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WGU D439 Foundations of Nursing Test Prep 2026 | 167 Questions & Answers | Complete Study Guide

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Prepare for WGU D439 Foundations of Nursing with 167 practice questions and answers covering essential nursing concepts and foundational clinical knowledge. Review nursing theories, the nursing process, clinical judgment, patient safety, infection prevention and control, vital signs, therapeutic communication, patient education, documentation, delegation, prioritization, mobility, pain management, nutrition, elimination, oxygenation, fluid and electrolyte balance, medication administration, wound and pressure injury care, legal and ethical principles, cultural considerations, and end-of-life care. The material also covers major nursing theorists and frameworks, including Orem, Peplau, Leininger, Watson, Maslow, and Kolcaba. Use the questions and answers to reinforce foundational concepts, review nursing terminology, identify areas requiring additional study, and organize your preparation for D439 assessments.

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WGU D439 Foundations of Nursing Test Prep 2026 | 167
Q&A | Complete Study Guide | Guaranteed Pass
1. When should vital signs be taken?

when patient allows you to

every 4 hours

as ordered and anytime patient status changes

ONLY when ordered

2. Which code status would you do compressions and breathing?

code with conditions

no code

full code

3. Describe the relationship between grams and milligrams in terms of
measurement.

One gram is equal to 10 milligrams.

One gram is equal to 1 milligram.

One gram is equal to 100 milligrams.

One gram is equal to 1000 milligrams.

4. If a patient is experiencing difficulty sleeping due to anxiety, what
intervention could you implement to help them relax?

Increasing their medication dosage

Guided relaxation techniques

Providing them with caffeinated beverages

, Encouraging them to watch television


5. An "Unstageable Pressure Injury" is characterized by:

Obscured full-thickness skin and tissue loss

Partial-thickness skin loss with exposed dermis

Full-thickness skin and tissue loss

Non-blanchable erythema of intact skin

6. If a patient with dementia is found wandering outside their room, what steps
should you take to address the situation effectively?

Document the incident without intervening

Ignore the situation as it is common for dementia patients

Immediately call security to handle the patient

Guide the patient back to a safe area and assess their needs

7. In a scenario where a nurse needs to report a patient's sudden change in
condition to a physician, how should the nurse structure the communication
using SBAR?

The nurse should document the change in the patient's chart without
verbal communication.

The nurse should only inform the physician of the patient's current
medications.

The nurse should summarize the patient's history and ask for a
consultation.

The nurse should outline the Situation, provide Background, give an
Assessment, and make a Recommendation.

,8. Ear drops are to be administered in both of Josh's ears. He is 2 years old.
Before administration, it is most important to:

Pull Josh's ear lobe back to straighten the ear canal.

Heat the medication in a microwave or boiling water.

Let Josh's mother choose which ear she wants the drops in first

Have his parents restrain Josh.

9. A dying client is not eating and only drinks small sips of fluid occasionally.
what is the appropriate action by the nurse?

inform the client that life cannot be sustained without food and fluids

obtain an order for a nasogastric tube

use a syringe to feed the client

do not force food or fluids

10. If a nurse observes a patient with an upright posture and smooth gait during
a routine check-up, what should the nurse conclude about the patient's
mobility needs?

The patient needs immediate mobility assistance.

The patient should be referred for physical therapy.

The patient likely does not require assistance with mobility.

The patient is at high risk for falls.

11. The "S" in the SBAR communication tool represents what?

Symptom

Sign

, Scene

Situation

12. Describe the significance of proper documentation in medication
administration.

Proper documentation ensures patient safety and provides a legal
record of care.

Proper documentation is only required for controlled substances.

Proper documentation is not important if the medication is
administered correctly.

Proper documentation is only necessary for legal purposes.

13. Why is it important for nurses to communicate with patients in a calm and
empathetic manner?

It helps build trust and promotes a therapeutic relationship.

It allows nurses to maintain control over the conversation.

It ensures that patients follow all medical instructions.

It minimizes the need for documentation.

14. A durable power of attorney goes into effect when the individual is declared
mentally incompetent and remains in effect until:

The individual dies

The individual's executor files notice with the appropriate probate
court

The individual's estate is settled

The individual's spouse formally revokes it

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