CASAL OA REVIEW 2023 EXAM GUIDE WITH COMPLETE SOLUTION
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WGU CASAL
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WGU CASAL
CASAL OA REVIEW 2023 EXAM GUIDE WITH COMPLETE SOLUTION
Health perception
how the person describes and defines personal health
First-Level Priority Problems
emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing
Second-Level Priority Problems
those ...
casal oa review 2023 exam guide with complete solution health perception how the person describes and defines personal health first level priority problems emergent
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CASAL OA REVIEW 2023 EXAM GUIDE WITH
COMPLETE SOLUTION
Health perception
how the person describes and defines personal health
First-Level Priority Problems
emergent, life-threatening, and immediate, such as establishing an airway or supporting
breathing
Second-Level Priority Problems
those that are next in urgency requiring your prompt intervention to forestall further
deterioration.
Third-Level Priority Problems
Important to the patient's health but can be addressed after more urgent health
problems are addressed
Nurse Manager
who is in-charge of improving coordination of care and reducing the fragmentation of
care
BMI ranges: (3)
- Obese: 30 <
- Overweight: 25 - 30
- Normal: 18 - 24
What should the nurse do to demonstrate proper body mechanics when assisting a
client to a standing position from a sitting position? (Select all that apply.)
Rock their own body weight as they pull the client up towards them.
Keep their own knees locked as they lift the client in a smooth motion.
Stand in front of the client, move their own feet apart and bend at the knees.
While standing behind the client, secure their own arms around the client's chest and lift
upward.
Assess the client and determine whether or not another care provider is needed to
assist.
Rock their own body weight as they pull the client up towards them.
Stand in front of the client, move their own feet apart and bend at the knees.
Assess the client and determine whether or not another care provider is needed to
assist.
Rationale
Pulling is easier than lifting and the momentum by rocking the nurse's body uses that
body weight to enhance the force of arm muscles. Moving feet apart widens the base of
,support and bending knees lowers the center of gravity. These actions are elements of
safe body mechanics. When possible, use teams to lift clients ast is decreases the
incidences of lower back injuries in healthcare workers and is safer for the client.
Which assessment data would provide the most accurate determination of proper
placement of a nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted.
C) Examining a chest x-ray obtained after the tubing was inserted
Both (A and B) are methods used to determine proper placement of the NG tubing.
However, the best indicator that the tubing is properly placed is (C). (D) is not an
indicator of proper placement
The nurse is assessing a client for risk of falls. Which client behavior would be the most
informative to the nurse?
The client transfers unassisted from the bed to a chair next to the bed.
The client changes positions in bed from a prone position to sitting upright at 45
degrees.
The client is able to rise from a chair without using arms for support and walk 10 feet
and turn around.
The client with gait belt attached ambulates up and down the hallway with the physical
therapist next to them.
The client is able to rise from a chair without using arms for support and walk 10 feet
and turn around.
Rationale
A client's ability to get up from a sitting position without using their arms for support and
walk 10 feet and turn around would give the nurse an assessment of the client's
balance, coordination and gait as they walked.
When assisting an 82-year-old client to ambulate, it is important for the nurse to realize
that the center of gravity for an elderly person is the
A) Arms.
B) Upper torso.
C) Head.
D) Feet
B) Upper torso
The center of gravity for adults is the hips. However, as the person grows older, a
,stooped posture is common because of the changes from osteoporosis and normal
bone degeneration, and the knees, hips, and elbows flex. This stooped posture results
in the upper torso (B) becoming the center of gravity for older persons. Although (A) is a
part, or an extension of the upper torso, this is not the best and most complete answer.
Reduce dietary sodium to less than ___ mg
2300 mg
What nursing interventions should be implemented for a client whose absolute
neutrophil count (ANC) is below 500?
Admit to a reverse isolation room.
Begin bleeding precaution protocol.
Caution against any cut flowers in client's room.
Screen and limit individuals wishing to visit.
Provide only fresh organic fruits and vegetables.
Admit to a reverse isolation room.
Screen and limit individuals wishing to visit.
Caution against any cut flowers in client's room.
Rationale
The client has neutropenia and is at risk for infection. A reverse isolation, positive
pressure room is the best choice for these clients. Cut flowers and live plants, along
with fruits and vegetables have been shown to carry organisms that could cause harm
to the immuno-compromised client. Visitors of these clients need to be limited and
screen for possible signs of infection which could be lethal to an immuno-compromised
client.
Which action is most important for the nurse to implement when donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first.
C) Keep gloved hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A and B) are not
essential to maintaining asepsis. While it may be helpful to put the glove on the
dominant hand first, it is not necessary to ensure asepsis (D).
Do obese children generally become obese adults?
Yes
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
, What should be the nurse's first response?
A) It is important that you continue your medication while learning to meditate.
B) Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C) Obtain your healthcare provider's permission before starting meditation.
D) Complementary therapy and western medicine can be effective for you.
A) It is important that you continue your medication while learning to meditate
The prolonged practice of meditation may lead to a reduced need for antihypertensive
medications. However, the medications must be continued (A) while the physiologic
response to meditation is monitored. (B) is not as important as continuing the
medication. The healthcare provider should be informed, but permission is not required
to meditate (C). Although it is true that this complimentary therapy might be effective
(D), it is essential that the client continue with antihypertensive medications until the
effect of meditation can be measured
A client has a swollen, bruised, sprained ankle and states that the current pain level has
risen from a 3 to a 5 on a 10 point scale. Which analgesic medication would most likely
be prescribed to relieve this pain?
Morphine.
Ibuprofen.
Oxycodone.
Acetaminophen.
Ibuprofen.
Rationale
Ibuprofen is indicated for mild to moderate pain relief. It is also a non-steroidal anti-
inflammatory drug (NSAID) which inhibits the synthesis of prostaglandins which then
inhibits the cellular response to inflammation.
baseline data consists of (4)
consists of vital signs, height, weight, and allergy status
What is the best position for patients with cardiac and/or respiratory problems?
Fowler's position
The nurse plans to obtain health assessment information from a primary source. Which
option is a primary source for the completion of the health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records
A) Client
A primary source of information for a health assessment is the client (A). (B, C, and D)
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