WGU D446 Adult Health 2 Exam
Questions With Correct Answers
A 55-year-old patient with a history of smoking is scheduled for elective surgery.
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Which preoperative assessment finding is most concerning to the nurse?
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Rationale:may indicate mild hypoxemia, especially concerning in a patient with a
| | | | | | | | | | |
history of smoking, as it could impact oxygenation during surgery. The nurse
| | | | | | | | | | | |
should report this finding for further evaluation. Other options are within normal
| | | | | | | | | | | |
limits and less concerning.
| | |
Pulse oximetry reading of 92%
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During preoperative teaching, a patient expresses fear about anesthesia. Which
| | | | | | | | | |
response by the nurse best addresses the patient's concern?Rationale: This
| | | | | | | | | |
response encourages the patient to verbalize specific fears, allowing the nurse to
| | | | | | | | | | | |
provide accurate information and emotional support. It’s a patient-centered
| | | | | | | | |
approach, addressing individual concerns rather than providing general
| | | | | | | |
reassurance.
"Tell me more about what concerns you about the anesthesia."
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The nurse is in the operating room and notices that a sterile field may have been
| | | | | | | | | | | | | | | |
contaminated. What is the nurse’s best action?Rationale: Maintaining a sterile
| | | | | | | | | |
environment is crucial to prevent infection. The nurse must inform the surgical
| | | | | | | | | | | |
,team immediately to ensure corrective actions are taken. Ignoring it or not
| | | | | | | | | | | |
notifying others compromises patient safety.
| | | |
Immediately inform the surgical team. | | | |
A patient in the post-anesthesia care unit (PACU) has shallow, irregular breathing.
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What should be the nurse’s priority intervention?Rationale: Encouraging deep
| | | | | | | | |
breathing helps prevent hypoventilation and increases oxygenation, addressing
| | | | | | | |
the shallow breathing. Other options, while appropriate, are secondary to first
| | | | | | | | | | |
attempting to improve the patient’s breathing pattern.
| | | | | |
Stimulate the patient to encourage deep breathing.
| | | | | |
A postoperative patient reports pain at the incision site. Which is the most
| | | | | | | | | | | | |
appropriate nursing intervention?Rationale: Postoperative pain is expected, and
| | | | | | | |
the nurse should administer pain relief as prescribed to promote comfort and
| | | | | | | | | | | |
facilitate healing. Monitoring alone is insufficient, and massage could disrupt the
| | | | | | | | | | |
incision.
Provide prescribed analgesics as needed.
| | | |
The nurse is preparing to administer preoperative medication. Which of the
| | | | | | | | | | |
following should the nurse verify before administration?Rationale: Ensuring the
| | | | | | | | |
patient has been NPO (nothing by mouth) before administering preoperative
| | | | | | | | | |
,medication reduces the risk of aspiration during anesthesia. The other factors are
| | | | | | | | | | | |
less directly related to preoperative medication safety.
| | | | | |
Last oral intake
| |
The nurse is educating a patient on the use of opioids postoperatively. Which of
| | | | | | | | | | | | | |
the following should the nurse emphasize?Rationale: Constipation is a common
| | | | | | | | | |
side effect of opioids. The nurse should advise fluid intake to prevent this. Other
| | | | | | | | | | | | | |
options are inaccurate or incomplete instructions.
| | | | |
Drink plenty of fluids to prevent constipation.
| | | | | |
A postoperative patient needs assistance ambulating. Which team member
| | | | | | | | |
should the nurse collaborate with to ensure safe ambulation?Rationale: Physical
| | | | | | | | | |
therapists specialize in mobility and can assist the nurse in ambulating the patient
| | | | | | | | | | | |
safely, which can prevent falls and encourage recovery.
| | | | | | | |
Physical therapist |
A patient’s surgical wound shows signs of infection. The nurse should consult
| | | | | | | | | | | |
which healthcare professional first?Rationale: responsible for managing surgical
| | | | | | | |
site infections and can make decisions regarding wound care and antibiotic
| | | | | | | | | | |
therapy.
, Surgeon
When providing discharge instructions to a postoperative patient, which topic
| | | | | | | | | |
should the nurse prioritize?Rationale: Effective wound care is essential in
| | | | | | | | | |
preventing infection and promoting healing, which is critical in the immediate
| | | | | | | | | | |
postoperative period. This takes priority in discharge education.
| | | | | | |
Proper wound care techniques
| | |
A postoperative patient develops sudden chest pain and shortness of breath.
| | | | | | | | | | |
Which action should the nurse take first?Rationale: Chest pain and shortness of
| | | | | | | | | | | |
breath are signs of possible pulmonary embolism, a medical emergency. Oxygen
| | | | | | | | | | |
administration and notifying the team immediately are crucial. Elevating the bed
| | | | | | | | | | |
may follow after these primary actions.
| | | | |
Administer oxygen and call for immediate assistance.
| | | | | |
The nurse notices excessive bleeding from a postoperative patient’s surgical site.
| | | | | | | | | | |
What is the nurse’s priority intervention?Rationale: Apply pressure the bleeding
| | | | | | | | | |
site helps control bleeding temporarily while waiting for further instructions.
| | | | | | | | | |
Prompt communication with the healthcare provider is essential to prevent
| | | | | | | | | |
potential hemorrhage. |
Questions With Correct Answers
A 55-year-old patient with a history of smoking is scheduled for elective surgery.
| | | | | | | | | | | | |
Which preoperative assessment finding is most concerning to the nurse?
| | | | | | | | | |
Rationale:may indicate mild hypoxemia, especially concerning in a patient with a
| | | | | | | | | | |
history of smoking, as it could impact oxygenation during surgery. The nurse
| | | | | | | | | | | |
should report this finding for further evaluation. Other options are within normal
| | | | | | | | | | | |
limits and less concerning.
| | |
Pulse oximetry reading of 92%
| | | |
During preoperative teaching, a patient expresses fear about anesthesia. Which
| | | | | | | | | |
response by the nurse best addresses the patient's concern?Rationale: This
| | | | | | | | | |
response encourages the patient to verbalize specific fears, allowing the nurse to
| | | | | | | | | | | |
provide accurate information and emotional support. It’s a patient-centered
| | | | | | | | |
approach, addressing individual concerns rather than providing general
| | | | | | | |
reassurance.
"Tell me more about what concerns you about the anesthesia."
| | | | | | | | |
The nurse is in the operating room and notices that a sterile field may have been
| | | | | | | | | | | | | | | |
contaminated. What is the nurse’s best action?Rationale: Maintaining a sterile
| | | | | | | | | |
environment is crucial to prevent infection. The nurse must inform the surgical
| | | | | | | | | | | |
,team immediately to ensure corrective actions are taken. Ignoring it or not
| | | | | | | | | | | |
notifying others compromises patient safety.
| | | |
Immediately inform the surgical team. | | | |
A patient in the post-anesthesia care unit (PACU) has shallow, irregular breathing.
| | | | | | | | | | | |
What should be the nurse’s priority intervention?Rationale: Encouraging deep
| | | | | | | | |
breathing helps prevent hypoventilation and increases oxygenation, addressing
| | | | | | | |
the shallow breathing. Other options, while appropriate, are secondary to first
| | | | | | | | | | |
attempting to improve the patient’s breathing pattern.
| | | | | |
Stimulate the patient to encourage deep breathing.
| | | | | |
A postoperative patient reports pain at the incision site. Which is the most
| | | | | | | | | | | | |
appropriate nursing intervention?Rationale: Postoperative pain is expected, and
| | | | | | | |
the nurse should administer pain relief as prescribed to promote comfort and
| | | | | | | | | | | |
facilitate healing. Monitoring alone is insufficient, and massage could disrupt the
| | | | | | | | | | |
incision.
Provide prescribed analgesics as needed.
| | | |
The nurse is preparing to administer preoperative medication. Which of the
| | | | | | | | | | |
following should the nurse verify before administration?Rationale: Ensuring the
| | | | | | | | |
patient has been NPO (nothing by mouth) before administering preoperative
| | | | | | | | | |
,medication reduces the risk of aspiration during anesthesia. The other factors are
| | | | | | | | | | | |
less directly related to preoperative medication safety.
| | | | | |
Last oral intake
| |
The nurse is educating a patient on the use of opioids postoperatively. Which of
| | | | | | | | | | | | | |
the following should the nurse emphasize?Rationale: Constipation is a common
| | | | | | | | | |
side effect of opioids. The nurse should advise fluid intake to prevent this. Other
| | | | | | | | | | | | | |
options are inaccurate or incomplete instructions.
| | | | |
Drink plenty of fluids to prevent constipation.
| | | | | |
A postoperative patient needs assistance ambulating. Which team member
| | | | | | | | |
should the nurse collaborate with to ensure safe ambulation?Rationale: Physical
| | | | | | | | | |
therapists specialize in mobility and can assist the nurse in ambulating the patient
| | | | | | | | | | | |
safely, which can prevent falls and encourage recovery.
| | | | | | | |
Physical therapist |
A patient’s surgical wound shows signs of infection. The nurse should consult
| | | | | | | | | | | |
which healthcare professional first?Rationale: responsible for managing surgical
| | | | | | | |
site infections and can make decisions regarding wound care and antibiotic
| | | | | | | | | | |
therapy.
, Surgeon
When providing discharge instructions to a postoperative patient, which topic
| | | | | | | | | |
should the nurse prioritize?Rationale: Effective wound care is essential in
| | | | | | | | | |
preventing infection and promoting healing, which is critical in the immediate
| | | | | | | | | | |
postoperative period. This takes priority in discharge education.
| | | | | | |
Proper wound care techniques
| | |
A postoperative patient develops sudden chest pain and shortness of breath.
| | | | | | | | | | |
Which action should the nurse take first?Rationale: Chest pain and shortness of
| | | | | | | | | | | |
breath are signs of possible pulmonary embolism, a medical emergency. Oxygen
| | | | | | | | | | |
administration and notifying the team immediately are crucial. Elevating the bed
| | | | | | | | | | |
may follow after these primary actions.
| | | | |
Administer oxygen and call for immediate assistance.
| | | | | |
The nurse notices excessive bleeding from a postoperative patient’s surgical site.
| | | | | | | | | | |
What is the nurse’s priority intervention?Rationale: Apply pressure the bleeding
| | | | | | | | | |
site helps control bleeding temporarily while waiting for further instructions.
| | | | | | | | | |
Prompt communication with the healthcare provider is essential to prevent
| | | | | | | | | |
potential hemorrhage. |
