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Exam (elaborations)

D439 Foundations of Nursing – WGU D439 – Western Governors University – 2026/2027 – Objective Assessment Exam Questions and Verified Answers

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This document contains a comprehensive review for the WGU D439 Foundations of Nursing Objective Assessment, featuring 90 exam-style questions with detailed verified answers. The material covers foundational nursing concepts, patient-centered care, safety, communication, ethics, nursing process, health assessment, and essential clinical skills commonly tested on the objective assessment. The study guide is designed to help nursing students prepare for the D439 examination by reinforcing key concepts and providing detailed answer rationales for effective review

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D439/ WGU D439 EXAM/ WGU D439 FOUNDATIONS
OF NURSING OBJECTIVE ASSESSMENT 2026/2027
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS_ ALL
ANSWERED {90 Q & A} ALREADY GRADED A+ |
BRAND NEW! | WGU




What is a living will?
A written statement detailing a person's desires regarding their
medical treatment in circumstances in which they are no longer
able to express informed consent.




What occurs when the pressure wound is at the deep tissue?
Intact skin is nonblanchable with deep red, maroon, or purple
discoloration; open wounds have a dark wound bed or blood
blister. Pain and temperature changes can be detected earlier
than color changes. Occurs most frequently over the heels,
ankles, ischial tuberosities, and sacral area.




What is serosanguineous drainage from a wound?

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Primarily containing serum and blood, this is watery, pale, and
pinkish in color (due to the red and clear fluid).




During the healing process of a wound, what occurs during the
primary intention stage?
-Little or no tissue loss
-Heals rapidly, low risk for infection, and no/minimal scarring
-Ex. closed surgical incision with staples, sutures, or liquid glue
to seal laceration




What are things to promote sleep?
-Routine sleep schedule,
-PM should involve a cool/dark room, reduce any stimuli in the
bedroom, and no naps in the afternoon; if they do, limit to 20 mins
per day.
-AM should involve a sunny/bright room,
-Do not turn off alarms in pts room
-Do not increase sedation at night
-Replicate your pts sleep schedule

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-Avoid these 4-6hrs before bed: caffeine, chocolate (any form),
soda, tea, alcohol, nicotine, exercise, going to bed hungry or too
full.




What is the minimum time one should wash their hands?
15 seconds




How would you take care of a wound?
Follow your hospital's recommendations. Debridement if needed,
keep moist, clean, monitor for signs of infection.




What occurs in a pressure wound stage one?
Intact skin with persistent, nonblanchable redness that can feel
warmer or cooler than the adjacent tissue.




What occurs in a pressure wound stage two?
Involves the epidermis and the dermis. The wound bed is viable
with a reddish-pinkish bed without slough, eschar, granulation

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