WGU D446 Final Exam / D446 Adult Health II OA
Review Guide | Latest Update | Questions
& Answers | Grade A | 100% Correct Verified
Solutions
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%
3 multiple choice options
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."
3 multiple choice options
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.
,3 multiple choice options
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.
3 multiple choice options
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.
3 multiple choice options
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
3 multiple choice options
,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.
3 multiple choice options
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
3 multiple choice options
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
3 multiple choice options
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
3 multiple choice options
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.
3 multiple choice options
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.
Apply pressure to the site and notify the healthcare provider.
3 multiple choice options
A patient reports inadequate pain relief 30 minutes after receiving a prescribed dose of
morphine. What should the nurse do next?Rationale: If pain relief is inadequate, the
nurse should notify the healthcare provider for an alternative approach to manage the
patient’s pain effectively. Simply re-evaluating or teaching relaxation alone may not
sufficiently address severe pain.
Review Guide | Latest Update | Questions
& Answers | Grade A | 100% Correct Verified
Solutions
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%
3 multiple choice options
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."
3 multiple choice options
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.
,3 multiple choice options
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.
3 multiple choice options
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.
3 multiple choice options
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
3 multiple choice options
,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.
3 multiple choice options
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
3 multiple choice options
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
3 multiple choice options
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
3 multiple choice options
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.
3 multiple choice options
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.
Apply pressure to the site and notify the healthcare provider.
3 multiple choice options
A patient reports inadequate pain relief 30 minutes after receiving a prescribed dose of
morphine. What should the nurse do next?Rationale: If pain relief is inadequate, the
nurse should notify the healthcare provider for an alternative approach to manage the
patient’s pain effectively. Simply re-evaluating or teaching relaxation alone may not
sufficiently address severe pain.
