,WGU D439 Foundations of Nursing Objective
Assessment (OA) Practice Exam 2026/2027| 200
NCLEX-Style Questions with Rationales | pdf
SECTION 1: NURSING PROCESS & CLINICAL
JUDGMENT (Questions 1-20)
Q1. A nurse is assessing a patient who is 1 day
post-operative. The patient rates pain 9/10 and the
surgical site is draining yellow fluid. In which
phase of the nursing process is the nurse working?
A) Planning
B) Evaluation
C) Assessment
D) Implementation
Answer: C
Rationale: Assessment is the first step of the
nursing process, involving the collection of
subjective data (pain rating) and objective data
(wound drainage). The nurse is gathering data,
which defines the assessment phase .
,Q2. After reviewing assessment data, a nurse
identifies that a patient's wound is infected and
writes the nursing diagnosis "Impaired Skin
Integrity." This occurs during which step?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: B
Rationale: Diagnosis is the step where the nurse
analyzes assessment data to identify actual or
potential health problems and formulates nursing
diagnoses. NANDA-I nursing diagnoses address
patient responses to health problems .
Q3. A nurse sets a goal for a patient with activity
intolerance: "Patient will ambulate 50 feet in the
hallway by end of shift." This is part of:
A) Assessment
B) Diagnosis
, C) Planning
k
D) Implementation
k
Answer: C k
Rationale: Planning involves setting patient-
k k k k
centered, measurable goals and expected
k k k k
outcomes. This goal is specific, measurable,
k k k k k k
achievable, relevant, and time-bound (SMART
k k k k k
criteria) .
k k
Q4. A nurse repositions a patient who is at risk for skin
k k k k k k k k k k k
breakdown. This action occurs during which phase?
k k k k k k k
A) Planning
k
B) Diagnosis
k
C) Assessment
k
D) Implementation
k
Answer: D k
Rationale: Implementation is the "action" phase of
k k k k k k
the nursing process where the nurse carries out the
k k k k k k k k k
interventions identified in the care plan .
k k k k k k k
Assessment (OA) Practice Exam 2026/2027| 200
NCLEX-Style Questions with Rationales | pdf
SECTION 1: NURSING PROCESS & CLINICAL
JUDGMENT (Questions 1-20)
Q1. A nurse is assessing a patient who is 1 day
post-operative. The patient rates pain 9/10 and the
surgical site is draining yellow fluid. In which
phase of the nursing process is the nurse working?
A) Planning
B) Evaluation
C) Assessment
D) Implementation
Answer: C
Rationale: Assessment is the first step of the
nursing process, involving the collection of
subjective data (pain rating) and objective data
(wound drainage). The nurse is gathering data,
which defines the assessment phase .
,Q2. After reviewing assessment data, a nurse
identifies that a patient's wound is infected and
writes the nursing diagnosis "Impaired Skin
Integrity." This occurs during which step?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: B
Rationale: Diagnosis is the step where the nurse
analyzes assessment data to identify actual or
potential health problems and formulates nursing
diagnoses. NANDA-I nursing diagnoses address
patient responses to health problems .
Q3. A nurse sets a goal for a patient with activity
intolerance: "Patient will ambulate 50 feet in the
hallway by end of shift." This is part of:
A) Assessment
B) Diagnosis
, C) Planning
k
D) Implementation
k
Answer: C k
Rationale: Planning involves setting patient-
k k k k
centered, measurable goals and expected
k k k k
outcomes. This goal is specific, measurable,
k k k k k k
achievable, relevant, and time-bound (SMART
k k k k k
criteria) .
k k
Q4. A nurse repositions a patient who is at risk for skin
k k k k k k k k k k k
breakdown. This action occurs during which phase?
k k k k k k k
A) Planning
k
B) Diagnosis
k
C) Assessment
k
D) Implementation
k
Answer: D k
Rationale: Implementation is the "action" phase of
k k k k k k
the nursing process where the nurse carries out the
k k k k k k k k k
interventions identified in the care plan .
k k k k k k k
