D439 Objective Assessment – WGU Foundations of
Nursing OA (2026/2027) Actual Questions & Study
Guide | Guarantee Pass
250 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Nursing Process (ADPIE)
2 Prioritization
3 Safety
4 Infection Control
5 Therapeutic Communication
6 Ethics & Legal
7 Delegation
8 Documentation
9 Patient Education
10 Professional Standards
,Q1
A nurse is collecting data on a newly admitted client. Which finding is subjective?
A) Blood pressure 120/80 mmHg
B) Client reports feeling nauseated CORRECT
C) Heart rate 88 bpm
D) Skin is warm and dry
Rationale
Subjective data are what the client reports; objective data are measurable findings.
Q2
A nurse is using the nursing process. Which step involves setting measurable goals?
A) Assessment
B) Diagnosis
C) Planning CORRECT
D) Evaluation
Rationale
Planning includes developing client goals and expected outcomes.
Q3
A client with chest pain and dyspnea is admitted. Which action should the nurse take first?
A) Administer pain medication
B) Assess airway and breathing CORRECT
C) Notify the provider
D) Obtain an ECG
Rationale
ABCs take priority; assessment precedes intervention.
2
,Q4
A nurse is documenting care. Which entry is objective?
A) “Client seems anxious”
B) “Client’s heart rate is 110 bpm” CORRECT
C) “Client is difficult”
D) “Client feels sad”
Rationale
Objective data are measurable and observable.
Q5
A nurse is delegating to a UAP. Which task is appropriate?
A) Assess lung sounds
B) Measure intake and output CORRECT
C) Administer insulin
D) Change a sterile dressing
Rationale
I&O is within UAP scope; assessment and medications require licensed staff.
Q6
A client refuses a prescribed medication. What should the nurse do first?
A) Hide it in food
B) Explore the reason for refusal CORRECT
C) Restrain the client
D) Document and ignore
Rationale
Respect autonomy; assess reason and notify provider if needed.
3
, Q7
A nurse is teaching a client about a new diet. Which method best evaluates learning?
A) Ask, “Do you understand?”
B) Use teach-back CORRECT
C) Provide a handout
D) Ask family
Rationale
Teach-back confirms understanding in the client’s own words.
Q8
A client falls in the bathroom. What should the nurse do first?
A) Help client back to bed
B) Assess for injury CORRECT
C) Notify provider
D) Complete incident report
Rationale
Assess for injury before moving the client.
Q9
A nurse is preparing a sterile field. Which action contaminates it?
A) Keeping field at waist level
B) Reaching over the field CORRECT
C) Opening sterile packages away from field
D) Using sterile gloves
Rationale
Reaching over a sterile field contaminates it.
4
Nursing OA (2026/2027) Actual Questions & Study
Guide | Guarantee Pass
250 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Nursing Process (ADPIE)
2 Prioritization
3 Safety
4 Infection Control
5 Therapeutic Communication
6 Ethics & Legal
7 Delegation
8 Documentation
9 Patient Education
10 Professional Standards
,Q1
A nurse is collecting data on a newly admitted client. Which finding is subjective?
A) Blood pressure 120/80 mmHg
B) Client reports feeling nauseated CORRECT
C) Heart rate 88 bpm
D) Skin is warm and dry
Rationale
Subjective data are what the client reports; objective data are measurable findings.
Q2
A nurse is using the nursing process. Which step involves setting measurable goals?
A) Assessment
B) Diagnosis
C) Planning CORRECT
D) Evaluation
Rationale
Planning includes developing client goals and expected outcomes.
Q3
A client with chest pain and dyspnea is admitted. Which action should the nurse take first?
A) Administer pain medication
B) Assess airway and breathing CORRECT
C) Notify the provider
D) Obtain an ECG
Rationale
ABCs take priority; assessment precedes intervention.
2
,Q4
A nurse is documenting care. Which entry is objective?
A) “Client seems anxious”
B) “Client’s heart rate is 110 bpm” CORRECT
C) “Client is difficult”
D) “Client feels sad”
Rationale
Objective data are measurable and observable.
Q5
A nurse is delegating to a UAP. Which task is appropriate?
A) Assess lung sounds
B) Measure intake and output CORRECT
C) Administer insulin
D) Change a sterile dressing
Rationale
I&O is within UAP scope; assessment and medications require licensed staff.
Q6
A client refuses a prescribed medication. What should the nurse do first?
A) Hide it in food
B) Explore the reason for refusal CORRECT
C) Restrain the client
D) Document and ignore
Rationale
Respect autonomy; assess reason and notify provider if needed.
3
, Q7
A nurse is teaching a client about a new diet. Which method best evaluates learning?
A) Ask, “Do you understand?”
B) Use teach-back CORRECT
C) Provide a handout
D) Ask family
Rationale
Teach-back confirms understanding in the client’s own words.
Q8
A client falls in the bathroom. What should the nurse do first?
A) Help client back to bed
B) Assess for injury CORRECT
C) Notify provider
D) Complete incident report
Rationale
Assess for injury before moving the client.
Q9
A nurse is preparing a sterile field. Which action contaminates it?
A) Keeping field at waist level
B) Reaching over the field CORRECT
C) Opening sterile packages away from field
D) Using sterile gloves
Rationale
Reaching over a sterile field contaminates it.
4
