WGU D439 FOUNDATIONS OF NURSING OA
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
• A nurse stops at a motor vehicle collision to provide help for a victim who is
trapped in an overturned running vehicle. The nurse turns off the engine key
and asks the client to wiggle their fingers because the client's head is
impinged on the roof and the neck is bent to the left shoulder. After
Emergency Medical Services (EMS) arrive, the nurse reports that the victim
is conscious but is not able to talk, and then the nurse leaves the scene.
Which legal action can be taken in this situation?.
Answer: Abandonment of the victim.
• middle-range theory.
Answer: they address a specific phenomenon and reflect practice
(administration, clinical, or teaching)
• descriptive theory.
Answer: is the first level of theory development and describes the
phenomena and identify circumstances in which the phenomena occur
• grand theory.
Answer: is systemic and broad in scope and provides a structural framework
for nursing practice
• The nurse educator is conducting a class for unlicensed assistive personnel
(UAP). Which action indicates that a UAP understands gloving procedures?
Puts on new gloves when entering a client's room. The nurse is
demonstrating three-point gait crutch walking to an older adult client who
broke a foot while playing soccer with the grandchildren. Which behavior
indicates that the client understands proper crutch walking?.
Answer: Progresses to foot touchdown and weight bearing of affected leg.
• Which client assessment should the nurse perform during nasopharyngeal
, suctioning?.
Answer: Observe the client's skin and mucous membranes
• prescriptive theory.
Answer: address nursing interventions for a phenomenon, guide practice
change, and predict the consequences. nurses use prescriptive to anticipate
the outcomes of nursing interventions.
• Neuman's theory.
Answer: which nursing theory explains a patient newly diagnosed with
diabetes who becomes stressed and eats more carbohydrates?
• The nurse is administering an intradermal (ID) injection to a client. Which
action should the nurse take?.
Answer: Ensure bevel of the needle is pointing up.
• The nurse is interviewing a client with lower abdominal pain and dysuria
and needs to question the client about sexual activity. Which approach is
best for the nurse to use?.
Answer: Begin with questions that are less sensitive in nature.
• 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?.
Answer: Raises the head of the bed to 60 degrees.
• The nurse is caring for a client who is postoperative and receiving
supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation
is 89%. Which action should the nurse implement?.
Answer: Verify placement of pulse oximeter.
• An older adult female client tells the clinic nurse about frequently
awakening during the night and not being able to go back to sleep. What
action(s) should the nurse suggest to the client to help improve sleep? Select
all that apply..
Answer: Avoid drinking caffeinated beverages late in the day. Establish a
, regular time for going to bed and getting up.
• When assessing a client with a serum potassium level of 7.5 mEq/L (7.5
mmol/L), which intervention is most important for the nurse to implement?
Reference Range: Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmo|/L)].
Answer: Determine apical pulse rate and rhythm.
• The nurse is assessing a client who is having pain in the right upper
abdominal area. To assess the quality of the client's abdominal pain, which
approach should the nurse use?.
Answer: Ask the client to describe the pain.
• The nurse is caring for a client one week post-surgery. Which finding should
the nurse expect to see if the surgical incision is healing properly?.
Answer: A well-approximated incision site.
• The palliative care nurse receives a consult for a terminally ill client in the
intensive care unit. The client is weak, mouth breathing, and refusing
anything to eat or drink. Which intervention should the nurse include in the
plan of care?.
Answer: Keep mucous membranes moist.
• A client with a family history of cardiac disease is seeking information to
control risk factors. Which lifestyle modification is most important for the
nurse to encourage?.
Answer: Smoking cessation.
• The healthcare provider prescribes a 24-hour urine specimen to be collected
for creatinine clearance. The client is eager to go home and tells the nurse
that the first sample was put in the urinal 2 hours ago. Which action should
the nurse implement?.
Answer: Begin the collection the next day.
• Neuman's theory.
Answer: Nursing theory that focuses viewing a patient as being an open
system; views stress and a persons response to it.
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
• A nurse stops at a motor vehicle collision to provide help for a victim who is
trapped in an overturned running vehicle. The nurse turns off the engine key
and asks the client to wiggle their fingers because the client's head is
impinged on the roof and the neck is bent to the left shoulder. After
Emergency Medical Services (EMS) arrive, the nurse reports that the victim
is conscious but is not able to talk, and then the nurse leaves the scene.
Which legal action can be taken in this situation?.
Answer: Abandonment of the victim.
• middle-range theory.
Answer: they address a specific phenomenon and reflect practice
(administration, clinical, or teaching)
• descriptive theory.
Answer: is the first level of theory development and describes the
phenomena and identify circumstances in which the phenomena occur
• grand theory.
Answer: is systemic and broad in scope and provides a structural framework
for nursing practice
• The nurse educator is conducting a class for unlicensed assistive personnel
(UAP). Which action indicates that a UAP understands gloving procedures?
Puts on new gloves when entering a client's room. The nurse is
demonstrating three-point gait crutch walking to an older adult client who
broke a foot while playing soccer with the grandchildren. Which behavior
indicates that the client understands proper crutch walking?.
Answer: Progresses to foot touchdown and weight bearing of affected leg.
• Which client assessment should the nurse perform during nasopharyngeal
, suctioning?.
Answer: Observe the client's skin and mucous membranes
• prescriptive theory.
Answer: address nursing interventions for a phenomenon, guide practice
change, and predict the consequences. nurses use prescriptive to anticipate
the outcomes of nursing interventions.
• Neuman's theory.
Answer: which nursing theory explains a patient newly diagnosed with
diabetes who becomes stressed and eats more carbohydrates?
• The nurse is administering an intradermal (ID) injection to a client. Which
action should the nurse take?.
Answer: Ensure bevel of the needle is pointing up.
• The nurse is interviewing a client with lower abdominal pain and dysuria
and needs to question the client about sexual activity. Which approach is
best for the nurse to use?.
Answer: Begin with questions that are less sensitive in nature.
• 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?.
Answer: Raises the head of the bed to 60 degrees.
• The nurse is caring for a client who is postoperative and receiving
supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation
is 89%. Which action should the nurse implement?.
Answer: Verify placement of pulse oximeter.
• An older adult female client tells the clinic nurse about frequently
awakening during the night and not being able to go back to sleep. What
action(s) should the nurse suggest to the client to help improve sleep? Select
all that apply..
Answer: Avoid drinking caffeinated beverages late in the day. Establish a
, regular time for going to bed and getting up.
• When assessing a client with a serum potassium level of 7.5 mEq/L (7.5
mmol/L), which intervention is most important for the nurse to implement?
Reference Range: Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmo|/L)].
Answer: Determine apical pulse rate and rhythm.
• The nurse is assessing a client who is having pain in the right upper
abdominal area. To assess the quality of the client's abdominal pain, which
approach should the nurse use?.
Answer: Ask the client to describe the pain.
• The nurse is caring for a client one week post-surgery. Which finding should
the nurse expect to see if the surgical incision is healing properly?.
Answer: A well-approximated incision site.
• The palliative care nurse receives a consult for a terminally ill client in the
intensive care unit. The client is weak, mouth breathing, and refusing
anything to eat or drink. Which intervention should the nurse include in the
plan of care?.
Answer: Keep mucous membranes moist.
• A client with a family history of cardiac disease is seeking information to
control risk factors. Which lifestyle modification is most important for the
nurse to encourage?.
Answer: Smoking cessation.
• The healthcare provider prescribes a 24-hour urine specimen to be collected
for creatinine clearance. The client is eager to go home and tells the nurse
that the first sample was put in the urinal 2 hours ago. Which action should
the nurse implement?.
Answer: Begin the collection the next day.
• Neuman's theory.
Answer: Nursing theory that focuses viewing a patient as being an open
system; views stress and a persons response to it.
