this condition?
Answer: Hypertension
WITH CORRECT ANSWERS
◉ Which finding noted in the client on continuous ambulatory
peritoneal dialysis (CAPD) would be reported to the primary health
care provider (PHCP)?
Answer: Cloudy yellow dialysate output
◉ A client with a history of myasthenia gravis presents at a clinic
with bilateral ptosis and is drooling, and myasthenic crisis is
suspected. The nurse assesses the client for which precipitating
factor?
Answer: Omitting doses of medication
◉ The nurse is providing teaching to a client with breast cancer who
will undergo chemotherapy for cancer, and alopecia is expected from
the chemotherapeutic agent. Which statement made by the client
indicates a need for further teaching?
Answer: "I can't believe my hair loss is going to be permanent."
◉ A client is admitted to the nursing unit after a left below-the-knee
amputation after a crush injury to the foot and lower leg. The client
tells the nurse, "I think I'm going crazy. I can feel my left foot itching."
How would the nurse interpret this client statement?
,Answer: A normal response that indicates the presence of phantom
limb sensation
◉ The nurse is participating in a health screening clinic and is
preparing teaching materials about colorectal cancer. Which risk
factor for colorectal cancer would the nurse include?
Answer: Personal history of ulcerative colitis or gastrointestinal
polyps
◉ The nurse is caring for a client diagnosed with breast cancer
receiving combination chemotherapy. Which nursing intervention is
the most appropriate?
Answer: Avoid giving agents with the same nadirs and toxicities at
the same time.
◉ The nurse is preparing to ambulate a client on the third day after
cardiac surgery. What would the nurse plan to do to enable the client
to best tolerate the ambulation?
Answer: Premedicate the client with an analgesic.
◉ A client who suffered a brain attack (stroke) is prepared for
discharge from the hospital. The primary health care provider has
prescribed range-of-motion (ROM) exercises for the client's right
side. What action would the nurse include in the client's plan of
care?
,Answer: Consider the use of active, passive, or active-assisted
exercises in the home.
◉ A client who had cranial surgery 5 days earlier to remove a brain
tumor has a few cognitive deficits and does not seem to be
progressing as quickly as the client or family had hoped. The nurse
plans to implement which approach as most helpful to the client and
family at this time?
Answer: Emphasize progress in a realistic manner.
◉ A client is being transferred to the nursing unit from the
postanesthesia care unit after spinal fusion with rod insertion to
treat spinal instability from severe arthritis. The nurse would
prepare to transfer the client from the stretcher to the bed by using
which best method?
Answer: A transfer (slider) board and the assistance of three people
◉ A cervical radiation implant is placed in a client who is
undergoing treatment of cervical cancer. The nurse would initiate
which activity prescription as the most appropriate for this client?
Answer: Bed rest
◉ The nurse is caring for a client diagnosed with Alzheimer's
disease. The nurse would anticipate that the client has changes in
which component of the nervous system?
, Answer: Neuronal dendrites
◉ The nurse is planning measures to increase bed mobility for a
client in skeletal leg traction. Which item would the nurse consider
to be most helpful for this client?
Answer: Overhead trapeze
◉ A client with chronic kidney disease who is scheduled for
hemodialysis this morning is due to receive a daily dose of enalapril.
When would the nurse plan to administer this medication?
Answer: On return from dialysis
◉ The nurse has developed a postoperative plan of care for a client
who had a thyroidectomy and documents that the client is at risk for
developing an ineffective breathing pattern. Which nursing
intervention would the nurse include in the plan of care?
Answer: Monitor for neck swelling.
◉ The nurse is reviewing the record of a client admitted to the
hospital with a diagnosis of pheochromocytoma. The nurse reads
the assessment findings and expects to note documentation of which
major symptom associated with this condition?
Answer: Hypertension
