WGU D446 ADULT HEALTH 2 TEST 1 |125 QUESTIONS WITH VERIFIED
ANSWERS 2026
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10. A nurse assesses a client who is scheduled for a cardiac
catheterization. Which assessment should the nurse complete prior to
this procedure?
a. Clients level of anxiety
b. Ability to turn self in bed
c. Cardiac rhythm and heart rate d. Allergies to iodine-based agents
DIF: Remembering
Not quite. You're still learning!
ANS: B
the post-angioplasty client with tongue swelling and anxiety is exhibiting
manifestations of an allergic reaction that could progress to anaphylaxis. The
nurse should assess this client first. The client with a heart rate of 102 beats/min
may have increased oxygen demands but is just over the normal limit for heart
rate. The two post coronary artery bypass clients are stable.
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ANS: D
Before the procedure, the nurse should ascertain whether the client has an
allergy to iodine-containing preparations, such as seafood or local
anesthetics. The contrast medium used during the procedure is iodine based.
This allergy can cause a life-threatening reaction, so it is a high priority.
Second, it is important for the nurse to assess anxiety, mobility, and baseline
cardiac status.
ANS: A, D
Varenicline (Chantix) has a black box warning stating that the drug can cause manic
behavior and hallucinations. The nurse should assess for changes in behavior and
thought processes, including impaired judgment and visual hallucinations.
Tachycardia and increased thirst are not adverse effects of this medication.
Decreased cravings is a therapeutic response to this medication.
DIF: Understanding
ANS: D
Beta blockers block the stimulation of beta1-adrenergic receptors. They block the
sympathetic (fight-or-flight) response and decrease the heart rate (HR). The beta
blocker will decrease HR and blood pressure, increasing ventricular filling time. It
usually does not have effects on beta2-adrenergic receptor sites. Cardiac output
will drop because of decreased HR.
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6. A nurse obtains the health history of a client who is newly admitted
to the medical unit. Which statement by the client should alert the
nurse to the presence of edema?
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a. I wake up to go to the bathroom at night.
b. My shoes fit tighter by the end of the day.
c. I seem to be feeling more anxious lately.
d. I drink at least eight glasses of water a day.
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ANS: B
Bearing down strenuously during a bowel movement is one type of Valsalva
maneuver, which stimulates the vagus nerve and results in slowing of the heart rate.
Such a response is not desirable in a person who has bradycardia. The other
instructions are not appropriate for this condition.
ANS: B
Weight gain can result from fluid accumulation in the interstitial spaces. This is
known as edema. The nurse should note whether the client feels that his or her
shoes or rings are tight, and should observe, when present, an indentation
around the leg where the socks end. The other answers do not describe
edema.
ANS: B
Atrial fibrillation occurs commonly in clients with cardiac disease and is a common
occurrence after coronary artery bypass graft surgery. The other conditions do not
place these clients at higher risk for atrial fibrillation.
ANS: B
Atrial fibrillation puts clients at risk for developing emboli. Clients at risk for emboli
are treated with anticoagulants, such as heparin, enoxaparin, or warfarin. Sotalol,
atropine, and lidocaine are not appropriate for this complication.
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, 3/23/26, 7:16 PM adult health 2 test 1 | Quizlet
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2. When working with women who are taking hormonal birth control,
what health promotion measures should the nurse teach to prevent
possible pulmonary embolism (PE)? (Select all that apply.)
a. Avoid drinking alcohol.
b. Eat more omega-3 fatty acids.
c. Exercise on a regular basis.
d. Maintain a healthy weight.
e. Stop smoking cigarettes.
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ANS: C, D, E
Health promotion measures for clients to prevent thromboembolic events
such as PE include maintaining a healthy weight, exercising on a regular basis,
and not smoking. Avoiding alcohol and eating more foods containing omega-
3 fatty acids are heart-healthy actions but do not relate to the prevention of
PE.
ANS: C
The incidence of coronary artery disease and hypertension is higher in American
Indians than in whites or Asian Americans. Diabetes mellitus increases the risk for
hypertension and coronary artery disease in people of any race or ethnicity.
Asthma, colorectal cancer, and hormone therapy do not increase risk for
cardiovascular disease.
ANS: A, B, D
Age-related changes that increase the difficulty of weaning older adults from
mechanical ventilation include increased stiffness of the chest wall, decreased