WGU D027 OBJECTIVE ASSESSMENT FINAL
EXAM 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS!!
LATEST VERSION
Question 1
A nurse enters a client's room without knocking and begins a procedure without explaining it.
Which ethical principle has the nurse most directly violated?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Correct Answer: C. Autonomy
Rationale: Autonomy refers to the client's right to make informed decisions about their care. By
failing to explain the procedure and respect the client's privacy, the nurse violates the client's
autonomy.
Question 2
A nurse is caring for four clients. Which client should the nurse assess first?
A. A client reporting sudden chest pain and shortness of breath.
B. A client requesting pain medication for chronic back pain.
C. A client awaiting discharge instructions.
,D. A client requesting assistance to the bathroom.
Correct Answer: A. A client reporting sudden chest pain and shortness of breath.
Rationale: This client may have a life-threatening condition requiring immediate assessment
based on the ABCs and prioritization principles.
Question 3
Which nursing response best demonstrates therapeutic communication?
A. "You shouldn't worry about your diagnosis."
B. "Everything will be fine."
C. "Tell me what concerns you the most today."
D. "I know exactly how you feel."
Correct Answer: C. "Tell me what concerns you the most today."
Rationale: Open-ended questions encourage the client to express thoughts and feelings,
promoting effective communication.
Question 4
A nurse performs hand hygiene before and after every client contact. What is the primary
purpose of this action?
A. Improve documentation.
B. Prevent healthcare-associated infections.
C. Save nursing time.
D. Reduce medication errors.
Correct Answer: B. Prevent healthcare-associated infections.
Rationale: Hand hygiene is the most effective way to reduce the spread of infectious organisms.
Question 5
Which statement indicates that informed consent has been appropriately obtained?
A. "My spouse signed the consent form for me."
,B. "The nurse explained the surgery and I signed."
C. "The provider explained the procedure, risks, benefits, and alternatives, and I agreed."
D. "I signed because everyone told me to."
Correct Answer: C.
Rationale: The provider is responsible for explaining the procedure, risks, benefits, and
alternatives before obtaining informed consent.
Question 6
Which nursing action best protects client confidentiality?
A. Discuss the client's diagnosis in the hallway.
B. Log out of the electronic health record after use.
C. Share information with the client's friends.
D. Leave the medical record open on the computer.
Correct Answer: B. Log out of the electronic health record after use.
Rationale: Logging out helps prevent unauthorized access to confidential health information.
Question 7
A newly licensed nurse is unfamiliar with a procedure. What is the best initial action?
A. Perform the procedure independently.
B. Ask another new nurse for advice only.
C. Review the facility policy and seek guidance from an experienced nurse or supervisor.
D. Refuse to perform the procedure permanently.
Correct Answer: C.
Rationale: Nurses should practice within their competence, use available resources, and seek
supervision when needed.
Question 8
Which intervention is most effective in preventing falls?
, A. Raise all four side rails.
B. Keep the bed in the lowest position and place the call light within reach.
C. Apply restraints to all high-risk clients.
D. Encourage clients to walk independently.
Correct Answer: B.
Rationale: Keeping the bed low and ensuring the call light is accessible are effective fall-
prevention measures.
Question 9
A nurse delegates taking vital signs to an unlicensed assistive personnel (UAP). Which
responsibility remains with the nurse?
A. Recording the vital signs.
B. Cleaning the equipment.
C. Interpreting the findings and deciding on interventions.
D. Obtaining the blood pressure cuff.
Correct Answer: C.
Rationale: Nursing assessment, interpretation, clinical judgment, and evaluation cannot be
delegated.
Question 10
A client says, "I don't think my treatment is working." What is the nurse's best response?
A. "Don't worry. Everything will be okay."
B. "Why would you think that?"
C. "Tell me what makes you feel that way."
D. "The provider knows what's best."
Correct Answer: C.
Rationale: This open-ended response encourages the client to share concerns, allowing the nurse
to gather more information and provide appropriate support.
EXAM 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS!!
LATEST VERSION
Question 1
A nurse enters a client's room without knocking and begins a procedure without explaining it.
Which ethical principle has the nurse most directly violated?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Correct Answer: C. Autonomy
Rationale: Autonomy refers to the client's right to make informed decisions about their care. By
failing to explain the procedure and respect the client's privacy, the nurse violates the client's
autonomy.
Question 2
A nurse is caring for four clients. Which client should the nurse assess first?
A. A client reporting sudden chest pain and shortness of breath.
B. A client requesting pain medication for chronic back pain.
C. A client awaiting discharge instructions.
,D. A client requesting assistance to the bathroom.
Correct Answer: A. A client reporting sudden chest pain and shortness of breath.
Rationale: This client may have a life-threatening condition requiring immediate assessment
based on the ABCs and prioritization principles.
Question 3
Which nursing response best demonstrates therapeutic communication?
A. "You shouldn't worry about your diagnosis."
B. "Everything will be fine."
C. "Tell me what concerns you the most today."
D. "I know exactly how you feel."
Correct Answer: C. "Tell me what concerns you the most today."
Rationale: Open-ended questions encourage the client to express thoughts and feelings,
promoting effective communication.
Question 4
A nurse performs hand hygiene before and after every client contact. What is the primary
purpose of this action?
A. Improve documentation.
B. Prevent healthcare-associated infections.
C. Save nursing time.
D. Reduce medication errors.
Correct Answer: B. Prevent healthcare-associated infections.
Rationale: Hand hygiene is the most effective way to reduce the spread of infectious organisms.
Question 5
Which statement indicates that informed consent has been appropriately obtained?
A. "My spouse signed the consent form for me."
,B. "The nurse explained the surgery and I signed."
C. "The provider explained the procedure, risks, benefits, and alternatives, and I agreed."
D. "I signed because everyone told me to."
Correct Answer: C.
Rationale: The provider is responsible for explaining the procedure, risks, benefits, and
alternatives before obtaining informed consent.
Question 6
Which nursing action best protects client confidentiality?
A. Discuss the client's diagnosis in the hallway.
B. Log out of the electronic health record after use.
C. Share information with the client's friends.
D. Leave the medical record open on the computer.
Correct Answer: B. Log out of the electronic health record after use.
Rationale: Logging out helps prevent unauthorized access to confidential health information.
Question 7
A newly licensed nurse is unfamiliar with a procedure. What is the best initial action?
A. Perform the procedure independently.
B. Ask another new nurse for advice only.
C. Review the facility policy and seek guidance from an experienced nurse or supervisor.
D. Refuse to perform the procedure permanently.
Correct Answer: C.
Rationale: Nurses should practice within their competence, use available resources, and seek
supervision when needed.
Question 8
Which intervention is most effective in preventing falls?
, A. Raise all four side rails.
B. Keep the bed in the lowest position and place the call light within reach.
C. Apply restraints to all high-risk clients.
D. Encourage clients to walk independently.
Correct Answer: B.
Rationale: Keeping the bed low and ensuring the call light is accessible are effective fall-
prevention measures.
Question 9
A nurse delegates taking vital signs to an unlicensed assistive personnel (UAP). Which
responsibility remains with the nurse?
A. Recording the vital signs.
B. Cleaning the equipment.
C. Interpreting the findings and deciding on interventions.
D. Obtaining the blood pressure cuff.
Correct Answer: C.
Rationale: Nursing assessment, interpretation, clinical judgment, and evaluation cannot be
delegated.
Question 10
A client says, "I don't think my treatment is working." What is the nurse's best response?
A. "Don't worry. Everything will be okay."
B. "Why would you think that?"
C. "Tell me what makes you feel that way."
D. "The provider knows what's best."
Correct Answer: C.
Rationale: This open-ended response encourages the client to share concerns, allowing the nurse
to gather more information and provide appropriate support.
