WGU D442 Basic Nursing Skills EXAM
1. Vital signs, pain, oxygen saturation, and abnormal findings
2. Standard and transmission-based precautions
3. Patient identification, communication, documentation, and safety
4. Basic medication administration
5. Nutrition, feeding, hydration, aspiration prevention, and elimination
6. Mobility, transfers, positioning, and fall prevention
7. Oxygenation and basic airway care
8. Skin integrity, hygiene, pressure-injury prevention, and oral care
9. Basic procedures, comfort, privacy, and therapeutic communication
10. Fluid balance, specimens, patient education, and evaluation
1. Which nursing action is most appropriate when assess respiratory status promptly.
during an initial assessment and the nurse must determine the safest immediate
response?
A. Teach cleansing and midstream collection.
B. Perform a focused pain assessment and address the report.
C. Reposition it and reassess oxygenation.
D. A patient has a respiratory rate of 30/min with increased work of breathing.
Answer: D. A patient has a respiratory rate of 30/min with increased work of breathing.
,Rationale: Tachypnea with increased work of breathing can indicate compromise.
2. A nurse is caring for a patient and must decide what to do when perform hand
hygiene and use required contact precautions. during an initial assessment and the
nurse must determine the safest immediate response?
A. A patient requires contact precautions.
B. Relieve pressure and report the finding.
C. Perform a focused pain assessment and address the report.
D. Reposition it and reassess oxygenation.
Answer: A. A patient requires contact precautions.
Rationale: Contact precautions reduce transmission.
3. During clinical care, which response best addresses the situation when activate the
safety plan and assist the patient. during an initial assessment and the nurse must
determine the safest immediate response?
A. A high-fall-risk patient tries to leave the bed alone.
B. Assist the patient safely and assess vital signs.
C. Assess bowel pattern, fluids, activity, and prescribed measures.
D. Assess respiratory status promptly.
Answer: A. A high-fall-risk patient tries to leave the bed alone.
Rationale: Proactive assistance reduces fall risk.
,4. What should the nurse prioritize after recognizing that stop intake and assess
swallowing safety. during an initial assessment and the nurse must determine the safest
immediate response?
A. Assess respiratory status promptly.
B. Reposition regularly and protect pressure-prone areas.
C. A patient coughs and has a wet voice while drinking.
D. Teach the correct sequence and ensure safe fit.
Answer: C. A patient coughs and has a wet voice while drinking.
Rationale: These findings can indicate aspiration.
5. Which intervention most directly protects the patient when reposition regularly and
protect pressure-prone areas. during an initial assessment and the nurse must
determine the safest immediate response?
A. Perform a focused pain assessment and address the report.
B. A patient cannot reposition independently.
C. Position upright and monitor swallowing.
D. Relieve pressure and reassess the skin.
Answer: B. A patient cannot reposition independently.
Rationale: Pressure relief protects skin integrity.
, 6. A patient presents with this finding; which nursing response is most appropriate
when perform a focused pain assessment and address the report. during an initial
assessment and the nurse must determine the safest immediate response?
A. Perform a focused pain assessment and address the report.
B. Stop intake and assess swallowing safety.
C. Use the required respirator and airborne measures.
D. A patient reports severe pain.
Answer: D. A patient reports severe pain.
Rationale: Pain is subjective and requires assessment.
7. When reviewing this patient situation, which action should the nurse take because
reposition it and reassess oxygenation. during an initial assessment and the nurse must
determine the safest immediate response?
A. Assess respiratory status promptly.
B. A nasal cannula is displaced in a patient receiving oxygen.
C. Encourage safe participation in self-care.
D. Perform hand hygiene and use required contact precautions.
Answer: B. A nasal cannula is displaced in a patient receiving oxygen.
Rationale: Correct placement supports prescribed oxygen delivery.
1. Vital signs, pain, oxygen saturation, and abnormal findings
2. Standard and transmission-based precautions
3. Patient identification, communication, documentation, and safety
4. Basic medication administration
5. Nutrition, feeding, hydration, aspiration prevention, and elimination
6. Mobility, transfers, positioning, and fall prevention
7. Oxygenation and basic airway care
8. Skin integrity, hygiene, pressure-injury prevention, and oral care
9. Basic procedures, comfort, privacy, and therapeutic communication
10. Fluid balance, specimens, patient education, and evaluation
1. Which nursing action is most appropriate when assess respiratory status promptly.
during an initial assessment and the nurse must determine the safest immediate
response?
A. Teach cleansing and midstream collection.
B. Perform a focused pain assessment and address the report.
C. Reposition it and reassess oxygenation.
D. A patient has a respiratory rate of 30/min with increased work of breathing.
Answer: D. A patient has a respiratory rate of 30/min with increased work of breathing.
,Rationale: Tachypnea with increased work of breathing can indicate compromise.
2. A nurse is caring for a patient and must decide what to do when perform hand
hygiene and use required contact precautions. during an initial assessment and the
nurse must determine the safest immediate response?
A. A patient requires contact precautions.
B. Relieve pressure and report the finding.
C. Perform a focused pain assessment and address the report.
D. Reposition it and reassess oxygenation.
Answer: A. A patient requires contact precautions.
Rationale: Contact precautions reduce transmission.
3. During clinical care, which response best addresses the situation when activate the
safety plan and assist the patient. during an initial assessment and the nurse must
determine the safest immediate response?
A. A high-fall-risk patient tries to leave the bed alone.
B. Assist the patient safely and assess vital signs.
C. Assess bowel pattern, fluids, activity, and prescribed measures.
D. Assess respiratory status promptly.
Answer: A. A high-fall-risk patient tries to leave the bed alone.
Rationale: Proactive assistance reduces fall risk.
,4. What should the nurse prioritize after recognizing that stop intake and assess
swallowing safety. during an initial assessment and the nurse must determine the safest
immediate response?
A. Assess respiratory status promptly.
B. Reposition regularly and protect pressure-prone areas.
C. A patient coughs and has a wet voice while drinking.
D. Teach the correct sequence and ensure safe fit.
Answer: C. A patient coughs and has a wet voice while drinking.
Rationale: These findings can indicate aspiration.
5. Which intervention most directly protects the patient when reposition regularly and
protect pressure-prone areas. during an initial assessment and the nurse must
determine the safest immediate response?
A. Perform a focused pain assessment and address the report.
B. A patient cannot reposition independently.
C. Position upright and monitor swallowing.
D. Relieve pressure and reassess the skin.
Answer: B. A patient cannot reposition independently.
Rationale: Pressure relief protects skin integrity.
, 6. A patient presents with this finding; which nursing response is most appropriate
when perform a focused pain assessment and address the report. during an initial
assessment and the nurse must determine the safest immediate response?
A. Perform a focused pain assessment and address the report.
B. Stop intake and assess swallowing safety.
C. Use the required respirator and airborne measures.
D. A patient reports severe pain.
Answer: D. A patient reports severe pain.
Rationale: Pain is subjective and requires assessment.
7. When reviewing this patient situation, which action should the nurse take because
reposition it and reassess oxygenation. during an initial assessment and the nurse must
determine the safest immediate response?
A. Assess respiratory status promptly.
B. A nasal cannula is displaced in a patient receiving oxygen.
C. Encourage safe participation in self-care.
D. Perform hand hygiene and use required contact precautions.
Answer: B. A nasal cannula is displaced in a patient receiving oxygen.
Rationale: Correct placement supports prescribed oxygen delivery.
