WGU D685 OBJECTIVE ASSESSMENT AND PA
NEWEST 2025 TEST BANK| D685 PRACTICAL
APPLICATIONS OF PROMPT OA & PA EXAM WITH
COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Section 1: Ethics, Legal, and Professional Practice
1. A nurse discovers they administered a medication 1 hour late. The
patient is stable. What is the nurse’s priority action?
A. Do nothing since no harm occurred
B. Notify the provider only
C. Document the error according to policy
D. Ask the charge nurse to fix the documentation
Correct Answer: C
Rationale: All medication errors must be documented and reported
per facility policy, regardless of harm.
2. Which ethical principle is demonstrated when a nurse respects a
patient’s decision to refuse treatment?
A. Beneficence
B. Nonmaleficence
,C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy is the patient’s right to make informed
decisions about their care.
3. Informed consent requires that the patient:
A. Signs the form
B. Understands risks, benefits, and alternatives
C. Agrees with the provider
D. Is over 21 years old
Correct Answer: B
Rationale: Consent is valid only if the patient understands the
procedure and alternatives.
4. Which situation requires mandatory reporting by the nurse?
A. Medication side effect
B. Suspected elder abuse
C. Patient refusal of care
D. Staff conflict
Correct Answer: B
Rationale: Nurses are legally required to report suspected abuse.
5. A nurse practices nonmaleficence by:
,A. Providing patient education
B. Avoiding harm to the patient
C. Respecting patient choices
D. Treating all patients equally
Correct Answer: B
Rationale: Nonmaleficence means “do no harm.”
Section 2: Safety & Quality Improvement
6. A root cause analysis (RCA) is best used to:
A. Discipline staff
B. Identify system failures
C. Evaluate employee performance
D. Assign blame
Correct Answer: B
Rationale: RCA focuses on system-level issues, not individual blame.
7. Which action best prevents patient falls?
A. Keeping patients in bed
B. Hourly rounding
C. Use of restraints
D. Turning off bed alarms
Correct Answer: B
Rationale: Hourly rounding improves safety and reduces falls.
, 8. A nurse notes a near-miss medication error. What should the
nurse do?
A. Ignore it
B. Report it per policy
C. Tell only the charge nurse
D. Wait until harm occurs
Correct Answer: B
Rationale: Near misses must be reported to improve safety systems.
9. Which situation is considered a sentinel event?
A. Minor medication delay
B. Patient fall with no injury
C. Wrong-site surgery
D. Late documentation
Correct Answer: C
Rationale: Sentinel events involve death or serious
physical/psychological injury.
10. The primary goal of quality improvement (QI) initiatives is to:
A. Reduce staffing
B. Improve patient outcomes
C. Increase profits
D. Monitor staff attendance
Correct Answer: B
Rationale: QI focuses on safe, effective, patient-centered care.
NEWEST 2025 TEST BANK| D685 PRACTICAL
APPLICATIONS OF PROMPT OA & PA EXAM WITH
COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Section 1: Ethics, Legal, and Professional Practice
1. A nurse discovers they administered a medication 1 hour late. The
patient is stable. What is the nurse’s priority action?
A. Do nothing since no harm occurred
B. Notify the provider only
C. Document the error according to policy
D. Ask the charge nurse to fix the documentation
Correct Answer: C
Rationale: All medication errors must be documented and reported
per facility policy, regardless of harm.
2. Which ethical principle is demonstrated when a nurse respects a
patient’s decision to refuse treatment?
A. Beneficence
B. Nonmaleficence
,C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy is the patient’s right to make informed
decisions about their care.
3. Informed consent requires that the patient:
A. Signs the form
B. Understands risks, benefits, and alternatives
C. Agrees with the provider
D. Is over 21 years old
Correct Answer: B
Rationale: Consent is valid only if the patient understands the
procedure and alternatives.
4. Which situation requires mandatory reporting by the nurse?
A. Medication side effect
B. Suspected elder abuse
C. Patient refusal of care
D. Staff conflict
Correct Answer: B
Rationale: Nurses are legally required to report suspected abuse.
5. A nurse practices nonmaleficence by:
,A. Providing patient education
B. Avoiding harm to the patient
C. Respecting patient choices
D. Treating all patients equally
Correct Answer: B
Rationale: Nonmaleficence means “do no harm.”
Section 2: Safety & Quality Improvement
6. A root cause analysis (RCA) is best used to:
A. Discipline staff
B. Identify system failures
C. Evaluate employee performance
D. Assign blame
Correct Answer: B
Rationale: RCA focuses on system-level issues, not individual blame.
7. Which action best prevents patient falls?
A. Keeping patients in bed
B. Hourly rounding
C. Use of restraints
D. Turning off bed alarms
Correct Answer: B
Rationale: Hourly rounding improves safety and reduces falls.
, 8. A nurse notes a near-miss medication error. What should the
nurse do?
A. Ignore it
B. Report it per policy
C. Tell only the charge nurse
D. Wait until harm occurs
Correct Answer: B
Rationale: Near misses must be reported to improve safety systems.
9. Which situation is considered a sentinel event?
A. Minor medication delay
B. Patient fall with no injury
C. Wrong-site surgery
D. Late documentation
Correct Answer: C
Rationale: Sentinel events involve death or serious
physical/psychological injury.
10. The primary goal of quality improvement (QI) initiatives is to:
A. Reduce staffing
B. Improve patient outcomes
C. Increase profits
D. Monitor staff attendance
Correct Answer: B
Rationale: QI focuses on safe, effective, patient-centered care.
