WGU D439 FOUNDATIONS OF NURSING OA
EXAM 2025/2026
1. A client presents with a puncture wound from stepping on a nail. What is
the most appropriate nursing action to minimize the risk of infection?
Clean the wound thoroughly and assess for signs of infection.
Administer pain medication immediately.
Ignore the wound if the client reports no pain.
Apply a bandage without cleaning the wound.
2. Why is it important to inject Heparin at least 2 inches away from the
umbilicus?
Injecting Heparin too close to the umbilicus can lead to
inconsistent absorption and increased risk of complications.
There are no specific guidelines for injection sites.
It is a standard practice to inject anywhere around the abdomen.
The umbilicus is a common site for all injections.
3. Why is building rapport considered essential during the orientation
phase of a therapeutic relationship?
Building rapport only focuses on the nurse's needs.
Building rapport is primarily about discussing treatment plans.
Building rapport establishes trust and facilitates open
communication between the nurse and client.
Building rapport is unnecessary in the orientation phase.
,4. Describe how lengthy surgical procedures can contribute to the
development of pressure ulcers in patients.
, Lengthy surgical procedures can lead to prolonged immobility,
increasing the risk of pressure ulcers due to sustained pressure
on certain body areas.
Lengthy surgical procedures have no impact on pressure ulcer
development.
Lengthy surgical procedures enhance blood circulation, reducing
the risk of pressure ulcers.
Lengthy surgical procedures only affect patients with existing
ulcers.
5. A patient is recovering from surgery and needs to improve their muscle
strength and endurance. Which type of exercise would be most
beneficial for them to incorporate into their rehabilitation program?
Isotonic exercises
Aerobic exercises
Flexibility exercises
Isometric exercises
6. What is the appropriate response by a nurse when a patient is grieving a
significant loss?
It must be hard to deal with such a precious loss.
You should try to think positively.
You need to move on with your life.
Everything happens for a reason.
7. Why is it important for a nurse to inquire about preservatives in the urine
collection container during a 24-hour urine specimen collection?
Preservatives are necessary for all urine tests.
, Preservatives help to maintain the pH of the urine.
Preservatives are used to prevent bacterial growth.
Preservatives can affect the accuracy of the creatinine
clearance test results.
8. Which of the following statements best explains the role of the nurse
when the nurse is planning care for a culturally diverse population?
Provide care while remaining aware of one's own biases,
focusing on the client's individual needs rather than the staff's
usual practices.
Focus only on the needs of each client demographic, ignoring
the nurse's beliefs and practices.
Blend the values of the nurse that are for the good of the client
and minimize the client's individual values and beliefs during care.
Include care that is culturally congruent with the staff from
predetermined national data.
9. Which condition place as a client at the highest risk for developing an
infection?
More than two puncture sites from laparoscopic surgery.
Burns over more than 20% of the body.
Presence of an indwelling urinary catheter.
Implementation of a prosthetic device.
10. What position is the nurse placing the client in after abdominal surgery?
Supine position
Semi-Fowler position
Prone position
EXAM 2025/2026
1. A client presents with a puncture wound from stepping on a nail. What is
the most appropriate nursing action to minimize the risk of infection?
Clean the wound thoroughly and assess for signs of infection.
Administer pain medication immediately.
Ignore the wound if the client reports no pain.
Apply a bandage without cleaning the wound.
2. Why is it important to inject Heparin at least 2 inches away from the
umbilicus?
Injecting Heparin too close to the umbilicus can lead to
inconsistent absorption and increased risk of complications.
There are no specific guidelines for injection sites.
It is a standard practice to inject anywhere around the abdomen.
The umbilicus is a common site for all injections.
3. Why is building rapport considered essential during the orientation
phase of a therapeutic relationship?
Building rapport only focuses on the nurse's needs.
Building rapport is primarily about discussing treatment plans.
Building rapport establishes trust and facilitates open
communication between the nurse and client.
Building rapport is unnecessary in the orientation phase.
,4. Describe how lengthy surgical procedures can contribute to the
development of pressure ulcers in patients.
, Lengthy surgical procedures can lead to prolonged immobility,
increasing the risk of pressure ulcers due to sustained pressure
on certain body areas.
Lengthy surgical procedures have no impact on pressure ulcer
development.
Lengthy surgical procedures enhance blood circulation, reducing
the risk of pressure ulcers.
Lengthy surgical procedures only affect patients with existing
ulcers.
5. A patient is recovering from surgery and needs to improve their muscle
strength and endurance. Which type of exercise would be most
beneficial for them to incorporate into their rehabilitation program?
Isotonic exercises
Aerobic exercises
Flexibility exercises
Isometric exercises
6. What is the appropriate response by a nurse when a patient is grieving a
significant loss?
It must be hard to deal with such a precious loss.
You should try to think positively.
You need to move on with your life.
Everything happens for a reason.
7. Why is it important for a nurse to inquire about preservatives in the urine
collection container during a 24-hour urine specimen collection?
Preservatives are necessary for all urine tests.
, Preservatives help to maintain the pH of the urine.
Preservatives are used to prevent bacterial growth.
Preservatives can affect the accuracy of the creatinine
clearance test results.
8. Which of the following statements best explains the role of the nurse
when the nurse is planning care for a culturally diverse population?
Provide care while remaining aware of one's own biases,
focusing on the client's individual needs rather than the staff's
usual practices.
Focus only on the needs of each client demographic, ignoring
the nurse's beliefs and practices.
Blend the values of the nurse that are for the good of the client
and minimize the client's individual values and beliefs during care.
Include care that is culturally congruent with the staff from
predetermined national data.
9. Which condition place as a client at the highest risk for developing an
infection?
More than two puncture sites from laparoscopic surgery.
Burns over more than 20% of the body.
Presence of an indwelling urinary catheter.
Implementation of a prosthetic device.
10. What position is the nurse placing the client in after abdominal surgery?
Supine position
Semi-Fowler position
Prone position
