WGU D471 OBJECTIVE ASSESSMENT FINAL
NEWEST QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES
Section 1: Fundamentals of Nursing (Questions 1-50)
1. A nurse is caring for a client who is post-operative and reporting pain at a
level of 8 on a scale of 0-10. Which of the following is the nurse's priority
action?
A) Administer the prescribed PRN analgesic.
B) Reposition the client to promote comfort.
C) Offer the client a back rub.
D) Assess the client's vital signs and surgical site.
Correct Answer: D
Rationale: Before implementing any intervention (like administering an
analgesic), the nurse must first assess the client. Assessing the surgical site
ensures there are no complications (e.g., hemorrhage, infection) and
evaluating vital signs is necessary to ensure it is safe to administer analgesics
(especially opioids, which can depress respiration). This follows the nursing
process: Assessment first.
2. A client refuses to take their prescribed oral medication. Which of the
following is the most appropriate nursing response?
A) "You must take this medication as prescribed by your doctor."
,B) "I will call the doctor to get a new prescription."
C) "I understand you don't want to take it. Tell me why."
D) "I'll put it in your food so you don't taste it."
Correct Answer: C
Rationale: Clients have the right to refuse treatment. The nurse's role is to
advocate and understand the client's perspective. Using therapeutic
communication to explore the reason for refusal (e.g., side effects, cultural
beliefs, fear) is the most appropriate initial action. The nurse can then educate
and negotiate solutions.
3. A nurse is preparing to insert an indwelling urinary catheter in a male
client. Which of the following actions should the nurse take first?
A) Lubricate the catheter tip.
B) Open the sterile catheter kit.
C) Perform hand hygiene.
D) Put on sterile gloves.
Correct Answer: C
Rationale: Hand hygiene is the single most important step in preventing
healthcare-associated infections. It must be performed before any procedure,
including the application of sterile gloves.
4. A client is receiving a continuous enteral feeding via a nasogastric tube.
Which of the following positions is most appropriate to prevent aspiration?
A) Supine position.
B) Left lateral position.
C) High Fowler's position.
, D) Reverse Trendelenburg position.
Correct Answer: C
Rationale: High Fowler's position (head of bed at 90 degrees) uses gravity to
prevent reflux of gastric contents and reduce the risk of aspiration. The head
of bed should be elevated at least 30-45 degrees during and for at least 1 hour
after enteral feedings.
5. A nurse is evaluating a client's understanding of a low-sodium diet. Which
of the following meal choices indicates the client understands the teaching?
A) A cheeseburger with fries and a milkshake.
B) Grilled chicken breast with steamed vegetables and a baked potato.
C) Canned soup with a saltine cracker and apple juice.
D) Ham sandwich with pickles and chips.
Correct Answer: B
Rationale: Fresh, unprocessed foods like grilled chicken, steamed vegetables,
and baked potatoes are naturally low in sodium. The other options contain
high-sodium processed foods (cheese, canned soup, ham, pickles).
6. Which of the following is the most accurate indicator of fluid balance?
A) Intake and output totals.
B) Skin turgor.
C) Daily weight.
D) Blood pressure.
Correct Answer: C
NEWEST QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES
Section 1: Fundamentals of Nursing (Questions 1-50)
1. A nurse is caring for a client who is post-operative and reporting pain at a
level of 8 on a scale of 0-10. Which of the following is the nurse's priority
action?
A) Administer the prescribed PRN analgesic.
B) Reposition the client to promote comfort.
C) Offer the client a back rub.
D) Assess the client's vital signs and surgical site.
Correct Answer: D
Rationale: Before implementing any intervention (like administering an
analgesic), the nurse must first assess the client. Assessing the surgical site
ensures there are no complications (e.g., hemorrhage, infection) and
evaluating vital signs is necessary to ensure it is safe to administer analgesics
(especially opioids, which can depress respiration). This follows the nursing
process: Assessment first.
2. A client refuses to take their prescribed oral medication. Which of the
following is the most appropriate nursing response?
A) "You must take this medication as prescribed by your doctor."
,B) "I will call the doctor to get a new prescription."
C) "I understand you don't want to take it. Tell me why."
D) "I'll put it in your food so you don't taste it."
Correct Answer: C
Rationale: Clients have the right to refuse treatment. The nurse's role is to
advocate and understand the client's perspective. Using therapeutic
communication to explore the reason for refusal (e.g., side effects, cultural
beliefs, fear) is the most appropriate initial action. The nurse can then educate
and negotiate solutions.
3. A nurse is preparing to insert an indwelling urinary catheter in a male
client. Which of the following actions should the nurse take first?
A) Lubricate the catheter tip.
B) Open the sterile catheter kit.
C) Perform hand hygiene.
D) Put on sterile gloves.
Correct Answer: C
Rationale: Hand hygiene is the single most important step in preventing
healthcare-associated infections. It must be performed before any procedure,
including the application of sterile gloves.
4. A client is receiving a continuous enteral feeding via a nasogastric tube.
Which of the following positions is most appropriate to prevent aspiration?
A) Supine position.
B) Left lateral position.
C) High Fowler's position.
, D) Reverse Trendelenburg position.
Correct Answer: C
Rationale: High Fowler's position (head of bed at 90 degrees) uses gravity to
prevent reflux of gastric contents and reduce the risk of aspiration. The head
of bed should be elevated at least 30-45 degrees during and for at least 1 hour
after enteral feedings.
5. A nurse is evaluating a client's understanding of a low-sodium diet. Which
of the following meal choices indicates the client understands the teaching?
A) A cheeseburger with fries and a milkshake.
B) Grilled chicken breast with steamed vegetables and a baked potato.
C) Canned soup with a saltine cracker and apple juice.
D) Ham sandwich with pickles and chips.
Correct Answer: B
Rationale: Fresh, unprocessed foods like grilled chicken, steamed vegetables,
and baked potatoes are naturally low in sodium. The other options contain
high-sodium processed foods (cheese, canned soup, ham, pickles).
6. Which of the following is the most accurate indicator of fluid balance?
A) Intake and output totals.
B) Skin turgor.
C) Daily weight.
D) Blood pressure.
Correct Answer: C
