WGU D444 OA Prep Exam Questions
and Answers 2026 Update
Which dietary instruction is most important for the nurse to explain to a client
who has had gastric bypass surgery?
A Reduce intake of fatty foods
B Sip fluids with each meal
C Eat small frequent meals
D Chew slowly and thoroughly
C Eat small frequent meals
A client is admitted to the hospital for treatment of a simple goiter, And
levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that
the prescribed dosage is too high for this client?
A Muscle cramping and dry flushed skin
B Lethargy and lack of appetite
C Palpitations and shortness of breath
D Bradycardia and constipation
C Palpitations and shortness of breath
During a home visit, the nurse assesses the skin of a client with eczema who
reports an exacerbation Of symptoms has occurred during the last week. Which
information is most useful and determining the possible cause of symptoms?
A An old friend with eczema came for a visit
B A grandson and his new dog recently visited
C Corticosteroid cream was applied to eczema
D Recently received an influenza immunization
B A grandson and his new dog recently visited
,An older adult client with psoriasis of the liver and hepatic failure is placed on a
low sodium diet and is receiving periodic albumin infusions. Which assessment
finding indicates progress toward the desired effect of this treatment?
A Clear, dark amber colored urine
B Improved level of consciousness
C Decreased abdominal girth
D Prothrombin time with normal limits
C Decreased abdominal girth
The nurse is caring for a client who reports persistent, gnawing abdominal pain. To
help the client manage the pain which assessment data is most important for the
nurse to obtain?
A Activity of bowel sounds
B Level and amount of physical activity
C Eating patterns and dietary intake
D Color and consistency of feces
C Eating patterns of dietary intake
The nurse is caring for a client after a coronary artery bypass graft surgery. The
client is exhibiting pitting edema in the lower extremities and jugular venous
distention with increased central venous pressure. Which condition should the
nurse suspect the client is experiencing based on these findings?
A Cardiac tamponade
B Left ventricular dysfunction
C Right sided heart failure
D Internal bleeding
C Right sided heart failure
,A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the clients medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
A Type two diabetes mellitus
B Latent hepatitis C
CCrohn's disease with colectomy
DNephrotic syndrome history
CCrohn's disease with colectomy
A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder irrigation
with normal saline is infusion and the nurse observes dark pink tined outflow with
blood clots in the tubing and collection bag. Which action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
D Monitor a catheter drainage
A client who had colon surgery three days ago is anxious and requesting
assistance to reposition. While the nurse is turning the client the wound dehisces
and eviscerates. The nurse moistens and available sterile dressing and place it
over the wound. Which intervention should the nurse implement next?
A Obtain a sample of the drainage and sent to the laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity bring
D additional sterile dressing supplies to the room
B Prepare the client to return to the operating room
, A client with a fracture of the right femur has a skeletal traction applied. Which
intervention should the nurse include in the client's nursing plan of care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals around the clock
A Assess the pin site for signs of infection
A client with renal calculus reports, severe right flank pain, nausea, and vomiting
which nursing problem has the highest priority?
A Risk for aspiration related to vomiting
B Impaired renal function related to pain
C Nutritional deficit related to nausea
D Acute pain related to renal calculus
A Risk for aspiration related to vomiting
An adult client who recently diagnosed with glaucoma tells the nurse I feel like I
am driving through a tunnel. The client expresses great concern about going blind.
Which nursing instruction is most important for the nurse to provide this client?
A Eat a diet high in carotene
B Wear prescription glasses
C Avoid frequent eye pressure measurements
D Maintain prescribed eyedrop regimen
D Maintain prescribed eyedrop regimen
When conducting discharge teaching for a client diagnosed with diverticulitis,
which diet instruction should the nurse include?
A Have small frequent meals and sit up for at least two hours after meals
and Answers 2026 Update
Which dietary instruction is most important for the nurse to explain to a client
who has had gastric bypass surgery?
A Reduce intake of fatty foods
B Sip fluids with each meal
C Eat small frequent meals
D Chew slowly and thoroughly
C Eat small frequent meals
A client is admitted to the hospital for treatment of a simple goiter, And
levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that
the prescribed dosage is too high for this client?
A Muscle cramping and dry flushed skin
B Lethargy and lack of appetite
C Palpitations and shortness of breath
D Bradycardia and constipation
C Palpitations and shortness of breath
During a home visit, the nurse assesses the skin of a client with eczema who
reports an exacerbation Of symptoms has occurred during the last week. Which
information is most useful and determining the possible cause of symptoms?
A An old friend with eczema came for a visit
B A grandson and his new dog recently visited
C Corticosteroid cream was applied to eczema
D Recently received an influenza immunization
B A grandson and his new dog recently visited
,An older adult client with psoriasis of the liver and hepatic failure is placed on a
low sodium diet and is receiving periodic albumin infusions. Which assessment
finding indicates progress toward the desired effect of this treatment?
A Clear, dark amber colored urine
B Improved level of consciousness
C Decreased abdominal girth
D Prothrombin time with normal limits
C Decreased abdominal girth
The nurse is caring for a client who reports persistent, gnawing abdominal pain. To
help the client manage the pain which assessment data is most important for the
nurse to obtain?
A Activity of bowel sounds
B Level and amount of physical activity
C Eating patterns and dietary intake
D Color and consistency of feces
C Eating patterns of dietary intake
The nurse is caring for a client after a coronary artery bypass graft surgery. The
client is exhibiting pitting edema in the lower extremities and jugular venous
distention with increased central venous pressure. Which condition should the
nurse suspect the client is experiencing based on these findings?
A Cardiac tamponade
B Left ventricular dysfunction
C Right sided heart failure
D Internal bleeding
C Right sided heart failure
,A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the clients medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
A Type two diabetes mellitus
B Latent hepatitis C
CCrohn's disease with colectomy
DNephrotic syndrome history
CCrohn's disease with colectomy
A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder irrigation
with normal saline is infusion and the nurse observes dark pink tined outflow with
blood clots in the tubing and collection bag. Which action should the nurse take?
A Discontinue infusion solution
B Irrigate the catheter manually
C Decreased the flow rate
D Monitor catheter drainage
D Monitor a catheter drainage
A client who had colon surgery three days ago is anxious and requesting
assistance to reposition. While the nurse is turning the client the wound dehisces
and eviscerates. The nurse moistens and available sterile dressing and place it
over the wound. Which intervention should the nurse implement next?
A Obtain a sample of the drainage and sent to the laboratory
B Prepare the client to return to the operating room
C Auscultate the abdomen for bowel sound activity bring
D additional sterile dressing supplies to the room
B Prepare the client to return to the operating room
, A client with a fracture of the right femur has a skeletal traction applied. Which
intervention should the nurse include in the client's nursing plan of care?
A Assess the sites for signs of infection
B Remove traction every shift and provide skin care
C Assess the pulses proximal to the fracture site
D Administer pain medication at designated intervals around the clock
A Assess the pin site for signs of infection
A client with renal calculus reports, severe right flank pain, nausea, and vomiting
which nursing problem has the highest priority?
A Risk for aspiration related to vomiting
B Impaired renal function related to pain
C Nutritional deficit related to nausea
D Acute pain related to renal calculus
A Risk for aspiration related to vomiting
An adult client who recently diagnosed with glaucoma tells the nurse I feel like I
am driving through a tunnel. The client expresses great concern about going blind.
Which nursing instruction is most important for the nurse to provide this client?
A Eat a diet high in carotene
B Wear prescription glasses
C Avoid frequent eye pressure measurements
D Maintain prescribed eyedrop regimen
D Maintain prescribed eyedrop regimen
When conducting discharge teaching for a client diagnosed with diverticulitis,
which diet instruction should the nurse include?
A Have small frequent meals and sit up for at least two hours after meals
