WGU D439 Foundations of Nursing Objective Assessment | OA 78 Questions and Answers |
2026 Update | 100% Correct.
Correct
Incorrect
Questions and answers
1 of 78
Term
The nurse receives a new prescription to administer oxygen at 3L /
minute via a nasal cannula to maintain an oxygen saturation between
90 and 100% for an adult client. The nurse obtains an oxygen saturation
reading 85% and after repositioning the oximeter on a different finger,
obtains a second reading of 87% Which action should the nurse take
next?
Give this one a try later!
Place the client in a Trendelenburg Securely place the prongs of
position the cannula in the nostrils
, Document the second reading in the Place the pulse oximeter on the
client record client's earlobe
Don't know?
2 of 78
Term
A client is requesting medicine for pain 30 minutes after receiving
morphine sulfate 5 mg intravenously. Which intervention should the
nurse implement next?
Give this one a try later!
Ask the UAP to offer a backrub to the Encourage the client to focus on
client taking deep breaths
Tell the client the medication needs Reassess the client and the level
more time to work of pain
Don't know?
3 of 78
Term
The nurse observes a newly employed unlicensed assistive personnel
(UAP) checking the temperature of an adult client using a tympanic
,thermometer. The UAP pulls the client's auricle up and back and
prepares to insert the thermometer. What action should the nurse
implement?
Give this one a try later!
Use positive reinforcement to affirm Remind the UAP to lubricant the
that the procedure is being thermometer before gently inserting
performed correctly in the ear
Use positive reinforcement to Advise the UAP to hold the
affirm that the procedure is thermometer securely in place for a
being performed correctly. full three minutes
Don't know?
4 of 78
Term
The nurse observes an unlicensed assistive personnel (UAP) feeding a
client who had a cerebral vascular accident (CVA) and is at risk for
aspiration. Which action by the UAP should the nurse recognize
indicates the need for additional teaching?
Give this one a try later!
Raises the head of the bed to Allows 30 minutes of rest before
60 degrees feeding
, Places food on the unaffected side of Positions the head with the chin tilted
the mouth slightly downward
Don't know?
5 of 78
Term
After an intravenous antibiotic is started, the nurse determines that the
medication is not prescribed for the client and stops the infusion.
Which action should the nurse implement next?
Give this one a try later!
Complete an incident report Inform the nurse on the next shift
Notify the healthcare provider Document the event on the chart
Don't know?
2026 Update | 100% Correct.
Correct
Incorrect
Questions and answers
1 of 78
Term
The nurse receives a new prescription to administer oxygen at 3L /
minute via a nasal cannula to maintain an oxygen saturation between
90 and 100% for an adult client. The nurse obtains an oxygen saturation
reading 85% and after repositioning the oximeter on a different finger,
obtains a second reading of 87% Which action should the nurse take
next?
Give this one a try later!
Place the client in a Trendelenburg Securely place the prongs of
position the cannula in the nostrils
, Document the second reading in the Place the pulse oximeter on the
client record client's earlobe
Don't know?
2 of 78
Term
A client is requesting medicine for pain 30 minutes after receiving
morphine sulfate 5 mg intravenously. Which intervention should the
nurse implement next?
Give this one a try later!
Ask the UAP to offer a backrub to the Encourage the client to focus on
client taking deep breaths
Tell the client the medication needs Reassess the client and the level
more time to work of pain
Don't know?
3 of 78
Term
The nurse observes a newly employed unlicensed assistive personnel
(UAP) checking the temperature of an adult client using a tympanic
,thermometer. The UAP pulls the client's auricle up and back and
prepares to insert the thermometer. What action should the nurse
implement?
Give this one a try later!
Use positive reinforcement to affirm Remind the UAP to lubricant the
that the procedure is being thermometer before gently inserting
performed correctly in the ear
Use positive reinforcement to Advise the UAP to hold the
affirm that the procedure is thermometer securely in place for a
being performed correctly. full three minutes
Don't know?
4 of 78
Term
The nurse observes an unlicensed assistive personnel (UAP) feeding a
client who had a cerebral vascular accident (CVA) and is at risk for
aspiration. Which action by the UAP should the nurse recognize
indicates the need for additional teaching?
Give this one a try later!
Raises the head of the bed to Allows 30 minutes of rest before
60 degrees feeding
, Places food on the unaffected side of Positions the head with the chin tilted
the mouth slightly downward
Don't know?
5 of 78
Term
After an intravenous antibiotic is started, the nurse determines that the
medication is not prescribed for the client and stops the infusion.
Which action should the nurse implement next?
Give this one a try later!
Complete an incident report Inform the nurse on the next shift
Notify the healthcare provider Document the event on the chart
Don't know?
