WGU D444 Adult Health I: Nursing | QA |
Objective Assessment -Solved
1.
A client with heart failure is receiving furosemide. Which laboratory value is most
important for the nurse to monitor?
A. Calcium
B. Potassium — CORRECT ANSWER
C. Hemoglobin
D. Phosphate
2.
A client with COPD is experiencing increasing dyspnea. Which position should the
nurse use first?
A. Supine
B. Trendelenburg
C. High-Fowler's — CORRECT ANSWER
D. Side-lying
3.
Which finding is most consistent with left-sided heart failure?
A. Peripheral edema only
B. Pulmonary crackles and dyspnea — CORRECT ANSWER
C. Ascites
D. Jugular venous distention without respiratory symptoms
4.
A client with diabetes has a blood glucose level of 48 mg/dL and is awake and able
to swallow. What should the nurse do first?
A. Administer long-acting insulin
B. Give approximately 15 g of rapid-acting carbohydrate — CORRECT ANSWER
C. Give glucagon IM
D. Restrict oral intake
5.
Which assessment finding is most concerning in a client with COPD?
A. Barrel-shaped chest
B. Chronic productive cough
C. Oxygen saturation of 84% — CORRECT ANSWER
,D. Increased anterior-posterior chest diameter
6.
A client with SIADH has a serum sodium of 119 mEq/L. Which intervention is most
appropriate?
A. Encourage unlimited fluids
B. Administer hypotonic IV fluids
C. Maintain prescribed fluid restriction — CORRECT ANSWER
D. Encourage high-volume water intake
7.
Which assessment finding is expected in a client with hypernatremia?
A. Moist mucous membranes
B. Bradycardia
C. Intense thirst and dry mucous membranes — CORRECT ANSWER
D. Decreased serum osmolality
8.
A client develops respiratory acidosis. Which physiological change explains this
condition?
A. Excessive bicarbonate loss
B. Retention of carbon dioxide — CORRECT ANSWER
C. Excessive hydrogen ion excretion
D. Increased respiratory rate causing CO₂ loss
9.
Which ABG result is consistent with respiratory alkalosis?
A. pH 7.30, PaCO₂ 52
B. pH 7.50, PaCO₂ 30 — CORRECT ANSWER
C. pH 7.30, HCO₃⁻ 18
D. pH 7.48, HCO₃⁻ 30
10.
A client with acute kidney injury enters the diuretic phase. Which complication
should the nurse monitor for most closely?
A. Fluid overload
B. Dehydration and electrolyte loss — CORRECT ANSWER
C. Severe bradycardia from hyperkalemia
D. Anuria
11.
Which laboratory finding is most suggestive of worsening renal function?
, A. Decreased BUN
B. Decreased creatinine
C. Increasing serum creatinine — CORRECT ANSWER
D. Increased hemoglobin
12.
A client receiving a blood transfusion develops chills, fever, and flank pain. What
should the nurse do first?
A. Increase the infusion rate
B. Stop the transfusion — CORRECT ANSWER
C. Administer the next unit
D. Flush the line with dextrose
13.
Which IV solution is compatible with packed red blood cells?
A. D5W
B. Lactated Ringer's
C. 0.45% sodium chloride
D. 0.9% sodium chloride — CORRECT ANSWER
14.
A client with severe thrombocytopenia requires oral care. Which intervention is
appropriate?
A. Use a firm toothbrush
B. Floss aggressively
C. Use a soft-bristled toothbrush — CORRECT ANSWER
D. Use an alcohol-based mouthwash
15.
Which finding is characteristic of iron-deficiency anemia?
A. Ruddy complexion
B. Bradycardia
C. Fatigue and pallor — CORRECT ANSWER
D. Increased hemoglobin
16.
A client receiving chemotherapy has a neutrophil count of 800/mm³. Which
intervention is most important?
A. Encourage raw fruits and vegetables
B. Implement infection-prevention precautions — CORRECT ANSWER
C. Encourage large crowds
D. Place fresh flowers in the room
Objective Assessment -Solved
1.
A client with heart failure is receiving furosemide. Which laboratory value is most
important for the nurse to monitor?
A. Calcium
B. Potassium — CORRECT ANSWER
C. Hemoglobin
D. Phosphate
2.
A client with COPD is experiencing increasing dyspnea. Which position should the
nurse use first?
A. Supine
B. Trendelenburg
C. High-Fowler's — CORRECT ANSWER
D. Side-lying
3.
Which finding is most consistent with left-sided heart failure?
A. Peripheral edema only
B. Pulmonary crackles and dyspnea — CORRECT ANSWER
C. Ascites
D. Jugular venous distention without respiratory symptoms
4.
A client with diabetes has a blood glucose level of 48 mg/dL and is awake and able
to swallow. What should the nurse do first?
A. Administer long-acting insulin
B. Give approximately 15 g of rapid-acting carbohydrate — CORRECT ANSWER
C. Give glucagon IM
D. Restrict oral intake
5.
Which assessment finding is most concerning in a client with COPD?
A. Barrel-shaped chest
B. Chronic productive cough
C. Oxygen saturation of 84% — CORRECT ANSWER
,D. Increased anterior-posterior chest diameter
6.
A client with SIADH has a serum sodium of 119 mEq/L. Which intervention is most
appropriate?
A. Encourage unlimited fluids
B. Administer hypotonic IV fluids
C. Maintain prescribed fluid restriction — CORRECT ANSWER
D. Encourage high-volume water intake
7.
Which assessment finding is expected in a client with hypernatremia?
A. Moist mucous membranes
B. Bradycardia
C. Intense thirst and dry mucous membranes — CORRECT ANSWER
D. Decreased serum osmolality
8.
A client develops respiratory acidosis. Which physiological change explains this
condition?
A. Excessive bicarbonate loss
B. Retention of carbon dioxide — CORRECT ANSWER
C. Excessive hydrogen ion excretion
D. Increased respiratory rate causing CO₂ loss
9.
Which ABG result is consistent with respiratory alkalosis?
A. pH 7.30, PaCO₂ 52
B. pH 7.50, PaCO₂ 30 — CORRECT ANSWER
C. pH 7.30, HCO₃⁻ 18
D. pH 7.48, HCO₃⁻ 30
10.
A client with acute kidney injury enters the diuretic phase. Which complication
should the nurse monitor for most closely?
A. Fluid overload
B. Dehydration and electrolyte loss — CORRECT ANSWER
C. Severe bradycardia from hyperkalemia
D. Anuria
11.
Which laboratory finding is most suggestive of worsening renal function?
, A. Decreased BUN
B. Decreased creatinine
C. Increasing serum creatinine — CORRECT ANSWER
D. Increased hemoglobin
12.
A client receiving a blood transfusion develops chills, fever, and flank pain. What
should the nurse do first?
A. Increase the infusion rate
B. Stop the transfusion — CORRECT ANSWER
C. Administer the next unit
D. Flush the line with dextrose
13.
Which IV solution is compatible with packed red blood cells?
A. D5W
B. Lactated Ringer's
C. 0.45% sodium chloride
D. 0.9% sodium chloride — CORRECT ANSWER
14.
A client with severe thrombocytopenia requires oral care. Which intervention is
appropriate?
A. Use a firm toothbrush
B. Floss aggressively
C. Use a soft-bristled toothbrush — CORRECT ANSWER
D. Use an alcohol-based mouthwash
15.
Which finding is characteristic of iron-deficiency anemia?
A. Ruddy complexion
B. Bradycardia
C. Fatigue and pallor — CORRECT ANSWER
D. Increased hemoglobin
16.
A client receiving chemotherapy has a neutrophil count of 800/mm³. Which
intervention is most important?
A. Encourage raw fruits and vegetables
B. Implement infection-prevention precautions — CORRECT ANSWER
C. Encourage large crowds
D. Place fresh flowers in the room
