WGU D439 Foundations of Nursing Practice
OA 2026/2027 | Ultimate Q&A Study Guide |
100% Verified Answers & Detailed Rationales
| Instant Pdf Download
Batch 1: Infection Control & Safety Precautions
1. A nurse is caring for a client with a history of Methicillin-resistant Staphylococcus
aureus (MRSA) in a wound. Which of the following is a requirement for this client?
A) A negative-pressure airflow room.
B) A private room or a room with a client who has the same infection.
C) Wearing an N95 respirator mask within 3 feet.
D) Keeping the door to the hallway closed at all times.
MRSA requires Contact Precautions. Clients with the same organism can be "cohorted"
together in the same room. Negative pressure is for Airborne (TB/Measles), and N95 is for
Airborne.
2. A nurse is preparing to exit the room of a client in Droplet Precautions. In which
order should the nurse remove their PPE?
A) Mask, Gown, Gloves.
B) Gloves, Goggles, Gown, Mask.
C) Gown, Mask, Goggles, Gloves.
D) Gloves, Mask, Goggles, Gown.
PPE is removed from most contaminated to least contaminated. Gloves are first. The mask
is removed last, outside the room (or just before exiting) to ensure the nurse does not inhale
droplets.
3. Which of the following is the most effective way to prevent the spread of healthcare-
associated infections (HAIs)?
A) Using sterile gloves for all client contact.
B) Performing hand hygiene before and after client contact.
, C) Administering prophylactic antibiotics.
D) Wearing a mask for all client interactions.
Hand hygiene is the single most important action to reduce the transmission of
microorganisms and prevent HAIs.
4. A nurse is performing hand hygiene with an alcohol-based hand rub. Which action is
correct?
A) Rubbing hands together for at least 5 seconds.
B) Rubbing until the alcohol is completely dry on the skin.
C) Rinsing the hands with warm water afterward.
D) Using the rub even if the hands are visibly soiled with blood.
Alcohol-based rubs must be rubbed until dry to be effective. If hands are visibly soiled,
soap and water must be used instead.
5. A nurse is caring for a client with a high fall risk. Which of the following is a priority
safety intervention?
A) Keeping the bed in the highest position for easy exit.
B) Ensuring the call light is within the client's reach.
C) Tying the client's hands to the side rails.
D) Turning off all the lights in the room at night.
Providing the client with a way to call for help (call light) is the most basic and vital safety
step. The bed should be in the lowest position, and restraints (tying hands) are a last resort.
Batch 2: Physical Assessment & Vital Signs
6. A nurse is assessing a client's abdomen. After inspection, which technique
should the nurse perform next?
A) Palpation.
B) Percussion.
C) Auscultation.
D) Olfaction.
For the abdomen, the order is Inspect, Auscultate, Percuss, Palpate. Palpation and
percussion can alter bowel sounds, so auscultation must come second.
7. A nurse notes a client’s radial pulse is irregular. What is the nurse's next
action?
OA 2026/2027 | Ultimate Q&A Study Guide |
100% Verified Answers & Detailed Rationales
| Instant Pdf Download
Batch 1: Infection Control & Safety Precautions
1. A nurse is caring for a client with a history of Methicillin-resistant Staphylococcus
aureus (MRSA) in a wound. Which of the following is a requirement for this client?
A) A negative-pressure airflow room.
B) A private room or a room with a client who has the same infection.
C) Wearing an N95 respirator mask within 3 feet.
D) Keeping the door to the hallway closed at all times.
MRSA requires Contact Precautions. Clients with the same organism can be "cohorted"
together in the same room. Negative pressure is for Airborne (TB/Measles), and N95 is for
Airborne.
2. A nurse is preparing to exit the room of a client in Droplet Precautions. In which
order should the nurse remove their PPE?
A) Mask, Gown, Gloves.
B) Gloves, Goggles, Gown, Mask.
C) Gown, Mask, Goggles, Gloves.
D) Gloves, Mask, Goggles, Gown.
PPE is removed from most contaminated to least contaminated. Gloves are first. The mask
is removed last, outside the room (or just before exiting) to ensure the nurse does not inhale
droplets.
3. Which of the following is the most effective way to prevent the spread of healthcare-
associated infections (HAIs)?
A) Using sterile gloves for all client contact.
B) Performing hand hygiene before and after client contact.
, C) Administering prophylactic antibiotics.
D) Wearing a mask for all client interactions.
Hand hygiene is the single most important action to reduce the transmission of
microorganisms and prevent HAIs.
4. A nurse is performing hand hygiene with an alcohol-based hand rub. Which action is
correct?
A) Rubbing hands together for at least 5 seconds.
B) Rubbing until the alcohol is completely dry on the skin.
C) Rinsing the hands with warm water afterward.
D) Using the rub even if the hands are visibly soiled with blood.
Alcohol-based rubs must be rubbed until dry to be effective. If hands are visibly soiled,
soap and water must be used instead.
5. A nurse is caring for a client with a high fall risk. Which of the following is a priority
safety intervention?
A) Keeping the bed in the highest position for easy exit.
B) Ensuring the call light is within the client's reach.
C) Tying the client's hands to the side rails.
D) Turning off all the lights in the room at night.
Providing the client with a way to call for help (call light) is the most basic and vital safety
step. The bed should be in the lowest position, and restraints (tying hands) are a last resort.
Batch 2: Physical Assessment & Vital Signs
6. A nurse is assessing a client's abdomen. After inspection, which technique
should the nurse perform next?
A) Palpation.
B) Percussion.
C) Auscultation.
D) Olfaction.
For the abdomen, the order is Inspect, Auscultate, Percuss, Palpate. Palpation and
percussion can alter bowel sounds, so auscultation must come second.
7. A nurse notes a client’s radial pulse is irregular. What is the nurse's next
action?
