WGU D439 FOUNDATIONS OF NURSING OA
ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
• An older adult female client tells client nurse about frequently awaking's
through the night not being able to sleep. what actions should the nurse
suggest to the client to help improve sleep.SATA.
Answer: avoid drinking caffeine late in the day establish a regular time for
going to bed
• A child has experienced several episodes of vomiting. After the nurse
reviews the need to provide only clear liquids the parents of the child reports
making clear liquids out of flavor gelatin for the child. which info should the
nurse obtain about the popsicle..
Answer: whether they contain pulp or fruit
• When turning an immobile bedridden client without assistance, which action
by the nurse best ensures client safety? A. Securely grasp the client's arm
and leg. B. Put bed rails up on the side of bed opposite from the nurse. C.
Correctly position and use a turn sheet. D. Lower the head of the client's bed
slowly..
Answer: B Rationale: Because the nurse can only stand on one side of the
bed, bed rails should be up on the opposite side to ensure that the client does
not fall out of bed. Option A can cause client injury to the skin or joint.
Options C and D are useful techniques while turning a client but have less
priority in terms of safety than use of the bed rails.
• The client is a 36 year old male with a 3 day history of fever and cough. he
has a history of type 1 diabetes mellitus and takes insulin glargine and
insulin lispro to manage his diabetes..
Answer: waht times should the nurse record vital signs 1200 0800 1600
2000
,• The Nurse observes a practical nurse (PN) performing oral care on a
unconscious client. which action by the PN indicates to the nurse the need
for additional training.
Answer: places the client in supine position
• the nurse is assessing a client who reports a 3 day history of vomiting and
diarrhea and experiencing difficulty in tolerating oral fluids. which urine
specific gravity would the nurse expect to see on initial testing.
Answer: 1
• A hospitallzed client who has advance directive and healthcare power of
attorney is reciving nutritanal through a nasogastric (NG) tube. The client
vommits and appears to be chocking. which action should the nurse take ?.
Answer: perform oragopsharngeal suctuning
• The nurse is teaching the client about a newly perscribed mediation. To
confirm that the client is learning the critical information. which strategy is
most important for the nurse to include during instruction.
Answer: ask the client for learning feedback
• The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What intervention
has the highest priority in decreasing the client's risk of infection? A.
Administration of plasma expanders B. Use of careful handwashing
technique C. Application of a topical antibacterial cream D. Limiting
visitors to the client with burns.
Answer: B Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to all clients.
Option A reverses the hypovolemia that initially accompanies burn trauma
but is not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as possible ways
to reduce the chance of infection. Option B is a proven technique to prevent
infection.
• when assesing a client with a serum potassium level of 7.5 which intervntion
is most important for the nurse to implement ?.
, Answer: Determine apical pulse rate and rythm
• The nurse is using guinded imagery with a client who is expeirincing
chronic pain. The nurse should direct the client attention on which focus ?.
Answer: Tranquil sounds
• The nurse is aware that malnutrition is a common problem among clients
served by a community health clinic for the homeless. Which laboratory
value is the most reliable indicator of chronic protein malnutrition? A. Low
serum albumin level B. Low serum transferrin level C. High hemoglobin
level D. High cholesterol level.
Answer: A Rationale: Long-term protein deficiency is required to cause
significantly lowered serum albumin levels. Albumin is made by the liver
only when adequate amounts of amino acids (from protein breakdown) are
available. Albumin has a long half-life, so acute protein loss does not
significantly alter serum levels. Option B is a serum protein with a half-life
of only 8 to 10 days, so it will drop with an acute protein deficiency.
Options C and D are not clinical measures of protein malnutrition.
• In completing a client's preoperative routine, the nurse finds that the
operative permit is not signed. The client begins to ask more questions about
the surgical procedure. Which action should the nurse take next? A. Witness
the client's signature to the permit. B. Answer the client's questions about
the surgery. C. Inform the surgeon that the operative permit is not signed
and the client has questions about the surgery. D. Reassure the client that the
surgeon will answer any questions before the anesthesia is administered..
Answer: C Rationale: The surgeon should be informed immediately that the
permit is not signed. It is the surgeon's responsibility to explain the
procedure to the client and obtain the client's signature on the permit.
Although the nurse can witness an operative permit, the procedure must first
be explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the
permit is signed.
• The nurse observes a UAP checking the temp of an adult client using a
, typmpatic thermometer. The UAP pulls the client auricle up and back and
prepares to insert the thermometer. which action should the nurse
implement?.
Answer: Demonsrate the correct techinique for pulling the client for pulling
the the auricle down and back.
• The nurse is assessing several clients prior to surgery. Which factor in a
client's history poses the greatest threat for complications to occur during
surgery? A. Taking birth control pills for the past 2 years B. Taking
anticoagulants for the past year C. Recently completing antibiotic therapy D.
Having taken laxatives PRN for the last 6 months.
Answer: B Rationale: Anticoagulants increase the risk for bleeding during
surgery, which can pose a threat for the development of surgical
complications. The health care provider should be informed that the client is
taking these drugs. Although clients who take birth control pills may be
more susceptible to the development of thrombi, such problems usually
occur postoperatively. A client with option C or D is at less of a surgical risk
than with option B.
• When assisting a client from the bed to a chair, which procedure is best for
the nurse to follow? A. Place the chair parallel to the bed, with its back
toward the head of the bed and assist the client in moving to the chair. B.
With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair. C. Assist the client to a standing
position by gently lifting upward, underneath the axillae. D. Stand beside
the client, place the client's arms around the nurse's neck, and gently move
the client to the chair..
Answer: B Rationale: Option B describes the correct positioning of the nurse
and affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed at a
45-degree angle to the bed, with the back of the chair toward the head of the
bed. Clients should never be lifted under the axillae; this could damage
nerves and strain the nurse's back. The client should be instructed to use the
arms of the chair and should never place his or her arms around the nurse's
ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
• An older adult female client tells client nurse about frequently awaking's
through the night not being able to sleep. what actions should the nurse
suggest to the client to help improve sleep.SATA.
Answer: avoid drinking caffeine late in the day establish a regular time for
going to bed
• A child has experienced several episodes of vomiting. After the nurse
reviews the need to provide only clear liquids the parents of the child reports
making clear liquids out of flavor gelatin for the child. which info should the
nurse obtain about the popsicle..
Answer: whether they contain pulp or fruit
• When turning an immobile bedridden client without assistance, which action
by the nurse best ensures client safety? A. Securely grasp the client's arm
and leg. B. Put bed rails up on the side of bed opposite from the nurse. C.
Correctly position and use a turn sheet. D. Lower the head of the client's bed
slowly..
Answer: B Rationale: Because the nurse can only stand on one side of the
bed, bed rails should be up on the opposite side to ensure that the client does
not fall out of bed. Option A can cause client injury to the skin or joint.
Options C and D are useful techniques while turning a client but have less
priority in terms of safety than use of the bed rails.
• The client is a 36 year old male with a 3 day history of fever and cough. he
has a history of type 1 diabetes mellitus and takes insulin glargine and
insulin lispro to manage his diabetes..
Answer: waht times should the nurse record vital signs 1200 0800 1600
2000
,• The Nurse observes a practical nurse (PN) performing oral care on a
unconscious client. which action by the PN indicates to the nurse the need
for additional training.
Answer: places the client in supine position
• the nurse is assessing a client who reports a 3 day history of vomiting and
diarrhea and experiencing difficulty in tolerating oral fluids. which urine
specific gravity would the nurse expect to see on initial testing.
Answer: 1
• A hospitallzed client who has advance directive and healthcare power of
attorney is reciving nutritanal through a nasogastric (NG) tube. The client
vommits and appears to be chocking. which action should the nurse take ?.
Answer: perform oragopsharngeal suctuning
• The nurse is teaching the client about a newly perscribed mediation. To
confirm that the client is learning the critical information. which strategy is
most important for the nurse to include during instruction.
Answer: ask the client for learning feedback
• The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What intervention
has the highest priority in decreasing the client's risk of infection? A.
Administration of plasma expanders B. Use of careful handwashing
technique C. Application of a topical antibacterial cream D. Limiting
visitors to the client with burns.
Answer: B Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to all clients.
Option A reverses the hypovolemia that initially accompanies burn trauma
but is not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as possible ways
to reduce the chance of infection. Option B is a proven technique to prevent
infection.
• when assesing a client with a serum potassium level of 7.5 which intervntion
is most important for the nurse to implement ?.
, Answer: Determine apical pulse rate and rythm
• The nurse is using guinded imagery with a client who is expeirincing
chronic pain. The nurse should direct the client attention on which focus ?.
Answer: Tranquil sounds
• The nurse is aware that malnutrition is a common problem among clients
served by a community health clinic for the homeless. Which laboratory
value is the most reliable indicator of chronic protein malnutrition? A. Low
serum albumin level B. Low serum transferrin level C. High hemoglobin
level D. High cholesterol level.
Answer: A Rationale: Long-term protein deficiency is required to cause
significantly lowered serum albumin levels. Albumin is made by the liver
only when adequate amounts of amino acids (from protein breakdown) are
available. Albumin has a long half-life, so acute protein loss does not
significantly alter serum levels. Option B is a serum protein with a half-life
of only 8 to 10 days, so it will drop with an acute protein deficiency.
Options C and D are not clinical measures of protein malnutrition.
• In completing a client's preoperative routine, the nurse finds that the
operative permit is not signed. The client begins to ask more questions about
the surgical procedure. Which action should the nurse take next? A. Witness
the client's signature to the permit. B. Answer the client's questions about
the surgery. C. Inform the surgeon that the operative permit is not signed
and the client has questions about the surgery. D. Reassure the client that the
surgeon will answer any questions before the anesthesia is administered..
Answer: C Rationale: The surgeon should be informed immediately that the
permit is not signed. It is the surgeon's responsibility to explain the
procedure to the client and obtain the client's signature on the permit.
Although the nurse can witness an operative permit, the procedure must first
be explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the
permit is signed.
• The nurse observes a UAP checking the temp of an adult client using a
, typmpatic thermometer. The UAP pulls the client auricle up and back and
prepares to insert the thermometer. which action should the nurse
implement?.
Answer: Demonsrate the correct techinique for pulling the client for pulling
the the auricle down and back.
• The nurse is assessing several clients prior to surgery. Which factor in a
client's history poses the greatest threat for complications to occur during
surgery? A. Taking birth control pills for the past 2 years B. Taking
anticoagulants for the past year C. Recently completing antibiotic therapy D.
Having taken laxatives PRN for the last 6 months.
Answer: B Rationale: Anticoagulants increase the risk for bleeding during
surgery, which can pose a threat for the development of surgical
complications. The health care provider should be informed that the client is
taking these drugs. Although clients who take birth control pills may be
more susceptible to the development of thrombi, such problems usually
occur postoperatively. A client with option C or D is at less of a surgical risk
than with option B.
• When assisting a client from the bed to a chair, which procedure is best for
the nurse to follow? A. Place the chair parallel to the bed, with its back
toward the head of the bed and assist the client in moving to the chair. B.
With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair. C. Assist the client to a standing
position by gently lifting upward, underneath the axillae. D. Stand beside
the client, place the client's arms around the nurse's neck, and gently move
the client to the chair..
Answer: B Rationale: Option B describes the correct positioning of the nurse
and affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed at a
45-degree angle to the bed, with the back of the chair toward the head of the
bed. Clients should never be lifted under the axillae; this could damage
nerves and strain the nurse's back. The client should be instructed to use the
arms of the chair and should never place his or her arms around the nurse's
