WGU D774 – COMPLETE PRACTICE EXAM (ADVANCED
SET) PROVIDED WITH VERIFIED AND COMPLETE
QUESTIONS AND RESPONSES |2026 NEWEST RELEASE
1. (Leadership & Prioritization)
A nurse manager must allocate limited staffing resources on a high-acuity unit. Which approach best
reflects effective leadership and safe patient care?
A. Assign equal patient loads regardless of acuity to maintain fairness among staff
B. Prioritize assignments based on patient acuity, staff competency, and clinical complexity
C. Allow staff to self-assign patients based on preference
D. Assign the most complex patients to the most experienced nurse only
Correct Answer: B
Rationale:
Safe staffing requires balancing acuity, nurse competency, and workload. Equal distribution (A)
ignores complexity; self-assignment (C) risks unsafe care; assigning all complex patients to one nurse (D)
leads to burnout and errors.
2. (Quality Improvement)
A unit identifies an increase in medication errors. Which initial step aligns with quality improvement
principles?
A. Immediately discipline staff involved
B. Conduct root cause analysis to identify system factors
C. Ignore isolated incidents
D. Implement changes without data review
Correct Answer: B
Rationale:
Quality improvement focuses on system-based solutions, not blame. Root cause analysis identifies
underlying issues.
3. (Evidence-Based Practice)
A nurse implements a new intervention supported by research but not accepted by staff. What is the best
strategy?
A. Enforce the change without discussion
B. Engage staff through education and shared decision-making
,C. Abandon the intervention
D. Report staff resistance
Correct Answer: B
Rationale:
Change management requires collaboration, education, and stakeholder engagement to ensure
adoption.
4. (Informatics)
Which action demonstrates effective use of nursing informatics?
A. Documenting care in paper charts only
B. Using electronic health records (EHR) to track patient outcomes
C. Avoiding technology
D. Relying solely on memory
Correct Answer: B
Rationale:
Informatics integrates technology, data, and clinical care to improve outcomes.
5. (Ethics)
A patient refuses life-saving treatment. What is the nurse’s priority?
A. Override refusal
B. Respect autonomy and ensure informed decision-making
C. Notify family to decide
D. Delay care
Correct Answer: B
Rationale:
Ethical care respects autonomy, provided the patient is informed and competent.
6. (Safety & Risk Management)
A near-miss medication error occurs. What is the best action?
A. Ignore since no harm occurred
B. Report and analyze the event
C. Punish the nurse
D. Document privately
Correct Answer: B
,Rationale:
Near-misses provide valuable data for preventing future errors.
7. (Delegation)
Which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
A. Assess patient pain
B. Educate patient
C. Measure vital signs
D. Evaluate outcomes
Correct Answer: C
Rationale:
UAP can perform routine, non-assessment tasks.
8. (Interprofessional Collaboration)
Which action best promotes teamwork?
A. Working independently
B. Communicating openly with all team members
C. Ignoring input from others
D. Making unilateral decisions
Correct Answer: B
Rationale:
Effective collaboration requires clear, respectful communication.
9. (Patient Safety)
Which strategy reduces fall risk?
A. Limiting mobility
B. Ensuring proper lighting and assistive devices
C. Ignoring alarms
D. Keeping bed elevated
Correct Answer: B
Rationale:
Environmental safety and support devices reduce fall risk.
10. (Healthcare Policy)
A nurse advocates for policy change to improve patient care. What role is demonstrated?
, A. Caregiver
B. Advocate
C. Educator
D. Researcher
Correct Answer: B
Rationale:
Advocacy involves influencing policies to improve health outcomes.
11. (Clinical Judgment)
A patient’s condition deteriorates rapidly. What is the priority action?
A. Document findings
B. Assess and intervene immediately
C. Wait for provider
D. Notify family
Correct Answer: B
Rationale:
Immediate assessment and intervention follow clinical judgment and ABC priorities.
12. (Change Management)
Which model emphasizes unfreezing, changing, and refreezing?
A. Rogers’ theory
B. Lewin’s change theory
C. Maslow’s hierarchy
D. Benner’s model
Correct Answer: B
Rationale:
Lewin’s model describes stages of change implementation.
13. (Professional Accountability)
Which action reflects accountability?
A. Blaming others
B. Following standards and accepting responsibility
C. Ignoring policies
D. Avoiding documentation
Correct Answer: B
SET) PROVIDED WITH VERIFIED AND COMPLETE
QUESTIONS AND RESPONSES |2026 NEWEST RELEASE
1. (Leadership & Prioritization)
A nurse manager must allocate limited staffing resources on a high-acuity unit. Which approach best
reflects effective leadership and safe patient care?
A. Assign equal patient loads regardless of acuity to maintain fairness among staff
B. Prioritize assignments based on patient acuity, staff competency, and clinical complexity
C. Allow staff to self-assign patients based on preference
D. Assign the most complex patients to the most experienced nurse only
Correct Answer: B
Rationale:
Safe staffing requires balancing acuity, nurse competency, and workload. Equal distribution (A)
ignores complexity; self-assignment (C) risks unsafe care; assigning all complex patients to one nurse (D)
leads to burnout and errors.
2. (Quality Improvement)
A unit identifies an increase in medication errors. Which initial step aligns with quality improvement
principles?
A. Immediately discipline staff involved
B. Conduct root cause analysis to identify system factors
C. Ignore isolated incidents
D. Implement changes without data review
Correct Answer: B
Rationale:
Quality improvement focuses on system-based solutions, not blame. Root cause analysis identifies
underlying issues.
3. (Evidence-Based Practice)
A nurse implements a new intervention supported by research but not accepted by staff. What is the best
strategy?
A. Enforce the change without discussion
B. Engage staff through education and shared decision-making
,C. Abandon the intervention
D. Report staff resistance
Correct Answer: B
Rationale:
Change management requires collaboration, education, and stakeholder engagement to ensure
adoption.
4. (Informatics)
Which action demonstrates effective use of nursing informatics?
A. Documenting care in paper charts only
B. Using electronic health records (EHR) to track patient outcomes
C. Avoiding technology
D. Relying solely on memory
Correct Answer: B
Rationale:
Informatics integrates technology, data, and clinical care to improve outcomes.
5. (Ethics)
A patient refuses life-saving treatment. What is the nurse’s priority?
A. Override refusal
B. Respect autonomy and ensure informed decision-making
C. Notify family to decide
D. Delay care
Correct Answer: B
Rationale:
Ethical care respects autonomy, provided the patient is informed and competent.
6. (Safety & Risk Management)
A near-miss medication error occurs. What is the best action?
A. Ignore since no harm occurred
B. Report and analyze the event
C. Punish the nurse
D. Document privately
Correct Answer: B
,Rationale:
Near-misses provide valuable data for preventing future errors.
7. (Delegation)
Which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
A. Assess patient pain
B. Educate patient
C. Measure vital signs
D. Evaluate outcomes
Correct Answer: C
Rationale:
UAP can perform routine, non-assessment tasks.
8. (Interprofessional Collaboration)
Which action best promotes teamwork?
A. Working independently
B. Communicating openly with all team members
C. Ignoring input from others
D. Making unilateral decisions
Correct Answer: B
Rationale:
Effective collaboration requires clear, respectful communication.
9. (Patient Safety)
Which strategy reduces fall risk?
A. Limiting mobility
B. Ensuring proper lighting and assistive devices
C. Ignoring alarms
D. Keeping bed elevated
Correct Answer: B
Rationale:
Environmental safety and support devices reduce fall risk.
10. (Healthcare Policy)
A nurse advocates for policy change to improve patient care. What role is demonstrated?
, A. Caregiver
B. Advocate
C. Educator
D. Researcher
Correct Answer: B
Rationale:
Advocacy involves influencing policies to improve health outcomes.
11. (Clinical Judgment)
A patient’s condition deteriorates rapidly. What is the priority action?
A. Document findings
B. Assess and intervene immediately
C. Wait for provider
D. Notify family
Correct Answer: B
Rationale:
Immediate assessment and intervention follow clinical judgment and ABC priorities.
12. (Change Management)
Which model emphasizes unfreezing, changing, and refreezing?
A. Rogers’ theory
B. Lewin’s change theory
C. Maslow’s hierarchy
D. Benner’s model
Correct Answer: B
Rationale:
Lewin’s model describes stages of change implementation.
13. (Professional Accountability)
Which action reflects accountability?
A. Blaming others
B. Following standards and accepting responsibility
C. Ignoring policies
D. Avoiding documentation
Correct Answer: B
