WGU D545 OA | Objective Assessment | 56 Questions
and Answers | 2025 Update | 100% Correct.
WGU D545 – Practice Objective Assessment (20 Questions)
1. A nurse implements an intervention to reduce catheter-associated UTIs.
Which outcome best indicates the intervention was effective?
A. Increased catheter insertions
B. Decreased positive urine cultures
C. Increased urine output
D. Fewer bladder scans
-Answer-: : B
Rationale: CAUTI prevention effectiveness is measured by reduced infection
rates, not output or procedures.
2. During SBAR communication, which information belongs in the “Assessment”
section?
A. Patient room number
B. Vital signs and clinical interpretation
C. Provider recommendations
D. Past medical history
-Answer-: : B
Rationale: Assessment includes current clinical findings + nurse’s interpretation,
not history or recommendations.
,3. Which action demonstrates primary prevention?
A. Mammogram screening
B. Chemotherapy
C. Vaccination
D. Rehabilitation therapy
-Answer-: : C
Rationale: Primary prevention prevents disease before it occurs (e.g.,
immunization).
4. A patient refuses medication after education. What is the nurse’s best
response?
A. Document refusal and notify provider
B. Administer anyway
C. Ask family to persuade
D. Remove medication permanently
-Answer-: : A
Rationale: Respect autonomy, document refusal, and notify provider.
5. Which is an example of a sentinel event?
A. Mild medication delay
B. Pressure injury stage I
C. Patient fall with death
D. Late lab results
-Answer-: : C
Rationale: Sentinel events involve serious injury or death requiring immediate
investigation.
, 6. Which task can be delegated to a UAP?
A. Initial assessment
B. Medication administration
C. Sterile dressing change
D. Ambulating stable patient
-Answer-: : D
Rationale: Ambulation of stable patients is appropriate delegation.
Assessment/meds are RN tasks.
7. Evidence-based practice begins with which step?
A. Implement intervention
B. Ask a clinical question
C. Collect data
D. Evaluate results
-Answer-: : B
Rationale: EBP starts with formulating a focused question (PICOT).
8. Which lab requires immediate action?
A. Potassium 6.3 mEq/L
B. Sodium 140 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 110 mg/dL
-Answer-: : A
Rationale: Hyperkalemia may cause fatal dysrhythmias.
9. Which patient should the nurse assess first?
A. Post-op pain 6/10
B. New onset chest pain
and Answers | 2025 Update | 100% Correct.
WGU D545 – Practice Objective Assessment (20 Questions)
1. A nurse implements an intervention to reduce catheter-associated UTIs.
Which outcome best indicates the intervention was effective?
A. Increased catheter insertions
B. Decreased positive urine cultures
C. Increased urine output
D. Fewer bladder scans
-Answer-: : B
Rationale: CAUTI prevention effectiveness is measured by reduced infection
rates, not output or procedures.
2. During SBAR communication, which information belongs in the “Assessment”
section?
A. Patient room number
B. Vital signs and clinical interpretation
C. Provider recommendations
D. Past medical history
-Answer-: : B
Rationale: Assessment includes current clinical findings + nurse’s interpretation,
not history or recommendations.
,3. Which action demonstrates primary prevention?
A. Mammogram screening
B. Chemotherapy
C. Vaccination
D. Rehabilitation therapy
-Answer-: : C
Rationale: Primary prevention prevents disease before it occurs (e.g.,
immunization).
4. A patient refuses medication after education. What is the nurse’s best
response?
A. Document refusal and notify provider
B. Administer anyway
C. Ask family to persuade
D. Remove medication permanently
-Answer-: : A
Rationale: Respect autonomy, document refusal, and notify provider.
5. Which is an example of a sentinel event?
A. Mild medication delay
B. Pressure injury stage I
C. Patient fall with death
D. Late lab results
-Answer-: : C
Rationale: Sentinel events involve serious injury or death requiring immediate
investigation.
, 6. Which task can be delegated to a UAP?
A. Initial assessment
B. Medication administration
C. Sterile dressing change
D. Ambulating stable patient
-Answer-: : D
Rationale: Ambulation of stable patients is appropriate delegation.
Assessment/meds are RN tasks.
7. Evidence-based practice begins with which step?
A. Implement intervention
B. Ask a clinical question
C. Collect data
D. Evaluate results
-Answer-: : B
Rationale: EBP starts with formulating a focused question (PICOT).
8. Which lab requires immediate action?
A. Potassium 6.3 mEq/L
B. Sodium 140 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 110 mg/dL
-Answer-: : A
Rationale: Hyperkalemia may cause fatal dysrhythmias.
9. Which patient should the nurse assess first?
A. Post-op pain 6/10
B. New onset chest pain
