WGU D439 ACTUAL CERTIFICATION
PAPER 2026 QUESTIONS WITH ANSWERS
FULL SOLUTION.
▶ guided imagery. Answer: -mind/body intervention
-Concentrating on an image or series of images to treat pathological
conditions
▶ Maslow's Hierarchy of Needs. Answer: -where (1) physiological
needs are PRIORITY then (2) safety and security, (3) love and belonging
needs. (4) self esteem needs, and FINALLY (5) self actualization needs
The nurse planning care for a client experiencing dystocia determines
that the priority is which action?
1. Position changes and providing comfort measures
2. Explanations to the client about what is happening
3. Monitoring for changes in the condition of the birthing parent and
fetus
4. Encouraging the use of breathing techniques learned in childbirth
preparatory classes
Answer: 3
,Test-Taking Strategy: Note the strategic word, priority, and use Maslow's
Hierarchy of Needs theory to prioritize, remembering that physiological
needs come first. The nurse needs to have knowledge of the client's
priority needs and generate solutions. All the options are correct and
would be implemented during the care of a client with dystocia. Also
note that the correct option is the only one that addresses both the
birthing parent and the fetus. Remember to use Maslow's Hierarchy of
Needs theory to help prioritize and generate solutions!
▶ EHR system and limitations. Answer: -EHR AND EMR are different
from eachother
-A health care agency often relies on the nursing history model included
in the electronic health record (EHR) as the organizing framework for an
assessment. However, EHR frameworks are often medically driven.
Frameworks developed from nursing theories are more holistic and
patient-centered, providing a more comprehensive patient review.
-When it comes to the EMR freezing it's best to notify IT or when the
computer system shuts down during data entry. The nurse should follow
established protocols and prepare to re-enter data as a late entry when
the system is operational. Also never attempt to reboot or fix the EMR
system which may prolong the complication.
It's also not recommended to print EMR from a backup server without
proper authorization and ensuring data privacy and security.
-patient outcome data; and use clinical decision support systems. The
electronic health record (EHR) is an efficient method for documenting
,and managing patient health care information (see Chapter 26.)
Computerized physician/provider order entry (CPOE), allowing health
care providers to directly enter medical orders, is a critical patient safety
initiative especially in the area of medication ordering and
administration
-Change-of-shift, hand-off reporting, and hourly bedside rounds are
ways to keep all health care providers and patients informed
▶ Hand Hygeine. Answer: -hand washing does not kill microorganisms
but reduces the amount of them present
-four techniques: hand washing, antiseptic hand wash, antiseptic hand
rub, surgical hand antisepsis
-4 elements of hand washing: water, friction, soap , and time
▶ Dosage Calculation (ml, tbsp->ml). Answer:
▶ VITAL SIGNS. Answer: -what to do if reassessment is needed
-know the pt usual range of vital signs (baseline)
-assess respiratory
Factors affecting vital signs of older adults:
▶ MOBILITY: How do you use crutches?. Answer: TYPES OF GAITS:
, -2-point: 2 points (crutch or foot) on the ground: pt moves right crutch
and left foot together, left crutch and right foot together
-4 point gait:
-3 point gait: moving both crutches and the injured leg at the same time
-weight is on both hands
support weight at the hand grips, with elbow flexed at 30 degrees,
position crutches on the unaffected side when sitting or raising from the
chair
-How to use crutches: Do Not Adjust Crutch Settings After Fitting
(Should be 3 Finger Widths Between Axilla and Top of Crutch) Support
Body Weight on Hand Grips (Not Axilla), With Elbows Flexed or bent at
30 Degrees
-an accurate measurement is important and the distance between the
axillae and arm piece has to be 2-3 finger widths in the axilla space and
the arm bars
-all weight should be on the hand grips
-when ambulating pt, stand on their affected (weak) side
-never rest armpit on the axillary bars
▶ Wound Care and skin integrity (ch 48). Answer: -levels of intention
-wound care
-wound stages
-what to do if device is causing irritation on pts skin
PAPER 2026 QUESTIONS WITH ANSWERS
FULL SOLUTION.
▶ guided imagery. Answer: -mind/body intervention
-Concentrating on an image or series of images to treat pathological
conditions
▶ Maslow's Hierarchy of Needs. Answer: -where (1) physiological
needs are PRIORITY then (2) safety and security, (3) love and belonging
needs. (4) self esteem needs, and FINALLY (5) self actualization needs
The nurse planning care for a client experiencing dystocia determines
that the priority is which action?
1. Position changes and providing comfort measures
2. Explanations to the client about what is happening
3. Monitoring for changes in the condition of the birthing parent and
fetus
4. Encouraging the use of breathing techniques learned in childbirth
preparatory classes
Answer: 3
,Test-Taking Strategy: Note the strategic word, priority, and use Maslow's
Hierarchy of Needs theory to prioritize, remembering that physiological
needs come first. The nurse needs to have knowledge of the client's
priority needs and generate solutions. All the options are correct and
would be implemented during the care of a client with dystocia. Also
note that the correct option is the only one that addresses both the
birthing parent and the fetus. Remember to use Maslow's Hierarchy of
Needs theory to help prioritize and generate solutions!
▶ EHR system and limitations. Answer: -EHR AND EMR are different
from eachother
-A health care agency often relies on the nursing history model included
in the electronic health record (EHR) as the organizing framework for an
assessment. However, EHR frameworks are often medically driven.
Frameworks developed from nursing theories are more holistic and
patient-centered, providing a more comprehensive patient review.
-When it comes to the EMR freezing it's best to notify IT or when the
computer system shuts down during data entry. The nurse should follow
established protocols and prepare to re-enter data as a late entry when
the system is operational. Also never attempt to reboot or fix the EMR
system which may prolong the complication.
It's also not recommended to print EMR from a backup server without
proper authorization and ensuring data privacy and security.
-patient outcome data; and use clinical decision support systems. The
electronic health record (EHR) is an efficient method for documenting
,and managing patient health care information (see Chapter 26.)
Computerized physician/provider order entry (CPOE), allowing health
care providers to directly enter medical orders, is a critical patient safety
initiative especially in the area of medication ordering and
administration
-Change-of-shift, hand-off reporting, and hourly bedside rounds are
ways to keep all health care providers and patients informed
▶ Hand Hygeine. Answer: -hand washing does not kill microorganisms
but reduces the amount of them present
-four techniques: hand washing, antiseptic hand wash, antiseptic hand
rub, surgical hand antisepsis
-4 elements of hand washing: water, friction, soap , and time
▶ Dosage Calculation (ml, tbsp->ml). Answer:
▶ VITAL SIGNS. Answer: -what to do if reassessment is needed
-know the pt usual range of vital signs (baseline)
-assess respiratory
Factors affecting vital signs of older adults:
▶ MOBILITY: How do you use crutches?. Answer: TYPES OF GAITS:
, -2-point: 2 points (crutch or foot) on the ground: pt moves right crutch
and left foot together, left crutch and right foot together
-4 point gait:
-3 point gait: moving both crutches and the injured leg at the same time
-weight is on both hands
support weight at the hand grips, with elbow flexed at 30 degrees,
position crutches on the unaffected side when sitting or raising from the
chair
-How to use crutches: Do Not Adjust Crutch Settings After Fitting
(Should be 3 Finger Widths Between Axilla and Top of Crutch) Support
Body Weight on Hand Grips (Not Axilla), With Elbows Flexed or bent at
30 Degrees
-an accurate measurement is important and the distance between the
axillae and arm piece has to be 2-3 finger widths in the axilla space and
the arm bars
-all weight should be on the hand grips
-when ambulating pt, stand on their affected (weak) side
-never rest armpit on the axillary bars
▶ Wound Care and skin integrity (ch 48). Answer: -levels of intention
-wound care
-wound stages
-what to do if device is causing irritation on pts skin
