WGU D444 ADULT HEALTH 1 OA EXAM WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask.The orders would the nurse
question? (Select all that apply.) ANSWER 👀 Ibuprofen 400 mg every 4 to 6 hours PRN
for temperature greater than 100.5°F,Supplemental oxygen 10 L/min via nasal cannula
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask.SATA ANSWER 👀
Perform hand hygiene, Identify the client using Z client identifiers, Check the skin around
the face, Don gloves, Assess respiratory function
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- years and a surgical repair of a fractured tibia at age 20. According to the client's
vital signs, he is experiencing ______ & ______ ANSWER 👀 Tachycardia & Tachypnea
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask. What actions can the nurse
,do to assist the client in improving their ventilation and oxygenation? Select all that apply.
ANSWER 👀 Encourage the client to take breaks from the oxygen mask every few hours.
Assist the client in ambulating safely. Positioning the client with the head of the bed
elevated
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask. Mark whether the
assessment findings indicate that the treatment was effective or ineffective assessment
findings. ANSWER 👀 Rhonchi in the right lung - ineffective, Symmetric chest expansion-
effective, Oxygen saturation greater than 94%- effective: PaCO2 55 mm Hg on a blood gas
ineffective, Client ambulates without shortness of breath- effective, Diminished breath
sounds in the right lung- ineffective.
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask. Which technique should the
nurse use when assessing the client for early signs of rheumatoid arthritis? ANSWER 👀
Observe the client's fingers
The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions
should be planned to meet which goal? ANSWER 👀 Prevent esophageal reflux
The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to
infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to
deliver how many gtt/minute? * (Always round to the nearest whole number gtt/min.)
ANSWER 👀 38gtt/min
A client who has had a laryngectomy and tracheostomy frequently expects copious amounts
of purulent secretions. When changing the lines of the tracheostomy tube, which action is
, most important for the nurse to take? ANSWER 👀 Leave the old ties in place until the
new ones are secure
A client has been administered lactulose for several days. Which therapeutic response
should the nurse expect for a client with hepatic encephalopathy? ANSWER 👀 Lactulose-
works by reducing serum ammonia levels through the promotion of ammonia excretion in
the feces, leading to improved cognitive function and mental status in individuals with
hepatic encephalopathy
The client with Clostridium diff in the stool receives a prescription for vancomycin PO. Which
action should the nurse take before administering the first dose? ANSWER 👀 Check
serum creatinine
An older adult client is hospitalized with a fractured femur. During a routine nursing
assessment, the client repeatedly asks the nurse to "speak up" so that the client can hear
the questions. Which action is best for the nurse to take? ANSWER 👀 Decrease speaking
speed.
An adult client is admitted with AIDS and oral Candide albicans manifested by several
painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel
(UAP) and discusses how to assist the client. Which instruction should the nurse provide to
the UAP? ANSWER 👀 Provide a soft-bristled toothbrush for the client to use during oral
care. In the case of oral candidiasis, using a toothbrush with soft bristles is essential to
prevent further irritation and damage to the already compromised oral mucosa.
A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is
provided in "500 mg per 100 mL of dextrose 5% in water." To administer the medication for
over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter
numerical value only.) ANSWER 👀 100 ml/hr-Vancomycin dosage: 500 mg Concentration
of vancomycin solution: 500 mg per 100 mL Total volume of solution for each dose: 100 mL
(since the concentration is 500 mg per 100 mL) To administer 500 mg of vancomycin, we
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask.The orders would the nurse
question? (Select all that apply.) ANSWER 👀 Ibuprofen 400 mg every 4 to 6 hours PRN
for temperature greater than 100.5°F,Supplemental oxygen 10 L/min via nasal cannula
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask.SATA ANSWER 👀
Perform hand hygiene, Identify the client using Z client identifiers, Check the skin around
the face, Don gloves, Assess respiratory function
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- years and a surgical repair of a fractured tibia at age 20. According to the client's
vital signs, he is experiencing ______ & ______ ANSWER 👀 Tachycardia & Tachypnea
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask. What actions can the nurse
,do to assist the client in improving their ventilation and oxygenation? Select all that apply.
ANSWER 👀 Encourage the client to take breaks from the oxygen mask every few hours.
Assist the client in ambulating safely. Positioning the client with the head of the bed
elevated
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask. Mark whether the
assessment findings indicate that the treatment was effective or ineffective assessment
findings. ANSWER 👀 Rhonchi in the right lung - ineffective, Symmetric chest expansion-
effective, Oxygen saturation greater than 94%- effective: PaCO2 55 mm Hg on a blood gas
ineffective, Client ambulates without shortness of breath- effective, Diminished breath
sounds in the right lung- ineffective.
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- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to
set up the oxygen administration and apply a simple face mask. Which technique should the
nurse use when assessing the client for early signs of rheumatoid arthritis? ANSWER 👀
Observe the client's fingers
The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions
should be planned to meet which goal? ANSWER 👀 Prevent esophageal reflux
The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to
infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to
deliver how many gtt/minute? * (Always round to the nearest whole number gtt/min.)
ANSWER 👀 38gtt/min
A client who has had a laryngectomy and tracheostomy frequently expects copious amounts
of purulent secretions. When changing the lines of the tracheostomy tube, which action is
, most important for the nurse to take? ANSWER 👀 Leave the old ties in place until the
new ones are secure
A client has been administered lactulose for several days. Which therapeutic response
should the nurse expect for a client with hepatic encephalopathy? ANSWER 👀 Lactulose-
works by reducing serum ammonia levels through the promotion of ammonia excretion in
the feces, leading to improved cognitive function and mental status in individuals with
hepatic encephalopathy
The client with Clostridium diff in the stool receives a prescription for vancomycin PO. Which
action should the nurse take before administering the first dose? ANSWER 👀 Check
serum creatinine
An older adult client is hospitalized with a fractured femur. During a routine nursing
assessment, the client repeatedly asks the nurse to "speak up" so that the client can hear
the questions. Which action is best for the nurse to take? ANSWER 👀 Decrease speaking
speed.
An adult client is admitted with AIDS and oral Candide albicans manifested by several
painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel
(UAP) and discusses how to assist the client. Which instruction should the nurse provide to
the UAP? ANSWER 👀 Provide a soft-bristled toothbrush for the client to use during oral
care. In the case of oral candidiasis, using a toothbrush with soft bristles is essential to
prevent further irritation and damage to the already compromised oral mucosa.
A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is
provided in "500 mg per 100 mL of dextrose 5% in water." To administer the medication for
over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter
numerical value only.) ANSWER 👀 100 ml/hr-Vancomycin dosage: 500 mg Concentration
of vancomycin solution: 500 mg per 100 mL Total volume of solution for each dose: 100 mL
(since the concentration is 500 mg per 100 mL) To administer 500 mg of vancomycin, we
