WGU health assessment OA 2 exam with question and answer
100% correct
Heart sounds are loudest for S1 at the _______ Apex of the
heart and for S2 at the________. Base of the heart
3 multiple choice options
Base of the heart
Right side of the
heart Center of the
heart Left side of
the heart Apex of
the heart
, Empty your bladder just prior to
When preparing a female client for an
examination abdominal examination, the nurse should 3 multiple choice
options
provide her with which instruction?
A. Empty your bladder just prior to
the examination
B.refrain from eating or drinking for at
least thirty minutes
C. Lie in a prone position with slightly
flexed knees
D.Exhale slowly through your mouth
then hold your breath
Determine the response to
The nurse learns in report that a client is
stimuli stuporous. Which assessment should the
3 multiple choice
options
nurse perform to confirm this report?
A. Observe for facial asymmetry
B.Determine the response to stimuli
C. Assess for a positive Romberg
sign D Check the pupillary response to
light
The nurse begins a clients musculoskeletal A. Atrophy
assessment. While using the technique of C. Kyphosis
inspection, the nurse assesses for which E. Contracture
findings? Select all that apply
possible 2 multiple choice options
A. Atrophy
B.Crepitus
C. Kyphosis
D.Osteopenia
E.Contracture
An older client comes to the healthcare A. Obtain a medication history including prescription and non
provider's office for a routine follow-up prescription drugs.
exam for high blood pressure,
osteoarthritis, constipation, and chronic
sinusitis. The client recently had a
cataract removed from the left eye,
Which is the MOST important for the
nurse to assess when obtaining the
clients health history.
A. Obtain a medication history including
prescription and non prescription drugs.
B.Conduct an assessment of functional
capacity and environmental
hazards.
C. Emphasize the need to place advance
directives in the medical record.
D.Distinguish between symptoms caused
by disease and those due to aging.
, The nurse is assessing a client who has a B. Use a standard pain assessment questionnaire and scale
history of kidney stones and returns to the
clinic with flank pain. Which intervention
should the nurse implement first?
A. Collect a urine sample and strain for
granules or calculi.
B.Use a standard pain assessment
questionnaire and scale.
C. Observe for nonverbal signs to measure
pain intensity.
D.Ask the client if he took any
pain medicine at home.
During a health assessment, the client C. Distal interphalangeal joint nodules that
deviate reports being treated for osteoarthritis. The
nurse examines a client's hands and finds
Heberden's nodes. Which finding should the
nurse document in the client's medical
record?
A. Frozen, non-movable phalangeal joints
B.Proximal intertarsal joint swelling of
big toe
C. Distal interphalangeal joint nodules
that deviate
D.Non-painful enlarged interphalangeal
joints
The nurse is assessing a client with A. Examine client's sclera for icterus
gallstones for jaundice. Which action should
the nurse perform to confirm this
information?
A. Examine client's sclera for icterus
B.Review recent serum bilirubin levels
C. Assess conjunctival sacs of lower lids for
pallor
D.Observe the client's urine for dark orange
color
When assessing heart sounds of a client with B. Left fourth intercostal space next to the
sternal border rheumatic valvular heart disease, where
should the nurse place the stethoscope to
auscultate the tricuspid valve?
A. Third left intercostal space
B.Left fourth intercostal space next to
the sternal border
C. Second right intercostal space
D.Left fifth intercostal space,
midclavicular line
100% correct
Heart sounds are loudest for S1 at the _______ Apex of the
heart and for S2 at the________. Base of the heart
3 multiple choice options
Base of the heart
Right side of the
heart Center of the
heart Left side of
the heart Apex of
the heart
, Empty your bladder just prior to
When preparing a female client for an
examination abdominal examination, the nurse should 3 multiple choice
options
provide her with which instruction?
A. Empty your bladder just prior to
the examination
B.refrain from eating or drinking for at
least thirty minutes
C. Lie in a prone position with slightly
flexed knees
D.Exhale slowly through your mouth
then hold your breath
Determine the response to
The nurse learns in report that a client is
stimuli stuporous. Which assessment should the
3 multiple choice
options
nurse perform to confirm this report?
A. Observe for facial asymmetry
B.Determine the response to stimuli
C. Assess for a positive Romberg
sign D Check the pupillary response to
light
The nurse begins a clients musculoskeletal A. Atrophy
assessment. While using the technique of C. Kyphosis
inspection, the nurse assesses for which E. Contracture
findings? Select all that apply
possible 2 multiple choice options
A. Atrophy
B.Crepitus
C. Kyphosis
D.Osteopenia
E.Contracture
An older client comes to the healthcare A. Obtain a medication history including prescription and non
provider's office for a routine follow-up prescription drugs.
exam for high blood pressure,
osteoarthritis, constipation, and chronic
sinusitis. The client recently had a
cataract removed from the left eye,
Which is the MOST important for the
nurse to assess when obtaining the
clients health history.
A. Obtain a medication history including
prescription and non prescription drugs.
B.Conduct an assessment of functional
capacity and environmental
hazards.
C. Emphasize the need to place advance
directives in the medical record.
D.Distinguish between symptoms caused
by disease and those due to aging.
, The nurse is assessing a client who has a B. Use a standard pain assessment questionnaire and scale
history of kidney stones and returns to the
clinic with flank pain. Which intervention
should the nurse implement first?
A. Collect a urine sample and strain for
granules or calculi.
B.Use a standard pain assessment
questionnaire and scale.
C. Observe for nonverbal signs to measure
pain intensity.
D.Ask the client if he took any
pain medicine at home.
During a health assessment, the client C. Distal interphalangeal joint nodules that
deviate reports being treated for osteoarthritis. The
nurse examines a client's hands and finds
Heberden's nodes. Which finding should the
nurse document in the client's medical
record?
A. Frozen, non-movable phalangeal joints
B.Proximal intertarsal joint swelling of
big toe
C. Distal interphalangeal joint nodules
that deviate
D.Non-painful enlarged interphalangeal
joints
The nurse is assessing a client with A. Examine client's sclera for icterus
gallstones for jaundice. Which action should
the nurse perform to confirm this
information?
A. Examine client's sclera for icterus
B.Review recent serum bilirubin levels
C. Assess conjunctival sacs of lower lids for
pallor
D.Observe the client's urine for dark orange
color
When assessing heart sounds of a client with B. Left fourth intercostal space next to the
sternal border rheumatic valvular heart disease, where
should the nurse place the stethoscope to
auscultate the tricuspid valve?
A. Third left intercostal space
B.Left fourth intercostal space next to
the sternal border
C. Second right intercostal space
D.Left fifth intercostal space,
midclavicular line
