,WGU D444 – Adult Health 1 Objective Assessment
| OA | 230 Actual study Questions and Answers +
Expert Rationales | 2026/27 Updates | 100% correct
1. Which finding noted in the client on continuous ambulatory peritoneal dialysis (CAPD)
would be reported to the primary health care provider (PHCP)?
A) Clear dialysate output
B) Cloudy yellow dialysate output
C) Slight abdominal discomfort
D) Weight gain of 1 kg
Correct Answer: B
Expert Rationale: Cloudy dialysate output is a sign of peritonitis, a serious complication of
peritoneal dialysis. The PHCP must be notified immediately for evaluation and treatment. Clear
dialysate is normal; slight discomfort may be expected; weight gain of 1 kg may be due to fluid
retention but is not an emergency.
2. 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?
A) Infection
B) Emotional stress
C) Omitting doses of medication
D) Fatigue
Correct Answer: C
Expert Rationale: Myasthenic crisis is often precipitated by missing doses of anticholinesterase
medications, leading to muscle weakness. While infection, stress, and fatigue can worsen
symptoms, medication omission is the most common precipitating factor for crisis.
,3. 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?
A) "I will buy a wig before I start losing my hair."
B) "I should use a gentle shampoo on my hair."
C) "I can't believe my hair loss is going to be permanent."
D) "My hair will grow back after chemotherapy is completed."
Correct Answer: C
Expert Rationale: Chemotherapy-induced alopecia is usually temporary; hair regrows after
treatment. The statement "I can't believe my hair loss is going to be permanent" indicates the
client believes the hair loss is permanent, which is incorrect. The other statements show
understanding of temporary alopecia.
4. 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) A sign of psychological distress
B) A normal response that indicates the presence of phantom limb sensation
C) A sign of nerve damage
D) A sign of infection
Correct Answer: B
Expert Rationale: Phantom limb sensation (feeling sensations in the absent limb) is a normal
response after amputation. It occurs because the brain still receives signals from the severed
nerves. The nurse should provide reassurance and education about this normal phenomenon.
5. 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?
A) Low-fat diet
B) Personal history of ulcerative colitis or gastrointestinal polyps
C) High-fiber diet
D) Regular exercise
Correct Answer: B
, Expert Rationale: Personal history of ulcerative colitis or gastrointestinal polyps significantly
increases colorectal cancer risk . Low-fat diet, high-fiber diet, and regular exercise are protective
factors.
6. The nurse is caring for a client diagnosed with breast cancer receiving combination
chemotherapy. Which nursing intervention is the most appropriate?
A) Avoid giving agents with the same nadirs and toxicities at the same time
B) Administer all agents simultaneously
C) Give all agents in the same IV line
D) Administer chemotherapy without pre-medications
Correct Answer: A
Expert Rationale: Agents with overlapping toxicities and nadirs should not be given together to
prevent severe myelosuppression . Staggering administration minimizes side effects and reduces
the risk of severe bone marrow suppression.
7. 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?
A) Premedicate the client with an analgesic
B) Ambulate immediately after meals
C) Ambulate without any assistance
D) Encourage deep breathing exercises only
Correct Answer: A
Expert Rationale: Premedicating with an analgesic reduces pain during activity, promoting
better participation. Ambulation should be timed when the analgesic is at its peak effect.
Ambulation after meals may cause discomfort; assistance is required; deep breathing alone
does not address pain.
8. 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?
A) Consider the use of active, passive, or active-assisted exercises in the home
B) Refer the client to physical therapy only
| OA | 230 Actual study Questions and Answers +
Expert Rationales | 2026/27 Updates | 100% correct
1. Which finding noted in the client on continuous ambulatory peritoneal dialysis (CAPD)
would be reported to the primary health care provider (PHCP)?
A) Clear dialysate output
B) Cloudy yellow dialysate output
C) Slight abdominal discomfort
D) Weight gain of 1 kg
Correct Answer: B
Expert Rationale: Cloudy dialysate output is a sign of peritonitis, a serious complication of
peritoneal dialysis. The PHCP must be notified immediately for evaluation and treatment. Clear
dialysate is normal; slight discomfort may be expected; weight gain of 1 kg may be due to fluid
retention but is not an emergency.
2. 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?
A) Infection
B) Emotional stress
C) Omitting doses of medication
D) Fatigue
Correct Answer: C
Expert Rationale: Myasthenic crisis is often precipitated by missing doses of anticholinesterase
medications, leading to muscle weakness. While infection, stress, and fatigue can worsen
symptoms, medication omission is the most common precipitating factor for crisis.
,3. 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?
A) "I will buy a wig before I start losing my hair."
B) "I should use a gentle shampoo on my hair."
C) "I can't believe my hair loss is going to be permanent."
D) "My hair will grow back after chemotherapy is completed."
Correct Answer: C
Expert Rationale: Chemotherapy-induced alopecia is usually temporary; hair regrows after
treatment. The statement "I can't believe my hair loss is going to be permanent" indicates the
client believes the hair loss is permanent, which is incorrect. The other statements show
understanding of temporary alopecia.
4. 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) A sign of psychological distress
B) A normal response that indicates the presence of phantom limb sensation
C) A sign of nerve damage
D) A sign of infection
Correct Answer: B
Expert Rationale: Phantom limb sensation (feeling sensations in the absent limb) is a normal
response after amputation. It occurs because the brain still receives signals from the severed
nerves. The nurse should provide reassurance and education about this normal phenomenon.
5. 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?
A) Low-fat diet
B) Personal history of ulcerative colitis or gastrointestinal polyps
C) High-fiber diet
D) Regular exercise
Correct Answer: B
, Expert Rationale: Personal history of ulcerative colitis or gastrointestinal polyps significantly
increases colorectal cancer risk . Low-fat diet, high-fiber diet, and regular exercise are protective
factors.
6. The nurse is caring for a client diagnosed with breast cancer receiving combination
chemotherapy. Which nursing intervention is the most appropriate?
A) Avoid giving agents with the same nadirs and toxicities at the same time
B) Administer all agents simultaneously
C) Give all agents in the same IV line
D) Administer chemotherapy without pre-medications
Correct Answer: A
Expert Rationale: Agents with overlapping toxicities and nadirs should not be given together to
prevent severe myelosuppression . Staggering administration minimizes side effects and reduces
the risk of severe bone marrow suppression.
7. 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?
A) Premedicate the client with an analgesic
B) Ambulate immediately after meals
C) Ambulate without any assistance
D) Encourage deep breathing exercises only
Correct Answer: A
Expert Rationale: Premedicating with an analgesic reduces pain during activity, promoting
better participation. Ambulation should be timed when the analgesic is at its peak effect.
Ambulation after meals may cause discomfort; assistance is required; deep breathing alone
does not address pain.
8. 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?
A) Consider the use of active, passive, or active-assisted exercises in the home
B) Refer the client to physical therapy only
