WGU D439 FOUNDATIONS OF NURSING
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ A client with chronic fecal incontinence is crying because of being
embarrassed for not getting to the bathroom in time to avoid soiling the bed
and clothing. When establishing a bowel training regimen, which
intervention should the nurse implement?.
Answer: Assist to a bedside commode 30minutes after meals.
◍ The electronic medication system alerts the nurse that the medication dose
scanned for the client is two times higher than the dose prescribed. Which
action should the nurse implement?.
Answer: Withhold the medication until the exact dose is available.
◍ An unlicensed assistive personnel (UAP) is assigned to feed a client who
has received a prescription to institute droplet precautions for a bacterial
meningitis infection. The UAP requests a change in assignment, reporting
having not yet been fitted for a particulate filter mask. Which action should
the nurse take?.
Answer: Instruct the UAP that a standard face mask is sufficient to be able
to provide care for the assigned client.
◍ A healthcare organization requires nurses to chart by exception. Which
assessment should the nurse document?.
Answer: Basilar lung sounds that are diminished in the left lung.
◍ The nurse removed an indwelling catheter, what should the nurse ask the pt
next?.
Answer: When they voided next, this is because the nurse wants to ensure
that the pt can urinate independently.
,◍ After completing daily charting at 1400, the nurse realizes that a 0900
occurrence was not entered. Which is the best way for the nurse to enter
computer documentation of the 0900 occurrence?.
Answer: Enter the occurrence after the 1400 notes and identify as "late
entry".
◍ When the body is unable to breathe properly, what additional muscles does
the body use to assist with breathing?.
Answer: Neck muscles, sternocleidomastoid, pectoralis major, trapezius,
external intercostals.
◍ The nurse is teaching the client to self-administer a dose of low molecular
weight heparin SUB
Q. Which instruction should the nurse include?.
Answer: Inject in the abdominal area at least 2 inches (5.1 cm) from the
umbilicus.
◍ What is a range of motion exercise that is for hinge joints?.
Answer: Bend the arm by flexing the ulnar to the humerus.
◍ What is serous drainage from a wound?.
Answer: Portion of the blood that is watery, clear, sometimes slightly yellow
in appearance.
◍ What is the order of Maslow's hierarchy of needs?.
Answer: Physiological (air, food, water), safety (shelter and stability),
love/belonging, esteem, and self-actualization (creativity and growth)
◍ When assuming care of a client at 1900, the nurse learns in report that a
client with a urinary tract infection had an indwelling urinary catheter
removed during the previous shift.Which information is most important for
the nurse to obtain?.
Answer: When the client voided following catheter removal.
◍ What is purulent drainage from a wound?.
Answer: This is indicating an infection in the wound. It is thick, contains
, WBC, tissue debris and bacteria. It may have an odor and different colors
depending on the type of organism present (yellow, tan, green, and brown).
◍ A male client has right-sided hemiplegia following a left cerebrovascular
accident(CVA). His sitting balance has improved, and he is now able to sit
in a wheelchair. To assist the client in transferring from the bed to a
wheelchair, which action should the nurse take?.
Answer: Place the wheelchair on the client's left side.
◍ A client is admitted with reports of shortness of breath, dyspnea on exertion,
and chest pressure. The healthcare provider prescribes a medication that is
unfamiliar to the nurse. When checking the drug handbook, the nurse reads
that the prescribed amount is an unusually large dose. Which action should
the nurse take?.
Answer: Verify the prescribed dosage with healthcare provider
◍ The nurse is assessing a client who is having pain in the right upper
abdominal area. To assess the quality of the client's abdominal pain, which
approach should the nurse use?.
Answer: Ask the client to describe the pain.
◍ The nurse is using guided imagery with a client who is experiencing chronic
pain. The nurse should direct the client's attention on which focus?.
Answer: Positive external places.
◍ What is the code "AND"?.
Answer: Allow natural death
◍ The nurse observes an unlicensed assistive personnel (UAP) feeding a client
who had a cerebral vascular accident (CVA) and is at risk for aspiration.
Which action by the UAP should the nurse recognize indicates the need for
additional teaching?.
Answer: Raises the head of the bed to 60 degrees.
◍ The nurse observes a newly employed unlicensed assistive personnel (UAP)
checking the temperature of an adult client using a tympanic thermometer.
The UAP pulls the client's auricle up and back and prepares to insert the
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ A client with chronic fecal incontinence is crying because of being
embarrassed for not getting to the bathroom in time to avoid soiling the bed
and clothing. When establishing a bowel training regimen, which
intervention should the nurse implement?.
Answer: Assist to a bedside commode 30minutes after meals.
◍ The electronic medication system alerts the nurse that the medication dose
scanned for the client is two times higher than the dose prescribed. Which
action should the nurse implement?.
Answer: Withhold the medication until the exact dose is available.
◍ An unlicensed assistive personnel (UAP) is assigned to feed a client who
has received a prescription to institute droplet precautions for a bacterial
meningitis infection. The UAP requests a change in assignment, reporting
having not yet been fitted for a particulate filter mask. Which action should
the nurse take?.
Answer: Instruct the UAP that a standard face mask is sufficient to be able
to provide care for the assigned client.
◍ A healthcare organization requires nurses to chart by exception. Which
assessment should the nurse document?.
Answer: Basilar lung sounds that are diminished in the left lung.
◍ The nurse removed an indwelling catheter, what should the nurse ask the pt
next?.
Answer: When they voided next, this is because the nurse wants to ensure
that the pt can urinate independently.
,◍ After completing daily charting at 1400, the nurse realizes that a 0900
occurrence was not entered. Which is the best way for the nurse to enter
computer documentation of the 0900 occurrence?.
Answer: Enter the occurrence after the 1400 notes and identify as "late
entry".
◍ When the body is unable to breathe properly, what additional muscles does
the body use to assist with breathing?.
Answer: Neck muscles, sternocleidomastoid, pectoralis major, trapezius,
external intercostals.
◍ The nurse is teaching the client to self-administer a dose of low molecular
weight heparin SUB
Q. Which instruction should the nurse include?.
Answer: Inject in the abdominal area at least 2 inches (5.1 cm) from the
umbilicus.
◍ What is a range of motion exercise that is for hinge joints?.
Answer: Bend the arm by flexing the ulnar to the humerus.
◍ What is serous drainage from a wound?.
Answer: Portion of the blood that is watery, clear, sometimes slightly yellow
in appearance.
◍ What is the order of Maslow's hierarchy of needs?.
Answer: Physiological (air, food, water), safety (shelter and stability),
love/belonging, esteem, and self-actualization (creativity and growth)
◍ When assuming care of a client at 1900, the nurse learns in report that a
client with a urinary tract infection had an indwelling urinary catheter
removed during the previous shift.Which information is most important for
the nurse to obtain?.
Answer: When the client voided following catheter removal.
◍ What is purulent drainage from a wound?.
Answer: This is indicating an infection in the wound. It is thick, contains
, WBC, tissue debris and bacteria. It may have an odor and different colors
depending on the type of organism present (yellow, tan, green, and brown).
◍ A male client has right-sided hemiplegia following a left cerebrovascular
accident(CVA). His sitting balance has improved, and he is now able to sit
in a wheelchair. To assist the client in transferring from the bed to a
wheelchair, which action should the nurse take?.
Answer: Place the wheelchair on the client's left side.
◍ A client is admitted with reports of shortness of breath, dyspnea on exertion,
and chest pressure. The healthcare provider prescribes a medication that is
unfamiliar to the nurse. When checking the drug handbook, the nurse reads
that the prescribed amount is an unusually large dose. Which action should
the nurse take?.
Answer: Verify the prescribed dosage with healthcare provider
◍ The nurse is assessing a client who is having pain in the right upper
abdominal area. To assess the quality of the client's abdominal pain, which
approach should the nurse use?.
Answer: Ask the client to describe the pain.
◍ The nurse is using guided imagery with a client who is experiencing chronic
pain. The nurse should direct the client's attention on which focus?.
Answer: Positive external places.
◍ What is the code "AND"?.
Answer: Allow natural death
◍ The nurse observes an unlicensed assistive personnel (UAP) feeding a client
who had a cerebral vascular accident (CVA) and is at risk for aspiration.
Which action by the UAP should the nurse recognize indicates the need for
additional teaching?.
Answer: Raises the head of the bed to 60 degrees.
◍ The nurse observes a newly employed unlicensed assistive personnel (UAP)
checking the temperature of an adult client using a tympanic thermometer.
The UAP pulls the client's auricle up and back and prepares to insert the
