WGU D439 FOUNDATIONS OF NURSING
OA COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ A nurse on a medical-surgical unit has received change-of-shift report and
will care for four clients. Which of the following client's needs should the
nurse assign to an assistive personnel (AP)? A. Updating the plan of care for
a client who is postoperative B. Reinforcing teaching with a client who is
learning to walk using a quad cane C. Reapplying a condom catheter for a
client who has urinary incontinence D. Applying a sterile dressing to a
pressure ulcer.
Answer: C. Reapplying a condom catheter for a client who has urinary
incontinence
◍ A newly licensed nurse is reporting to the charge nurse about the care she
gave to a client. She states, "The client said his leg pain was back, so I
checked his medical record, and he last received his pain medication 6 hours
ago. The prescription reads every 4 hours PRN for pain, so I decided he
needs it. I asked the unit nurse to observe me preparing and administering it.
I checked with the client 40 minutes later, and he said his pain is going
away." The charge nurse should inform the newly licensed nurse that she
left out which of the following steps of the nursing process? A. Assessment
B. Planning C. Intervention D. Evaluation.
Answer: A. Assessment
◍ A nurse is caring for a client who presents with linear clusters of
fluid-containing vesicles with some crustings. The nurse should identify the
client has manifestations of which of the following conditions? A. Allergic
, reaction B. Ringworm C. Systemic lupus erythematosus D. Herpes zoster.
Answer: D. Herpes zoster
◍ A nurse is caring for a client diagnosed with severe acute respiratory
syndrome (SARS). The nurse is aware that health care professionals
communicable and are required to report infectious diseases. Which of the
following illustrate the rationale for reporting? (Select all that apply.) A.
Planning and evaluating control and prevention strategies B. Determining
public health priorities C. Ensuring proper medical treatment D. Identifying
endemic disease E. Monitoring for common-source outbreaks.
Answer: A. Planning and evaluating control and prevention strategies B.
Determining public health priorities C. Ensuring proper medical treatment
E. Monitoring for common-source outbreaks
◍ The four overarching goals of Healthy People 2020 are: (4).
Answer: - Attain high-quality, longer lives free of preventable disease.
disability, injury, and premature death- Achieve health equity, eliminate
disparities, and improve health of all groups- Create social and physical,
mental, and social well-being- Promote quality of life, healthy development,
and healthy behaviors across all life stages
◍ Age Risk Factors:.
Answer: Premature infant, heart disease, and cancer with increased age
◍ A nurse questions a medication prescription as too extreme in light of the
client's advanced age and unstable status. The nurse understands that this
action is an example of which of the following ethical principles? A.
Fidelity B. Autonomy C. Justice D. Nonmaleficence.
Answer: D. Nonmaleficence
◍ A nurse receives a prescription for an antibiotic for a client who has
cellulitis. The nurse checks the client's medical record, discovers that she is
allergic to the antibiotic, and calls the provider to request a prescription for a
different antibiotic. Which of the following critical thinking attitudes did the
nurse demonstrate? A. Fairness B. Responsibility C. Risk taking D.
Creativity.
, Answer: B. Responsibility
◍ A nurse is discussing the purpose of regulatory agencies during a staff
meeting. Which of the following tasks should the nurse identify as the
responsibility of state licensing boards? A. Monitoring evidence-based
practice for clients who have a specific diagnosisB. Ensuring that healthcare
providers comply with regulationsC. Setting quality standards for
accreditation of healthcare facilitiesD. Determining if medications are safe
for administration to clients.
Answer: B. ensuring that healthcare providers comply with regulations
Rationale: The nurse should identify that state licensing boards are
responsible for ensuring that healthcare providers and agencies comply with
state regulations
◍ A nurse is caring for a group of clients on a medical-surgical unit. for which
of the following client care needs should the nurse initiate a referral for a
social worker? (Select all) A. A client who has terminal cancer request
hospice care in her homeB. A client asked about community resources
available for older adultsC. A client states that she wants her child baptized
before surgeryD. A client requests an electric wheelchair for use after
dischargeE. Client states that he does not understand how to use a nebulizer.
Answer: A. A client who has terminal cancer I request hospice care in her
homeB. A client asked about community resources available for older
adultsD. A friend request an electric wheelchair for use after discharge
◍ A goal for a client who has difficulty with self-feeding due to rheumatoid
arthritis is to use adaptive devices. The nurse caring for the client should
initiate a referral to which of the following members of the interprofessional
care team? A. Social workerB. Certified nursing assistant C. Registered
dietitianD. Occupational therapist.
Answer: D. Occupational Therapist
◍ A nurse is assessment performing an admission for an older adult client
After data and gathering the assessment performing the review of systems,
which of the following actions is a priority for the nurse? A. Orient the
OA COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ A nurse on a medical-surgical unit has received change-of-shift report and
will care for four clients. Which of the following client's needs should the
nurse assign to an assistive personnel (AP)? A. Updating the plan of care for
a client who is postoperative B. Reinforcing teaching with a client who is
learning to walk using a quad cane C. Reapplying a condom catheter for a
client who has urinary incontinence D. Applying a sterile dressing to a
pressure ulcer.
Answer: C. Reapplying a condom catheter for a client who has urinary
incontinence
◍ A newly licensed nurse is reporting to the charge nurse about the care she
gave to a client. She states, "The client said his leg pain was back, so I
checked his medical record, and he last received his pain medication 6 hours
ago. The prescription reads every 4 hours PRN for pain, so I decided he
needs it. I asked the unit nurse to observe me preparing and administering it.
I checked with the client 40 minutes later, and he said his pain is going
away." The charge nurse should inform the newly licensed nurse that she
left out which of the following steps of the nursing process? A. Assessment
B. Planning C. Intervention D. Evaluation.
Answer: A. Assessment
◍ A nurse is caring for a client who presents with linear clusters of
fluid-containing vesicles with some crustings. The nurse should identify the
client has manifestations of which of the following conditions? A. Allergic
, reaction B. Ringworm C. Systemic lupus erythematosus D. Herpes zoster.
Answer: D. Herpes zoster
◍ A nurse is caring for a client diagnosed with severe acute respiratory
syndrome (SARS). The nurse is aware that health care professionals
communicable and are required to report infectious diseases. Which of the
following illustrate the rationale for reporting? (Select all that apply.) A.
Planning and evaluating control and prevention strategies B. Determining
public health priorities C. Ensuring proper medical treatment D. Identifying
endemic disease E. Monitoring for common-source outbreaks.
Answer: A. Planning and evaluating control and prevention strategies B.
Determining public health priorities C. Ensuring proper medical treatment
E. Monitoring for common-source outbreaks
◍ The four overarching goals of Healthy People 2020 are: (4).
Answer: - Attain high-quality, longer lives free of preventable disease.
disability, injury, and premature death- Achieve health equity, eliminate
disparities, and improve health of all groups- Create social and physical,
mental, and social well-being- Promote quality of life, healthy development,
and healthy behaviors across all life stages
◍ Age Risk Factors:.
Answer: Premature infant, heart disease, and cancer with increased age
◍ A nurse questions a medication prescription as too extreme in light of the
client's advanced age and unstable status. The nurse understands that this
action is an example of which of the following ethical principles? A.
Fidelity B. Autonomy C. Justice D. Nonmaleficence.
Answer: D. Nonmaleficence
◍ A nurse receives a prescription for an antibiotic for a client who has
cellulitis. The nurse checks the client's medical record, discovers that she is
allergic to the antibiotic, and calls the provider to request a prescription for a
different antibiotic. Which of the following critical thinking attitudes did the
nurse demonstrate? A. Fairness B. Responsibility C. Risk taking D.
Creativity.
, Answer: B. Responsibility
◍ A nurse is discussing the purpose of regulatory agencies during a staff
meeting. Which of the following tasks should the nurse identify as the
responsibility of state licensing boards? A. Monitoring evidence-based
practice for clients who have a specific diagnosisB. Ensuring that healthcare
providers comply with regulationsC. Setting quality standards for
accreditation of healthcare facilitiesD. Determining if medications are safe
for administration to clients.
Answer: B. ensuring that healthcare providers comply with regulations
Rationale: The nurse should identify that state licensing boards are
responsible for ensuring that healthcare providers and agencies comply with
state regulations
◍ A nurse is caring for a group of clients on a medical-surgical unit. for which
of the following client care needs should the nurse initiate a referral for a
social worker? (Select all) A. A client who has terminal cancer request
hospice care in her homeB. A client asked about community resources
available for older adultsC. A client states that she wants her child baptized
before surgeryD. A client requests an electric wheelchair for use after
dischargeE. Client states that he does not understand how to use a nebulizer.
Answer: A. A client who has terminal cancer I request hospice care in her
homeB. A client asked about community resources available for older
adultsD. A friend request an electric wheelchair for use after discharge
◍ A goal for a client who has difficulty with self-feeding due to rheumatoid
arthritis is to use adaptive devices. The nurse caring for the client should
initiate a referral to which of the following members of the interprofessional
care team? A. Social workerB. Certified nursing assistant C. Registered
dietitianD. Occupational therapist.
Answer: D. Occupational Therapist
◍ A nurse is assessment performing an admission for an older adult client
After data and gathering the assessment performing the review of systems,
which of the following actions is a priority for the nurse? A. Orient the
