WGU D440 HESI RN FUNDAMENTALS ACTUAL EXAM TEST BANK
2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS WITH DETAILED RATIONALES
(RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED SUCCESS A+
During a clinic visit, the mother of a 7-year-old reports to the nurse
that her child is often awake until midnight playing and is then very
difficult to awaken in the morning for school. Which assessment data
should the nurse obtain in response to the mother's concern?
A.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is
experiencing
D.
Description of the family's home environment
D
Rationale: School-age children often resist bedtime. The nurse
should begin by assessing the environment of the home to
determine factors that may not be conducive to the establishment
of bedtime rituals that promote sleep. Option A often causes
daytime fatigue rather than resistance to going to sleep. Option B is
unlikely to provide useful data. The nurse cannot determine option
C.
,The nurse identifies a potential for infection in a client with partial-
thickness (second-degree) and full-thickness (third-degree) burns.
What action has the highest priority in decreasing the client's risk of
infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns
B
Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to all
clients. Option A reverses the hypovolemia that initially
accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to reduce
the chance of infection. Option B is a proven technique to prevent
infection.
,The nurse assesses a 2-year-old who is admitted for dehydration
and finds that the peripheral IV rate by gravity has slowed, even
though the venous access site is healthy. What should the nurse do
next?
A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the
bag on the IV pole, which are common factors that may slow the
rate. Gravity infusion rates are influenced by the height of the bag,
tubing clamp closure or kinks, needle size or position, fluid viscosity,
client blood pressure (crying in the pediatric client), and infiltration.
Venospasm can slow the rate and often responds to warmth over
the vessel, but the nurse should first adjust the IV pole height. The
nurse may need to adjust the stabilizing tape on a positional needle
or flush the venous access with normal saline, but less invasive
actions should be implemented first.
, The nurse manager of a skilled nursing (chronic care) unit is
instructing UAPs on ways to prevent complications of immobility.
Which action should be included in this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift.
A
Rationale: Performing range-of-motion exercises is beneficial in
reducing contractures around joints. Options B, C, and D are all
potentially harmful practices that place the immobile client at risk of
complications.
2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS WITH DETAILED RATIONALES
(RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED SUCCESS A+
During a clinic visit, the mother of a 7-year-old reports to the nurse
that her child is often awake until midnight playing and is then very
difficult to awaken in the morning for school. Which assessment data
should the nurse obtain in response to the mother's concern?
A.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is
experiencing
D.
Description of the family's home environment
D
Rationale: School-age children often resist bedtime. The nurse
should begin by assessing the environment of the home to
determine factors that may not be conducive to the establishment
of bedtime rituals that promote sleep. Option A often causes
daytime fatigue rather than resistance to going to sleep. Option B is
unlikely to provide useful data. The nurse cannot determine option
C.
,The nurse identifies a potential for infection in a client with partial-
thickness (second-degree) and full-thickness (third-degree) burns.
What action has the highest priority in decreasing the client's risk of
infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns
B
Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to all
clients. Option A reverses the hypovolemia that initially
accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to reduce
the chance of infection. Option B is a proven technique to prevent
infection.
,The nurse assesses a 2-year-old who is admitted for dehydration
and finds that the peripheral IV rate by gravity has slowed, even
though the venous access site is healthy. What should the nurse do
next?
A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the
bag on the IV pole, which are common factors that may slow the
rate. Gravity infusion rates are influenced by the height of the bag,
tubing clamp closure or kinks, needle size or position, fluid viscosity,
client blood pressure (crying in the pediatric client), and infiltration.
Venospasm can slow the rate and often responds to warmth over
the vessel, but the nurse should first adjust the IV pole height. The
nurse may need to adjust the stabilizing tape on a positional needle
or flush the venous access with normal saline, but less invasive
actions should be implemented first.
, The nurse manager of a skilled nursing (chronic care) unit is
instructing UAPs on ways to prevent complications of immobility.
Which action should be included in this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift.
A
Rationale: Performing range-of-motion exercises is beneficial in
reducing contractures around joints. Options B, C, and D are all
potentially harmful practices that place the immobile client at risk of
complications.
