WGU D446 Objective Assessment V2 / D446
Adult Health II OA Review | Latest 2026 /
2027 Update | Questions & Answers | Grade
A | 100% Correct Verified Solutions
Which finding noted in the client on continuous ambulatory peritoneal dialysis (CAPD)
would be reported to the primary health care provider (PHCP)?
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?
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?
"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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
Hypertension
The nurse is providing instructions to the parents of a child with scoliosis regarding the
use of a brace. Which statement by the parents indicates a need for further instruction?
"I need to apply lotion under the brace to prevent skin breakdown."
A 5-year-old child arrives at the emergency department, and the child's parents state
that the child fell off a bunk bed. A head injury is suspected. The nurse checks the child's
airway status and assesses the child for early and late signs of increased intracranial
pressure (ICP). Which is a late sign of increased ICP?
Bradycardia
The nurse provides instructions to a client diagnosed with osteoporosis. Education
about prevention of which complication is the most important?
Fractures
The nurse is collecting data related to a client's risk factors associated with osteoporosis.
Which data would the nurse include? Select all that apply.
Adult Health II OA Review | Latest 2026 /
2027 Update | Questions & Answers | Grade
A | 100% Correct Verified Solutions
Which finding noted in the client on continuous ambulatory peritoneal dialysis (CAPD)
would be reported to the primary health care provider (PHCP)?
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?
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?
"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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
Hypertension
The nurse is providing instructions to the parents of a child with scoliosis regarding the
use of a brace. Which statement by the parents indicates a need for further instruction?
"I need to apply lotion under the brace to prevent skin breakdown."
A 5-year-old child arrives at the emergency department, and the child's parents state
that the child fell off a bunk bed. A head injury is suspected. The nurse checks the child's
airway status and assesses the child for early and late signs of increased intracranial
pressure (ICP). Which is a late sign of increased ICP?
Bradycardia
The nurse provides instructions to a client diagnosed with osteoporosis. Education
about prevention of which complication is the most important?
Fractures
The nurse is collecting data related to a client's risk factors associated with osteoporosis.
Which data would the nurse include? Select all that apply.
