Adult Health 1
Objective Assessment
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢118 OA Exam Questions w/ Answers
➢Expert Rationales included.
➢OA Study Guide & Clinical Prioritization
➢Zach's Study Guide D444
➢ Adult Health Study Guide: Core Systems & Infections
,PREVIEW PAGES BELOW
Get the Complete
PDF After Purchase
NEED HELP OR MORE RESOURCES?
?
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
D444 OA EXAM ................................................................................. 2
D444 OA Study Guide & Clinical Prioritization ............................... 67
Zach's Study Guide D444 ................................................................ 75
Adult Health Study Guide: Core Systems & Infections .................. 90
D444 OA EXAM
1. A client with chronic cirrhosis has esophageal varices. It is most important for
the nurse to monitor the client for the onset of which problem?
A. Hematemesis (vomiting blood)
B. Jaundice
C. Ascites
D. Hepatic encephalopathy
Correct Answer: A
Rationale: Esophageal varices are dilated veins in the lower esophagus resulting
from portal hypertension in cirrhosis. These veins are fragile and can rupture,
causing life-threatening hemorrhage. Hematemesis (vomiting blood) indicates
variceal rupture, which is a medical emergency requiring immediate intervention.
, While jaundice, ascites, and hepatic encephalopathy are complications of
cirrhosis, variceal bleeding poses the most immediate threat to life.
2. The client is a 51-year-old male with pneumonia. The client has a history of
hypertension and takes enalapril and a multivitamin daily. His surgical history
includes adenoid removal at age 4 and a surgical repair of a fractured tibia at age
20. The nurse is preparing to set up oxygen administration and apply a simple
face mask. Mark whether the following assessment findings indicate that the
treatment was effective or ineffective:
Table
Assessment Finding Effective Ineffective
Ronchi in the right lung ☐
PaCO₂ 55 mm Hg on a blood gas ☐
Diminished breath sounds in the right lung ☐
Symmetric chest expansion ☐
Oxygen saturation greater than 94% ☐
Client ambulates without shortness of breath ☐
Rationale: Effective treatment for pneumonia should result in improved
oxygenation (SpO₂ >94%), symmetric chest expansion indicating equal lung
ventilation, and the ability to ambulate without dyspnea. Ineffective findings
include persistent adventitious sounds (ronchi), elevated PaCO₂ (normal 35–45