WGU D444 ADULT HEALTH 1 OBJECTIVE
ASSESSMENT | OA V1 AND V2 –
QUESTIONS AND ANSWERS | 2026/2027
UPDATE | 100% CORRECT | GRADED A +
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, a productive cough with thickened, tenacious mucus, and the inability to
walk up a flight of stairs without experiencing breathlessness. Which action is most
important for the nurse to instruct the client about self-care? -
ANSWER Increase the daily intake of oral fluids to liquefy secretions.
A client with psoriasis returns to the clinic reporting the persistence of several
silvery, scaly areas on the elbows and palms that frequently burn and sometimes
bleed. Which prescription should the nurse teach the client to use for the skin
condition? - ANSWER Topical corticosteroids.
A client with open-angle glaucoma asks the nurse how long the prescribed eye
drops will need to be used. Which response made by the nurse is accurate? -
ANSWER For long-term control of normal eye pressure.
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, productive cough with thickened, tenacious mucus, and the inability to
walk up a flight of stairs without experiencing breathlessness. Which action is most
important for the nurse to instruct the client about self-care? -
ANSWER Increase the daily intake of oral fluids to liquefy secretions.
, A client is being cared for in the emergency department with acute abdominal pain
and a provisional diagnosis of pancreatitis. The nurse assesses the client and
obtains the results from laboratory studies. Which information is most valuable in
reporting the client's status to the healthcare provider? - ANSWER Severity of
nausea and vomiting and serum amylase results.
The nurse is caring for a client with chronic obstructive pulmonary disease who
develops an onset of dyspnea and tachypnea with coughing. After positioning the
client upright, which action should the nurse take next? - ANSWER Obtain a
pulse oximetry reading.
Which technique should the nurse use when assessing for early signs of
rheumatoid arthritis? - ANSWER Observe the client's fingers.
A client presents to the emergency department with muscle aches, headache, fever,
and describes a recent loss of taste and smell. The nurse obtains a nasal swab for
COVID-19 testing. Which action is most important for the nurse to take? -
ANSWER Isolate the client from other clients, family, and healthcare workers
not wearing proper personal protective equipment (PPE).
A client with emphysema is reporting difficulty in breathing and exhibiting audible
wheezing. The nurse administers albuterol as prescribed for the third time within
the last 12 hours. Which assessment finding warrants immediate intervention by
the nurse? - ANSWER Irregular rapid heart rate.
The nurse is caring for a client with emphysema who is mildly dyspneic after
ambulation. Which instruction should the nurse provide to the client to improve
,gas exchange? - ANSWER Draw air in through the nose and exhale slowly
through pursed lips.
A client with chronic cirrhosis has esophageal varices. It is most important for the
nurse to monitor the client for the onset of which problem? -
ANSWER Hematemesis (bloody vomit)
The client with Clostridium difficile in the stool receives a prescription for
vancomycin PO. Which action should the nurse take before administering the first
dose? - ANSWER Check serum creatinine.
A client who was admitted yesterday with bilateral pneumonia has congested
breath sounds, an oxygen saturation of 94% on room air, and an oral temperature
of 100° F (37.8° C). The client has a weak cough effort and is using accessory
muscles to breathe. Which intervention should the nurse implement first? -
ANSWER Suction to clear secretions from airway.
A client has a nasogastric (NG) tube placed during abdominal surgery. During
postoperative convalescence, the nurse identifies that the client is manifesting a
hand tremor, muscle twitching, and confusion. Which arterial blood gas values are
consistent with metabolic alkalosis that the nurse should report to the healthcare
provider? - ANSWER pH 7.49, PCO2 45 mm Hg, HCO3 32 mEq/L (32
mmol/L), PO2 90 mm Hg.
A client with symptoms of influenza that started the previous day asks the clinic
nurse about taking oseltamivir to treat the infection. Which response should the
nurse provide? - ANSWER Refer the client to the healthcare provider at the
clinic to obtain a medication prescription.
, The nurse is performing a routine dressing change for a client with a stage 3
pressure injury that is red with significant granulation. The wound has a gauze
dressing covering the area. Which action should the nurse implement? -
ANSWER Apply a hydrocolloidal gel dressing.
To assess the quality of an adult client's pain, which approach should the nurse
use? - ANSWER Ask the client to describe the pain.
While changing a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider, the
nurse should note which of the client's laboratory values? - ANSWER Culture
for sensitive organisms.
An adult client is admitted with AIDS and oral Candida albicans manifested by
several painful mouth ulcers. The nurse delegates oral care to the unlicensed
assistive personnel (UAP) and discusses how to assist the client. Which instruction
should the nurse provide to the UAP? - ANSWER Provide a soft-bristled
toothbrush for the client to use during oral care.
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider? - ANSWER Yellow sclera.
The healthcare provider prescribes bismuth subsalicylate, metronidazole,
tetracycline, and pantoprazole for a client with H. pylori. Prior to administering the
H. pylori treatment regimen, the nurse should review the client's medication list for
which medication? - ANSWER Aspirin.
ASSESSMENT | OA V1 AND V2 –
QUESTIONS AND ANSWERS | 2026/2027
UPDATE | 100% CORRECT | GRADED A +
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, a productive cough with thickened, tenacious mucus, and the inability to
walk up a flight of stairs without experiencing breathlessness. Which action is most
important for the nurse to instruct the client about self-care? -
ANSWER Increase the daily intake of oral fluids to liquefy secretions.
A client with psoriasis returns to the clinic reporting the persistence of several
silvery, scaly areas on the elbows and palms that frequently burn and sometimes
bleed. Which prescription should the nurse teach the client to use for the skin
condition? - ANSWER Topical corticosteroids.
A client with open-angle glaucoma asks the nurse how long the prescribed eye
drops will need to be used. Which response made by the nurse is accurate? -
ANSWER For long-term control of normal eye pressure.
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, productive cough with thickened, tenacious mucus, and the inability to
walk up a flight of stairs without experiencing breathlessness. Which action is most
important for the nurse to instruct the client about self-care? -
ANSWER Increase the daily intake of oral fluids to liquefy secretions.
, A client is being cared for in the emergency department with acute abdominal pain
and a provisional diagnosis of pancreatitis. The nurse assesses the client and
obtains the results from laboratory studies. Which information is most valuable in
reporting the client's status to the healthcare provider? - ANSWER Severity of
nausea and vomiting and serum amylase results.
The nurse is caring for a client with chronic obstructive pulmonary disease who
develops an onset of dyspnea and tachypnea with coughing. After positioning the
client upright, which action should the nurse take next? - ANSWER Obtain a
pulse oximetry reading.
Which technique should the nurse use when assessing for early signs of
rheumatoid arthritis? - ANSWER Observe the client's fingers.
A client presents to the emergency department with muscle aches, headache, fever,
and describes a recent loss of taste and smell. The nurse obtains a nasal swab for
COVID-19 testing. Which action is most important for the nurse to take? -
ANSWER Isolate the client from other clients, family, and healthcare workers
not wearing proper personal protective equipment (PPE).
A client with emphysema is reporting difficulty in breathing and exhibiting audible
wheezing. The nurse administers albuterol as prescribed for the third time within
the last 12 hours. Which assessment finding warrants immediate intervention by
the nurse? - ANSWER Irregular rapid heart rate.
The nurse is caring for a client with emphysema who is mildly dyspneic after
ambulation. Which instruction should the nurse provide to the client to improve
,gas exchange? - ANSWER Draw air in through the nose and exhale slowly
through pursed lips.
A client with chronic cirrhosis has esophageal varices. It is most important for the
nurse to monitor the client for the onset of which problem? -
ANSWER Hematemesis (bloody vomit)
The client with Clostridium difficile in the stool receives a prescription for
vancomycin PO. Which action should the nurse take before administering the first
dose? - ANSWER Check serum creatinine.
A client who was admitted yesterday with bilateral pneumonia has congested
breath sounds, an oxygen saturation of 94% on room air, and an oral temperature
of 100° F (37.8° C). The client has a weak cough effort and is using accessory
muscles to breathe. Which intervention should the nurse implement first? -
ANSWER Suction to clear secretions from airway.
A client has a nasogastric (NG) tube placed during abdominal surgery. During
postoperative convalescence, the nurse identifies that the client is manifesting a
hand tremor, muscle twitching, and confusion. Which arterial blood gas values are
consistent with metabolic alkalosis that the nurse should report to the healthcare
provider? - ANSWER pH 7.49, PCO2 45 mm Hg, HCO3 32 mEq/L (32
mmol/L), PO2 90 mm Hg.
A client with symptoms of influenza that started the previous day asks the clinic
nurse about taking oseltamivir to treat the infection. Which response should the
nurse provide? - ANSWER Refer the client to the healthcare provider at the
clinic to obtain a medication prescription.
, The nurse is performing a routine dressing change for a client with a stage 3
pressure injury that is red with significant granulation. The wound has a gauze
dressing covering the area. Which action should the nurse implement? -
ANSWER Apply a hydrocolloidal gel dressing.
To assess the quality of an adult client's pain, which approach should the nurse
use? - ANSWER Ask the client to describe the pain.
While changing a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider, the
nurse should note which of the client's laboratory values? - ANSWER Culture
for sensitive organisms.
An adult client is admitted with AIDS and oral Candida albicans manifested by
several painful mouth ulcers. The nurse delegates oral care to the unlicensed
assistive personnel (UAP) and discusses how to assist the client. Which instruction
should the nurse provide to the UAP? - ANSWER Provide a soft-bristled
toothbrush for the client to use during oral care.
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider? - ANSWER Yellow sclera.
The healthcare provider prescribes bismuth subsalicylate, metronidazole,
tetracycline, and pantoprazole for a client with H. pylori. Prior to administering the
H. pylori treatment regimen, the nurse should review the client's medication list for
which medication? - ANSWER Aspirin.
