WGU D446
Adult Health II
OA REVIEW & Study Guide
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➢250+ OA Review Questions &
Answers
➢OA Study Guide & Clinical Prioritization
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, D446 Adult Health 2 OA Review
Table of Contents
D446 OA Review 250+ Questions & Answer Review ............................ 2
D446 OA Study Guide & Clinical Prioritization ................................... 43
D446 OA Review 250+ Questions & Answer Review
1. A client is being transferred to the nursing unit from the postanesthesia care
unit after spinal fusion with rod insertion to treat spinal instability from severe
arthritis. The nurse would prepare to transfer the client from the stretcher to the
bed by using which best method?
Answer: Transfer (slider) board and the assistance of three people
2. Which finding noted in the client on continuous ambulatory peritoneal dialysis
(CAPD) would be reported to the primary health care provider (PHCP)?
Answer: Cloudy yellow dialysate output
3. 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?
Answer: Omitting doses of medication
4. 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?
, D446 Adult Health 2 OA Review
Answer: I can't believe my hair loss is going to be permanent.
(Chemotherapy-induced alopecia is usually temporary, not permanent.)
5. 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?
Answer: Normal response that indicates the presence of phantom limb
sensation
6. The nurse is reviewing teaching materials about colorectal cancer. Which risk
factor for colorectal cancer would the nurse include?
Answer: High-fat diet / Low-fiber diet (common risk factors)
7. The nurse is caring for a client diagnosed with breast cancer receiving
combination chemotherapy. Which laboratory value would the nurse monitor
most frequently?
Answer: White blood cell count (WBC) / Absolute neutrophil count (ANC) —
to monitor for neutropenia, a common side effect of chemotherapy
8. 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?
Answer: Premedicate the client with an analgesic
9. 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?
Answer: Consider the use of active, passive, or active-assisted exercises in the
home
10. A client who had cranial surgery 5 days earlier to remove a brain tumor has a
few cognitive deficits and does not seem to be progressing as quickly as the