PASSPOINTPRO | WGU D439 | COMPREHENSIVE EXAM
WGU D439 Foundations of Nursing
100-Question Comprehensive Exam
Complete Answer Key and Detailed Explanations at the End
PASSPOINTPRO
Page 1
,PASSPOINTPRO | WGU D439 | COMPREHENSIVE EXAM
Exam Instructions
Select the best answer for Questions 1-100. Record your responses separately. The complete answer key and detailed
explanations begin after Question 100, allowing you to complete the exam without seeing the answers.
Questions 1-50
1. Before administering a medication, which action best verifies the patient's identity?
A. Compare two approved identifiers with the medication record
B. Ask the patient to confirm the room number
C. Use the name printed on the door
D. Recognize the patient by appearance
2. When should a nurse use soap and water instead of alcohol-based hand rub?
A. After caring for a patient with suspected C. difficile
B. After touching intact skin when hands are not soiled
C. Before entering every patient room regardless of task
D. Before taking a blood pressure
3. Which intervention is most appropriate for a hospitalized patient at high risk for falls?
A. Restrict oral fluids to reduce toileting
B. Keep the bed low, call light within reach, and use nonskid footwear
C. Raise all four side rails continuously
D. Encourage the patient to walk alone to build confidence
4. Which item should be available at the bedside of a patient with seizure precautions?
A. Suction equipment
B. Wrist restraints
C. A heating pad
D. A tongue blade
5. What must the nurse do before applying a restraint to a confused patient?
A. Try less restrictive alternatives and assess the cause of the behavior
B. Tie the restraint to a movable side rail
C. Apply the restraint and request an order at discharge
D. Obtain permission from the patient's roommate
6. A fire starts in a patient's room. According to RACE, what is the nurse's first action?
A. Activate the alarm before approaching the room
B. Extinguish the fire before moving the patient
C. Rescue anyone in immediate danger
D. Contain the fire by closing every unit door
7. Which action is safe when oxygen is in use?
A. Keep oxygen equipment away from flames and petroleum products
B. Use a frayed electrical cord if the device still works
C. Allow smoking near an open window
D. Apply petroleum jelly to dry nasal passages
8. Which action contaminates a sterile field?
A. Opening the first wrapper flap away from the body
B. Keeping sterile items above waist level
C. Placing the field on a dry waist-high surface
D. Reaching across the field
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, PASSPOINTPRO | WGU D439 | COMPREHENSIVE EXAM
9. Which item of personal protective equipment is generally removed first because it is most contaminated?
A. Gown ties
B. Mask
C. Gloves
D. Goggles
10. What should a nurse do first after a needlestick injury?
A. Squeeze the wound aggressively
B. Cover the site and finish the shift without notification
C. Wash the area with soap and water
D. Wait for symptoms before reporting
11. Which protective equipment is required when entering the room of a patient with active pulmonary
tuberculosis?
A. A face shield without a mask
B. A fit-tested N95 respirator
C. A surgical mask only
D. Sterile gloves only
12. Which precaution is appropriate for a patient with C. difficile diarrhea?
A. N95 respirator only
B. Gown and gloves on room entry
C. No PPE if the patient is afebrile
D. Protective eyewear only
13. Which protection should the nurse use for routine close contact with a patient who has influenza?
A. A surgical mask
B. Shoe covers only
C. A powered air-purifying respirator for every entry
D. A sterile gown only
14. Standard precautions should be used for which patients?
A. Only patients with known bloodborne infection
B. All patients regardless of diagnosis
C. Only patients with draining wounds
D. Only patients in intensive care
15. A sterile package becomes wet from fluid on the work surface. How should the nurse respond?
A. Consider the package contaminated and replace it
B. Cover the wet area with a sterile towel
C. Dry the package and continue
D. Use the contents only for the same patient
16. A patient reports new shortness of breath. What should the nurse do first?
A. Document the complaint at the end of the shift
B. Teach discharge exercises
C. Assess respiratory status and oxygenation
D. Call dietary services
17. Which patient should the nurse assess first?
A. A patient with stridor after extubation
B. A patient requesting a sleep aid
C. A patient reporting constipation for two days
D. A patient awaiting discharge instructions
Page 3
WGU D439 Foundations of Nursing
100-Question Comprehensive Exam
Complete Answer Key and Detailed Explanations at the End
PASSPOINTPRO
Page 1
,PASSPOINTPRO | WGU D439 | COMPREHENSIVE EXAM
Exam Instructions
Select the best answer for Questions 1-100. Record your responses separately. The complete answer key and detailed
explanations begin after Question 100, allowing you to complete the exam without seeing the answers.
Questions 1-50
1. Before administering a medication, which action best verifies the patient's identity?
A. Compare two approved identifiers with the medication record
B. Ask the patient to confirm the room number
C. Use the name printed on the door
D. Recognize the patient by appearance
2. When should a nurse use soap and water instead of alcohol-based hand rub?
A. After caring for a patient with suspected C. difficile
B. After touching intact skin when hands are not soiled
C. Before entering every patient room regardless of task
D. Before taking a blood pressure
3. Which intervention is most appropriate for a hospitalized patient at high risk for falls?
A. Restrict oral fluids to reduce toileting
B. Keep the bed low, call light within reach, and use nonskid footwear
C. Raise all four side rails continuously
D. Encourage the patient to walk alone to build confidence
4. Which item should be available at the bedside of a patient with seizure precautions?
A. Suction equipment
B. Wrist restraints
C. A heating pad
D. A tongue blade
5. What must the nurse do before applying a restraint to a confused patient?
A. Try less restrictive alternatives and assess the cause of the behavior
B. Tie the restraint to a movable side rail
C. Apply the restraint and request an order at discharge
D. Obtain permission from the patient's roommate
6. A fire starts in a patient's room. According to RACE, what is the nurse's first action?
A. Activate the alarm before approaching the room
B. Extinguish the fire before moving the patient
C. Rescue anyone in immediate danger
D. Contain the fire by closing every unit door
7. Which action is safe when oxygen is in use?
A. Keep oxygen equipment away from flames and petroleum products
B. Use a frayed electrical cord if the device still works
C. Allow smoking near an open window
D. Apply petroleum jelly to dry nasal passages
8. Which action contaminates a sterile field?
A. Opening the first wrapper flap away from the body
B. Keeping sterile items above waist level
C. Placing the field on a dry waist-high surface
D. Reaching across the field
Page 2
, PASSPOINTPRO | WGU D439 | COMPREHENSIVE EXAM
9. Which item of personal protective equipment is generally removed first because it is most contaminated?
A. Gown ties
B. Mask
C. Gloves
D. Goggles
10. What should a nurse do first after a needlestick injury?
A. Squeeze the wound aggressively
B. Cover the site and finish the shift without notification
C. Wash the area with soap and water
D. Wait for symptoms before reporting
11. Which protective equipment is required when entering the room of a patient with active pulmonary
tuberculosis?
A. A face shield without a mask
B. A fit-tested N95 respirator
C. A surgical mask only
D. Sterile gloves only
12. Which precaution is appropriate for a patient with C. difficile diarrhea?
A. N95 respirator only
B. Gown and gloves on room entry
C. No PPE if the patient is afebrile
D. Protective eyewear only
13. Which protection should the nurse use for routine close contact with a patient who has influenza?
A. A surgical mask
B. Shoe covers only
C. A powered air-purifying respirator for every entry
D. A sterile gown only
14. Standard precautions should be used for which patients?
A. Only patients with known bloodborne infection
B. All patients regardless of diagnosis
C. Only patients with draining wounds
D. Only patients in intensive care
15. A sterile package becomes wet from fluid on the work surface. How should the nurse respond?
A. Consider the package contaminated and replace it
B. Cover the wet area with a sterile towel
C. Dry the package and continue
D. Use the contents only for the same patient
16. A patient reports new shortness of breath. What should the nurse do first?
A. Document the complaint at the end of the shift
B. Teach discharge exercises
C. Assess respiratory status and oxygenation
D. Call dietary services
17. Which patient should the nurse assess first?
A. A patient with stridor after extubation
B. A patient requesting a sleep aid
C. A patient reporting constipation for two days
D. A patient awaiting discharge instructions
Page 3
