WGU D439 FOUNDATIONS OF NURSING OA ACTUAL
QUESTIONS AND ANSWERS LATEST UPDATED 2026
(GRADED A+)
D439 OA Q & A
The nurse is caring for four clients. The client with which clinical manifestation requires immediate attention
from the nurse?
Temperature of 101.6°F with a diagnosis of pneumonia
,Pulse of 90 beats per minute 2 hours after abdominal surgery
Decrease of 10 mm Hg in systolic blood pressure upon standing
Respiratory rate of 25 breaths per minute after resting for 3 minutes after activity
Q&A
The nurse places a client who had abdominal surgery in the semi-Fowler position. The client states, “I prefer
to lie flat when in bed. I feel like I am almost sitting up.” Which is an appropriate response by the nurse?
“Raising the head of your bed supports your breathing.”
“Keeping your upper body elevated encourages urinary elimination.”
“Increasing the height of the top of the bed promotes your passing gas.”
“Lifting your chest above your abdomen facilitates drainage in your wound drains.”
,Q&A
The nurse is educating a client who has just been prescribed a diuretic about how to safely perform activities
of daily living. Which statement should the nurse include in the teaching?
Take cold showers when you feel dizzy.
Change positions slowly to minimize orthostatic hypotension.
Limit your fluid intake so that you will not have to urinate as often.
Take the medication at night so that you can accomplish more tasks during the day without interruptions.
Q&A
The nurse recognizes that which statements made by a patient indicate an understanding of behaviors that
will promote sleep? (Select all that apply.)
“I will not watch television in bed.”
, “I will not drink caffeine later in the day.”
“A short nap late in the evening will lead to a more restful night of sleep.”
“I am going to start eating dinner closer to my bedtime.”
“I will start to exercise regularly during the day.”
Q&A
Your patient is being discharged home and will be required to self-administer injectable Heparin. You are
observing the patient administer their scheduled dose of Heparin to confirm that the patient knows how to
do it correctly. What action by the patient requires you to re-educate them about how to administer
Heparin?
The patient injects the needle into the fatty tissue of the abdomen
The patient injects the needle 1 inch away from the umbilicus
The patient rotates the injection site
The patient does not massage the injection site after administering the medication
QUESTIONS AND ANSWERS LATEST UPDATED 2026
(GRADED A+)
D439 OA Q & A
The nurse is caring for four clients. The client with which clinical manifestation requires immediate attention
from the nurse?
Temperature of 101.6°F with a diagnosis of pneumonia
,Pulse of 90 beats per minute 2 hours after abdominal surgery
Decrease of 10 mm Hg in systolic blood pressure upon standing
Respiratory rate of 25 breaths per minute after resting for 3 minutes after activity
Q&A
The nurse places a client who had abdominal surgery in the semi-Fowler position. The client states, “I prefer
to lie flat when in bed. I feel like I am almost sitting up.” Which is an appropriate response by the nurse?
“Raising the head of your bed supports your breathing.”
“Keeping your upper body elevated encourages urinary elimination.”
“Increasing the height of the top of the bed promotes your passing gas.”
“Lifting your chest above your abdomen facilitates drainage in your wound drains.”
,Q&A
The nurse is educating a client who has just been prescribed a diuretic about how to safely perform activities
of daily living. Which statement should the nurse include in the teaching?
Take cold showers when you feel dizzy.
Change positions slowly to minimize orthostatic hypotension.
Limit your fluid intake so that you will not have to urinate as often.
Take the medication at night so that you can accomplish more tasks during the day without interruptions.
Q&A
The nurse recognizes that which statements made by a patient indicate an understanding of behaviors that
will promote sleep? (Select all that apply.)
“I will not watch television in bed.”
, “I will not drink caffeine later in the day.”
“A short nap late in the evening will lead to a more restful night of sleep.”
“I am going to start eating dinner closer to my bedtime.”
“I will start to exercise regularly during the day.”
Q&A
Your patient is being discharged home and will be required to self-administer injectable Heparin. You are
observing the patient administer their scheduled dose of Heparin to confirm that the patient knows how to
do it correctly. What action by the patient requires you to re-educate them about how to administer
Heparin?
The patient injects the needle into the fatty tissue of the abdomen
The patient injects the needle 1 inch away from the umbilicus
The patient rotates the injection site
The patient does not massage the injection site after administering the medication
