WGU D444 OA Prep QA
Study online at https://quizlet.com/_j56qsr
1. Which dietary instruction is most important for the C Eat small frequent meals
nurse to explain to a client who has had gastric bypass
surgery?
A Reduce intake of fatty foods
B Sip fluids with each meal
C Eat small frequent meals
D Chew slowly and thoroughly
2. A client is admitted to the hospital for treatment of a C Palpitations and short-
simple goiter, And levothyroxine sodium is prescribed. ness of breath
Which symptoms indicate to the nurse that the pre-
scribed dosage is too high for this client?
A Muscle cramping and dry flushed skin
B Lethargy and lack of appetite
C Palpitations and shortness of breath
D Bradycardia and constipation
3. During a home visit, the nurse assesses the skin of B A grandson and his new
a client with eczema who reports an exacerbation Of dog recently visited
symptoms has occurred during the last week. Which
information is most useful and determining the possi-
ble cause of symptoms?
A An old friend with eczema came for a visit
B A grandson and his new dog recently visited
C Corticosteroid cream was applied to eczema
D Recently received an influenza immunization
4. An older adult client with psoriasis of the liver and C Decreased abdominal
hepatic failure is placed on a low sodium diet and is re- girth
ceiving periodic albumin infusions. Which assessment
, WGU D444 OA Prep QA
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finding indicates progress toward the desired effect of
this treatment?
A Clear, dark amber colored urine
B Improved level of consciousness
C Decreased abdominal girth
D Prothrombin time with normal limits
5. The nurse is caring for a client who reports persistent, C Eating patterns of di-
gnawing abdominal pain. To help the client manage etary intake
the pain which assessment data is most important for
the nurse to obtain?
A Activity of bowel sounds
B Level and amount of physical activity
C Eating patterns and dietary intake
D Color and consistency of feces
6. The nurse is caring for a client after a coronary artery C Right sided heart failure
bypass graft surgery. The client is exhibiting pitting
edema in the lower extremities and jugular venous dis-
tention with increased central venous pressure. Which
condition should the nurse suspect the client is expe-
riencing based on these findings?
A Cardiac tamponade
B Left ventricular dysfunction
C Right sided heart failure
D Internal bleeding
7. A client is diagnosed with chronic kidney disease and CCrohn's disease with
needs to begin dialysis. Which condition entered on colectomy
the clients medical record should the nurse recognize
, WGU D444 OA Prep QA
Study online at https://quizlet.com/_j56qsr
as a contraindication for peritoneal dialysis?
A Type two diabetes mellitus
B Latent hepatitis C
CCrohn's disease with colectomy
DNephrotic syndrome history
8. A client arrives to the medical surgical unit four hours D Monitor a catheter
after a transurethral resection of the prostate. A triple drainage
lumen catheter for continuous bladder irrigation with
normal saline is infusion and the nurse observes dark
pink tined outflow with blood clots in the tubing and
collection bag. Which action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
9. A client who had colon surgery three days ago is anx- B Prepare the client to re-
ious and requesting assistance to reposition. While the turn to the operating room
nurse is turning the client the wound dehisces and
eviscerates. The nurse moistens and available sterile
dressing and place it over the wound. Which interven-
tion should the nurse implement next?
A Obtain a sample of the drainage and sent to the
laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity
bring
D additional sterile dressing supplies to the room
, WGU D444 OA Prep QA
Study online at https://quizlet.com/_j56qsr
10. A client with a fracture of the right femur has a skeletal A Assess the pin site for
traction applied. Which intervention should the nurse signs of infection
include in the client's nursing plan of care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals
around the clock
11. A client with renal calculus reports, severe right flank A Risk for aspiration relat-
pain, nausea, and vomiting which nursing problem has ed to vomiting
the highest priority?
A Risk for aspiration related to vomiting
B Impaired renal function related to pain
C Nutritional deficit related to nausea
D Acute pain related to renal calculus
12. An adult client who recently diagnosed with glaucoma D Maintain prescribed
tells the nurse I feel like I am driving through a tunnel. eyedrop regimen
The client expresses great concern about going blind.
Which nursing instruction is most important for the
nurse to provide this client?
A Eat a diet high in carotene
B Wear prescription glasses
C Avoid frequent eye pressure measurements
D Maintain prescribed eyedrop regimen
13. When conducting discharge teaching for a client diag- B Eat a high fiber, diet and
nosed with diverticulitis, which diet instruction should increased fluid intake
the nurse include?
Study online at https://quizlet.com/_j56qsr
1. Which dietary instruction is most important for the C Eat small frequent meals
nurse to explain to a client who has had gastric bypass
surgery?
A Reduce intake of fatty foods
B Sip fluids with each meal
C Eat small frequent meals
D Chew slowly and thoroughly
2. A client is admitted to the hospital for treatment of a C Palpitations and short-
simple goiter, And levothyroxine sodium is prescribed. ness of breath
Which symptoms indicate to the nurse that the pre-
scribed dosage is too high for this client?
A Muscle cramping and dry flushed skin
B Lethargy and lack of appetite
C Palpitations and shortness of breath
D Bradycardia and constipation
3. During a home visit, the nurse assesses the skin of B A grandson and his new
a client with eczema who reports an exacerbation Of dog recently visited
symptoms has occurred during the last week. Which
information is most useful and determining the possi-
ble cause of symptoms?
A An old friend with eczema came for a visit
B A grandson and his new dog recently visited
C Corticosteroid cream was applied to eczema
D Recently received an influenza immunization
4. An older adult client with psoriasis of the liver and C Decreased abdominal
hepatic failure is placed on a low sodium diet and is re- girth
ceiving periodic albumin infusions. Which assessment
, WGU D444 OA Prep QA
Study online at https://quizlet.com/_j56qsr
finding indicates progress toward the desired effect of
this treatment?
A Clear, dark amber colored urine
B Improved level of consciousness
C Decreased abdominal girth
D Prothrombin time with normal limits
5. The nurse is caring for a client who reports persistent, C Eating patterns of di-
gnawing abdominal pain. To help the client manage etary intake
the pain which assessment data is most important for
the nurse to obtain?
A Activity of bowel sounds
B Level and amount of physical activity
C Eating patterns and dietary intake
D Color and consistency of feces
6. The nurse is caring for a client after a coronary artery C Right sided heart failure
bypass graft surgery. The client is exhibiting pitting
edema in the lower extremities and jugular venous dis-
tention with increased central venous pressure. Which
condition should the nurse suspect the client is expe-
riencing based on these findings?
A Cardiac tamponade
B Left ventricular dysfunction
C Right sided heart failure
D Internal bleeding
7. A client is diagnosed with chronic kidney disease and CCrohn's disease with
needs to begin dialysis. Which condition entered on colectomy
the clients medical record should the nurse recognize
, WGU D444 OA Prep QA
Study online at https://quizlet.com/_j56qsr
as a contraindication for peritoneal dialysis?
A Type two diabetes mellitus
B Latent hepatitis C
CCrohn's disease with colectomy
DNephrotic syndrome history
8. A client arrives to the medical surgical unit four hours D Monitor a catheter
after a transurethral resection of the prostate. A triple drainage
lumen catheter for continuous bladder irrigation with
normal saline is infusion and the nurse observes dark
pink tined outflow with blood clots in the tubing and
collection bag. Which action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
9. A client who had colon surgery three days ago is anx- B Prepare the client to re-
ious and requesting assistance to reposition. While the turn to the operating room
nurse is turning the client the wound dehisces and
eviscerates. The nurse moistens and available sterile
dressing and place it over the wound. Which interven-
tion should the nurse implement next?
A Obtain a sample of the drainage and sent to the
laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity
bring
D additional sterile dressing supplies to the room
, WGU D444 OA Prep QA
Study online at https://quizlet.com/_j56qsr
10. A client with a fracture of the right femur has a skeletal A Assess the pin site for
traction applied. Which intervention should the nurse signs of infection
include in the client's nursing plan of care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals
around the clock
11. A client with renal calculus reports, severe right flank A Risk for aspiration relat-
pain, nausea, and vomiting which nursing problem has ed to vomiting
the highest priority?
A Risk for aspiration related to vomiting
B Impaired renal function related to pain
C Nutritional deficit related to nausea
D Acute pain related to renal calculus
12. An adult client who recently diagnosed with glaucoma D Maintain prescribed
tells the nurse I feel like I am driving through a tunnel. eyedrop regimen
The client expresses great concern about going blind.
Which nursing instruction is most important for the
nurse to provide this client?
A Eat a diet high in carotene
B Wear prescription glasses
C Avoid frequent eye pressure measurements
D Maintain prescribed eyedrop regimen
13. When conducting discharge teaching for a client diag- B Eat a high fiber, diet and
nosed with diverticulitis, which diet instruction should increased fluid intake
the nurse include?
