WGU D027 OBJECTIVE ASSESSMENT
FINAL EXAM 2026/2027 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS!! LATEST VERSION
1 .A nurse enters a client's room without knocking and begins a
procedure without explaining it. This violates which ethical
principle?
A) Justice
B) Beneficence
C) Autonomy
D) Fidelity
Correct answer: C
Rationale: Autonomy involves respecting the client's independence,
privacy, and right to receive information and make informed decisions
about their care.
2. A client with COPD is receiving oxygen at 6 L/min via nasal
cannula. The nurse's priority action is to:
A) Lower the flow rate
B) Increase fluids
C) Encourage coughing
D) Place in high Fowler's
Correct answer: A
,Rationale: Excessive oxygen administration in some clients with COPD
can worsen carbon dioxide retention and respiratory status. The nurse
should assess the client and titrate oxygen according to the prescribed
target saturation and clinical condition rather than automatically
maintaining a high flow rate.
3. Which client is at greatest risk for fluid volume deficit?
A) An older adult with diarrhea
B) A teen with mild sore throat
C) A middle-aged adult with controlled hypertension
D) A child recovering from a simple fracture
Correct answer: A
Rationale: Older adults are particularly vulnerable to dehydration
because of decreased thirst sensation and reduced physiological ability
to maintain fluid balance. Diarrhea further increases fluid loss.
4. When prioritizing care using Maslow's hierarchy, which client
should the nurse assess first?
A) Client requesting pain medication
B) Client with O₂ saturation of 82%
C) Client upset about diagnosis
D) Client asking about discharge
Correct answer: B
,Rationale: Airway and breathing needs take priority over other
concerns. An oxygen saturation of 82% indicates significant hypoxemia
requiring immediate assessment and intervention.
5. A nurse delegates vital signs for a stable client to an unlicensed
assistive personnel (UAP). Which follow-up is most appropriate?
A) Document that vital signs were taken
B) Reassess the vital signs personally
C) Trust the UAP's work without checking
D) Ask the client about symptoms only
Correct answer: B
Rationale: The nurse retains accountability for delegated care and
should validate that the collected data are accurate, especially when
using the findings to make clinical decisions.
6. Which statement by a client taking warfarin shows correct
understanding?
A) “I will eat more spinach and kale.”
B) “I’ll use an electric razor instead of a blade.”
C) “I should stop taking it if my gums bleed.”
D) “I’ll avoid blood tests unless I feel sick.”
Correct answer: B
Rationale: Clients taking warfarin have an increased risk of bleeding.
Using an electric razor reduces the risk of cuts and bleeding. Clients
should also maintain a consistent intake of vitamin K, continue
, prescribed INR monitoring, and report unusual bleeding rather than
stopping the medication independently.
7. The most effective method to prevent catheter-associated urinary
tract infections (CAUTIs) is:
A) Irrigating the catheter daily
B) Changing the catheter every 3 days
C) Using sterile technique during insertion
D) Collecting urine every shift
Correct answer: C
Rationale: Infection prevention begins with proper aseptic/sterile
technique during urinary catheter insertion. Unnecessary catheterization
should also be avoided, and the catheter should be removed as soon as it
is no longer needed.
8. A nurse finds a client on the floor. What is the priority action?
A) Call the provider
B) Assess for injuries
C) Fill out an incident report
D) Ask what happened
Correct answer: B
Rationale: The nurse should first assess the client for injury and
determine their immediate condition. After ensuring safety and
providing appropriate care, the nurse can notify the provider and
complete required documentation.
FINAL EXAM 2026/2027 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS!! LATEST VERSION
1 .A nurse enters a client's room without knocking and begins a
procedure without explaining it. This violates which ethical
principle?
A) Justice
B) Beneficence
C) Autonomy
D) Fidelity
Correct answer: C
Rationale: Autonomy involves respecting the client's independence,
privacy, and right to receive information and make informed decisions
about their care.
2. A client with COPD is receiving oxygen at 6 L/min via nasal
cannula. The nurse's priority action is to:
A) Lower the flow rate
B) Increase fluids
C) Encourage coughing
D) Place in high Fowler's
Correct answer: A
,Rationale: Excessive oxygen administration in some clients with COPD
can worsen carbon dioxide retention and respiratory status. The nurse
should assess the client and titrate oxygen according to the prescribed
target saturation and clinical condition rather than automatically
maintaining a high flow rate.
3. Which client is at greatest risk for fluid volume deficit?
A) An older adult with diarrhea
B) A teen with mild sore throat
C) A middle-aged adult with controlled hypertension
D) A child recovering from a simple fracture
Correct answer: A
Rationale: Older adults are particularly vulnerable to dehydration
because of decreased thirst sensation and reduced physiological ability
to maintain fluid balance. Diarrhea further increases fluid loss.
4. When prioritizing care using Maslow's hierarchy, which client
should the nurse assess first?
A) Client requesting pain medication
B) Client with O₂ saturation of 82%
C) Client upset about diagnosis
D) Client asking about discharge
Correct answer: B
,Rationale: Airway and breathing needs take priority over other
concerns. An oxygen saturation of 82% indicates significant hypoxemia
requiring immediate assessment and intervention.
5. A nurse delegates vital signs for a stable client to an unlicensed
assistive personnel (UAP). Which follow-up is most appropriate?
A) Document that vital signs were taken
B) Reassess the vital signs personally
C) Trust the UAP's work without checking
D) Ask the client about symptoms only
Correct answer: B
Rationale: The nurse retains accountability for delegated care and
should validate that the collected data are accurate, especially when
using the findings to make clinical decisions.
6. Which statement by a client taking warfarin shows correct
understanding?
A) “I will eat more spinach and kale.”
B) “I’ll use an electric razor instead of a blade.”
C) “I should stop taking it if my gums bleed.”
D) “I’ll avoid blood tests unless I feel sick.”
Correct answer: B
Rationale: Clients taking warfarin have an increased risk of bleeding.
Using an electric razor reduces the risk of cuts and bleeding. Clients
should also maintain a consistent intake of vitamin K, continue
, prescribed INR monitoring, and report unusual bleeding rather than
stopping the medication independently.
7. The most effective method to prevent catheter-associated urinary
tract infections (CAUTIs) is:
A) Irrigating the catheter daily
B) Changing the catheter every 3 days
C) Using sterile technique during insertion
D) Collecting urine every shift
Correct answer: C
Rationale: Infection prevention begins with proper aseptic/sterile
technique during urinary catheter insertion. Unnecessary catheterization
should also be avoided, and the catheter should be removed as soon as it
is no longer needed.
8. A nurse finds a client on the floor. What is the priority action?
A) Call the provider
B) Assess for injuries
C) Fill out an incident report
D) Ask what happened
Correct answer: B
Rationale: The nurse should first assess the client for injury and
determine their immediate condition. After ensuring safety and
providing appropriate care, the nurse can notify the provider and
complete required documentation.
