WGU D439 FOUNDATIONS OF NURSING
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ B. Notify the information services department of the situation.
Answer: 3. The nurse is documenting wound care in a client's electronic
medical record (EMR) when the computer system shuts down. Which action
should the nurse implement first?A. Wait for notification that the system has
been rebooted.B. Notify the information services department of the
situationC. Print the electronic medical record from the backup serverD.
Identify as a late entry to the record
◍ B) Measure oxygen saturation.
Answer: 31. While measuring vital signs, the nurse observes that a client is
using neck muscles during respirations. Which follow-up action should the
nurse take first?A) Auscultate heart soundsB) Measure oxygen saturationC)
Determine pulse pressureD) Check for the neck vein distention
◍ what does SBAR stand for.
Answer: S - SituationB - Background A - Assessment R - Recommendation
◍ D) Opioid analgesic received one hour ago..
Answer: 50. Which Assessment date reflects the need for the nurse to
include the problem, Risk for falls, in a client's plan of care.A) Stooped
posture with a steady gaitB) Expressed feelings of depressionC) Recent
serum hemoglobin level of 16 g/dL (160 g/L)D) Opioid analgesic received
one hour ago.
◍ background in SBAR.
Answer: date/time of admission, admitting Dx, relevent Hx, lab and test
results
,◍ A) Avoid napsC) Try to go to bed and awaken at the same timeD) Avoid
alcohol in the evening.
Answer: 42.Case studyA client is a 36-year-old female who is in the clinic
today for insomnia, She reports that she started having trouble sleeping two
years ago after her father's death. She has no medical problems and has
never had surgery. She takes an oral contraceptive and a multivitamin daily.
She does not smoke but drinks 1 to 2 glasses of wine every evening.Nurse
notes ____Orders ___Have a better sleep? Select all that applyA) Avoid
napsB) Take an analgesic before bedC) Try to go to bed and awaken at the
same timeD) Avoid alcohol in the eveningE) Watch television in bed to fall
asleepF) Eat a heavy meal before bedG) Exercise in the evening
◍ if a patient is aggravated putting on a shirt what should the nurse say.
Answer: this must be frustrating for you
◍ how should you explain issues to older adults.
Answer: use everyday language
◍ s/sx of stage 3 would/ulcer.
Answer: full thickness skin loss, 3 layers affected
◍ what are institute contact precautions.
Answer: mask, gloves, gown, spreads through contact, separate room
◍ B) Clean the urinary meatus before retracting the foreskin.
Answer: 19. Which action should the nurse implement when inserting an
indwelling catheter for an uncircumcised male client?A) Advance the
catheter before inflating the balloonB) Clean the urinary meatus before
retracting the foreskinC) Use a swab to wipe the meatus in a back-and-forth
motion.D) Position the sterile field even with the nurses hips
◍ 1. Wash hands2. Put on an isolation gown3. Apply a surgical mask4. Don
gloves.
Answer: 44. The Nurse is caring for a client in isolation who requires wound
care. The nurse should prepare to enter the room by performing these
actions in which order? (Arrange with the first step on top and the last step
, at the bottom.)Put on an isolation gown Apply a surgical mask Wash Hands
Don gloves
◍ what are the ROM exercises for hinge joints.
Answer: bend the arm by flexing the ulnar to the humerus
◍ if your specific urine gravity is high what does that mean.
Answer: it means you are dry/dehydrated (vomiting/diarrhea)
◍ when arae crutches being used correctly.
Answer: when the patient bears weight on the palms of their hands * pads
are 2 inches below axilla * arm rest should be middle of forearm
◍ B) Document the client's statement on the admission form.E) Flag the
client's record with "do not resuscitate ".
Answer: 41. The mother of two toddlers who was recently divorced is
scheduled for breast augmentation. During the day surgery admission
process, the client tells the nurse that she has not executed a living will but
does not want to be resuscitated or put on any mechanical breathing
machines. Which action(s) should the nurse take? Select all that apply.A)
Notify the client's next of kin before surgeryB) Document the client's
statement on the admission form.C) Explain the benefit of executing an
advanced directive.D) Encourage the client to execute a will that identifies a
guardian for her children.E) Flag the client's record with “do not resuscitate
“
◍ Actions take ___________ Parameters taken _______________Potential
Conditions ____________Actions to take _______________ Parameters
taken______________.
Answer: 22. Case studyThe client is a 74-year-old female with a history of
type 2 diabetes mellitus. She is in the hospital recovering from
pneumonia.Actions to take -Potential Conditions -Parameters to
monitorRestrict protein-- Dysuria --Blood GlucoseInsert a catheter-
-Nocturia-- Intake and outputAdminister diuretic --Urinary retention--
Capillary refillImplement fall risk-- Hematuria-- Urine pHReview home
medications-- Ketones
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ B. Notify the information services department of the situation.
Answer: 3. The nurse is documenting wound care in a client's electronic
medical record (EMR) when the computer system shuts down. Which action
should the nurse implement first?A. Wait for notification that the system has
been rebooted.B. Notify the information services department of the
situationC. Print the electronic medical record from the backup serverD.
Identify as a late entry to the record
◍ B) Measure oxygen saturation.
Answer: 31. While measuring vital signs, the nurse observes that a client is
using neck muscles during respirations. Which follow-up action should the
nurse take first?A) Auscultate heart soundsB) Measure oxygen saturationC)
Determine pulse pressureD) Check for the neck vein distention
◍ what does SBAR stand for.
Answer: S - SituationB - Background A - Assessment R - Recommendation
◍ D) Opioid analgesic received one hour ago..
Answer: 50. Which Assessment date reflects the need for the nurse to
include the problem, Risk for falls, in a client's plan of care.A) Stooped
posture with a steady gaitB) Expressed feelings of depressionC) Recent
serum hemoglobin level of 16 g/dL (160 g/L)D) Opioid analgesic received
one hour ago.
◍ background in SBAR.
Answer: date/time of admission, admitting Dx, relevent Hx, lab and test
results
,◍ A) Avoid napsC) Try to go to bed and awaken at the same timeD) Avoid
alcohol in the evening.
Answer: 42.Case studyA client is a 36-year-old female who is in the clinic
today for insomnia, She reports that she started having trouble sleeping two
years ago after her father's death. She has no medical problems and has
never had surgery. She takes an oral contraceptive and a multivitamin daily.
She does not smoke but drinks 1 to 2 glasses of wine every evening.Nurse
notes ____Orders ___Have a better sleep? Select all that applyA) Avoid
napsB) Take an analgesic before bedC) Try to go to bed and awaken at the
same timeD) Avoid alcohol in the eveningE) Watch television in bed to fall
asleepF) Eat a heavy meal before bedG) Exercise in the evening
◍ if a patient is aggravated putting on a shirt what should the nurse say.
Answer: this must be frustrating for you
◍ how should you explain issues to older adults.
Answer: use everyday language
◍ s/sx of stage 3 would/ulcer.
Answer: full thickness skin loss, 3 layers affected
◍ what are institute contact precautions.
Answer: mask, gloves, gown, spreads through contact, separate room
◍ B) Clean the urinary meatus before retracting the foreskin.
Answer: 19. Which action should the nurse implement when inserting an
indwelling catheter for an uncircumcised male client?A) Advance the
catheter before inflating the balloonB) Clean the urinary meatus before
retracting the foreskinC) Use a swab to wipe the meatus in a back-and-forth
motion.D) Position the sterile field even with the nurses hips
◍ 1. Wash hands2. Put on an isolation gown3. Apply a surgical mask4. Don
gloves.
Answer: 44. The Nurse is caring for a client in isolation who requires wound
care. The nurse should prepare to enter the room by performing these
actions in which order? (Arrange with the first step on top and the last step
, at the bottom.)Put on an isolation gown Apply a surgical mask Wash Hands
Don gloves
◍ what are the ROM exercises for hinge joints.
Answer: bend the arm by flexing the ulnar to the humerus
◍ if your specific urine gravity is high what does that mean.
Answer: it means you are dry/dehydrated (vomiting/diarrhea)
◍ when arae crutches being used correctly.
Answer: when the patient bears weight on the palms of their hands * pads
are 2 inches below axilla * arm rest should be middle of forearm
◍ B) Document the client's statement on the admission form.E) Flag the
client's record with "do not resuscitate ".
Answer: 41. The mother of two toddlers who was recently divorced is
scheduled for breast augmentation. During the day surgery admission
process, the client tells the nurse that she has not executed a living will but
does not want to be resuscitated or put on any mechanical breathing
machines. Which action(s) should the nurse take? Select all that apply.A)
Notify the client's next of kin before surgeryB) Document the client's
statement on the admission form.C) Explain the benefit of executing an
advanced directive.D) Encourage the client to execute a will that identifies a
guardian for her children.E) Flag the client's record with “do not resuscitate
“
◍ Actions take ___________ Parameters taken _______________Potential
Conditions ____________Actions to take _______________ Parameters
taken______________.
Answer: 22. Case studyThe client is a 74-year-old female with a history of
type 2 diabetes mellitus. She is in the hospital recovering from
pneumonia.Actions to take -Potential Conditions -Parameters to
monitorRestrict protein-- Dysuria --Blood GlucoseInsert a catheter-
-Nocturia-- Intake and outputAdminister diuretic --Urinary retention--
Capillary refillImplement fall risk-- Hematuria-- Urine pHReview home
medications-- Ketones
