WGU D443 ADULT HEALTH 1 EXAM 1 PRACTICE QUESTIONS WITH
VERIFIED ANSWERS
100% Correct 113
Incorrect 0
1 of 113
Term
An experienced nurse instructs a new nurse about how to care for a
patient with dyspnea caused by a pulmonary fungal infection.
Which action by the new nurse indicates a need for further
teaching?
a. Listening to the patient's lung sounds several times during the shift
b. Placing the patient on droplet precautions in a private hospital room
c. Monitoring patient serology results to identify the infecting organism
d. Increasing the O2 flow rate to keep the O2 saturation over 90%
Give this one a go later!
d. The patient is being treated with antiretrovirals for HIV infection.
Drug interactions can occur between the antiretrovirals used to treat HIV
infection and the medications used to treat TB.
, c. "Tell me what you know about the treatments available."
More assessment of the patient's concerns about surgery is indicated. An
open-ended response will elicit the most information from the patient.
c. The patient's white blood cell (WBC) count is 9000/μL.
The normal WBC count indicates that the antibiotics have been effective. All the
other data suggest that a change in treatment is needed.
b. Placing the patient on droplet precautions in a private hospital room
Fungal infections are not transmitted from person to person. Therefore no
isolation procedures are necessary.
Don't know?
2 of 113
Term
The nurse is caring for a patient who has a massive burn injury and
possible hypovolemia.
Which assessment data should be of most concern to the nurse?
a. Urine output is 30 mL/hr.
b. Blood pressure is 90/40 mm Hg.
c. Oral fluid intake is 100 mL for 8 hours.
d. Skin tenting over the sternum is prolonged.
Give this one a go later!
,Increase fluid intake to 3 L/day if tolerated.
Although several interventions may help the patient expectorate mucus, the
highest priority should be on increasing fluid intake, which will liquefy the
secretions so that the patient can expectorate them more easily.
Humidifying the oxygen is also helpful but is not the primary intervention.
Teaching the patient to splint the affected area may also be helpful in decreasing
discomfort but does not assist in expectoration of thick secretions.
ANS: C
An alert older patient will be able to self-assess for signs of oral dryness such as
thick oral
secretions or dry-appearing mucosa. The thirst mechanism decreases with age and
is not an
accurate indicator of volume depletion. Many older patients prefer to restrict fluids
slightly in
the evening to improve sleep quality. The patient will not be likely to notice and act
appropriately when changes in level of consciousness occur.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
ANS: B
The blood pressure indicates that the patient may be developing hypovolemic
shock because
of intravascular fluid loss because of the burn injury. This finding will require
immediate
intervention to prevent the complications associated with systemic
hypoperfusion. The poor
oral intake, decreased urine output, and skin tenting all indicate the need for
increasing the
patient's fluid intake but not as urgently as the hypotension.
DIF: Cognitive Level: Analyze (analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
, Positioning patient with "good lung" down
Therapeutic positioning identifies the best position for the patient, thus assuring
stable oxygenation status. Research indicates that positioning the patient with the
unaffected lung (good lung) dependent best promotes oxygenation in patients with
unilateral lung disease.
Don't know?
3 of 113
Term
A patient who has been hospitalized for 2 days has a nasogastric tube
to low suction and is
receiving normal saline IV at 100 mL/hr. Which assessment finding
would be a priority for
the nurse to report to the health care provider?
a.Oral temperature of 100.1° F
b. Decreased alertness since admission
c. Weight gain of 2 pounds (1 kg) over 2 days
d. Serum sodium level of 138 mEq/L (138 mmol/L)
Give this one a go later!
ANS: A
The health care provider should be notified immediately. The patient has a history
and
manifestations consistent with hypermagnesemia. The nurse should check the chart
for a
recent serum magnesium level and make sure that blood is sent to the laboratory
for
immediate electrolyte and chemistry determinations. Dialysis should correct the
high
VERIFIED ANSWERS
100% Correct 113
Incorrect 0
1 of 113
Term
An experienced nurse instructs a new nurse about how to care for a
patient with dyspnea caused by a pulmonary fungal infection.
Which action by the new nurse indicates a need for further
teaching?
a. Listening to the patient's lung sounds several times during the shift
b. Placing the patient on droplet precautions in a private hospital room
c. Monitoring patient serology results to identify the infecting organism
d. Increasing the O2 flow rate to keep the O2 saturation over 90%
Give this one a go later!
d. The patient is being treated with antiretrovirals for HIV infection.
Drug interactions can occur between the antiretrovirals used to treat HIV
infection and the medications used to treat TB.
, c. "Tell me what you know about the treatments available."
More assessment of the patient's concerns about surgery is indicated. An
open-ended response will elicit the most information from the patient.
c. The patient's white blood cell (WBC) count is 9000/μL.
The normal WBC count indicates that the antibiotics have been effective. All the
other data suggest that a change in treatment is needed.
b. Placing the patient on droplet precautions in a private hospital room
Fungal infections are not transmitted from person to person. Therefore no
isolation procedures are necessary.
Don't know?
2 of 113
Term
The nurse is caring for a patient who has a massive burn injury and
possible hypovolemia.
Which assessment data should be of most concern to the nurse?
a. Urine output is 30 mL/hr.
b. Blood pressure is 90/40 mm Hg.
c. Oral fluid intake is 100 mL for 8 hours.
d. Skin tenting over the sternum is prolonged.
Give this one a go later!
,Increase fluid intake to 3 L/day if tolerated.
Although several interventions may help the patient expectorate mucus, the
highest priority should be on increasing fluid intake, which will liquefy the
secretions so that the patient can expectorate them more easily.
Humidifying the oxygen is also helpful but is not the primary intervention.
Teaching the patient to splint the affected area may also be helpful in decreasing
discomfort but does not assist in expectoration of thick secretions.
ANS: C
An alert older patient will be able to self-assess for signs of oral dryness such as
thick oral
secretions or dry-appearing mucosa. The thirst mechanism decreases with age and
is not an
accurate indicator of volume depletion. Many older patients prefer to restrict fluids
slightly in
the evening to improve sleep quality. The patient will not be likely to notice and act
appropriately when changes in level of consciousness occur.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
ANS: B
The blood pressure indicates that the patient may be developing hypovolemic
shock because
of intravascular fluid loss because of the burn injury. This finding will require
immediate
intervention to prevent the complications associated with systemic
hypoperfusion. The poor
oral intake, decreased urine output, and skin tenting all indicate the need for
increasing the
patient's fluid intake but not as urgently as the hypotension.
DIF: Cognitive Level: Analyze (analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
, Positioning patient with "good lung" down
Therapeutic positioning identifies the best position for the patient, thus assuring
stable oxygenation status. Research indicates that positioning the patient with the
unaffected lung (good lung) dependent best promotes oxygenation in patients with
unilateral lung disease.
Don't know?
3 of 113
Term
A patient who has been hospitalized for 2 days has a nasogastric tube
to low suction and is
receiving normal saline IV at 100 mL/hr. Which assessment finding
would be a priority for
the nurse to report to the health care provider?
a.Oral temperature of 100.1° F
b. Decreased alertness since admission
c. Weight gain of 2 pounds (1 kg) over 2 days
d. Serum sodium level of 138 mEq/L (138 mmol/L)
Give this one a go later!
ANS: A
The health care provider should be notified immediately. The patient has a history
and
manifestations consistent with hypermagnesemia. The nurse should check the chart
for a
recent serum magnesium level and make sure that blood is sent to the laboratory
for
immediate electrolyte and chemistry determinations. Dialysis should correct the
high
