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WGU D439 OBJECTIVE ASSESSESMENT AND PRACTICE EXAM
NEWEST 2026 TEST BANK| D439 FOUNDATIONS OF NURSING
OA EXAM WITH COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
1.This morning a 21-year-old male patient had a long leg cast applied
and wants to get up and try out his crutches before dinner. The nurse
will not allow this. What is the best rationale that the nurse should give
the patient for this decision?
A. The cast is not dry yet, and it may be damaged while using crutches.
B. The nurse does not have anyone available to accompany the patient.
C. Rest, ice, compression, and elevation are in process to decrease pain.
D. Excess edema and other problems are prevented when the leg is
elevated for 24 hours ......ANSWER......D
2.Which of the following observations made by the nurse who is
evaluating the crutch-walking technique of a patient who is to have no
weight bearing on the right leg indicates that the patient can safely
ambulate independently?
A. The patient keeps the padded area of the crutch firmly in the axillary
area when ambulating.
B. The patient advances the right leg, and both crutches together and
then advances the left leg.
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C. The patient moves the left crutch with the left leg and then the right
crutch with the right leg.
D. The patient uses the bedside chair to assist in balance as needed
when ambulating in the room. ......ANSWER......B
3.When giving home care instructions to a patient who has multiple
forearm fractures and a long arm cast on the right arm, which
information should the nurse include?
A. Keep the hand immobile to prevent soft tissue swelling.
B. Keep the right shoulder elevated on a pillow or cushion.
C. Avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs) for
the first 48 hours after the injury.
D. Call the health care provider for increased swelling or numbness.
......ANSWER......D
4. A patient who has been hospitalized for 3 days with a hip fracture has
sudden onset shortness of breath and tachypnea. The patient tells the
nurse, "I feel like I am going to die!" Which action should the nurse take
first?
A. Stay with the patient and offer reassurance.
B. Administer the prescribed PRN oxygen at 4 L/min.
C. Check the patient's legs for swelling or tenderness.
D. Notify the health care provider about the symptoms.
......ANSWER......B
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5.The nursing assessment of an 80-year-old patient who demonstrates
some confusion, but no anxiety reveals that the patient is a fall risk
because she continues to get out of bed without help despite frequent
reminders. The initial nursing intervention to prevent falls for this
patient is to:
A. Place a bed alarm device on the bed.
B. Place the patient in a belt restraint.
C. Provide one-on-one observation of the patient.
D. Apply wrist restraints. ......ANSWER......A
6.A couple who is caring for their aging parents are concerned about
factors that put them at risk for falls. Which factors are most likely to
contribute to an increase in falls in the elderly? (Select all that apply.)
A. Inadequate lighting
B. Throw rugs
C. Multiple medications
D. Doorway thresholds
E. Cords covered by carpets
F. Staircases with handrails ......ANSWER......A,B,C,D,E
7.A patient has been on bed rest for over 4 days. On assessment, the
nurse identifies the following as a sign associated with immobility:
A. Decreased peristalsis
B. Decreased heart rate
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C. Increased blood pressure
D. Increased urinary output ......ANSWER......A
8.The nurse is caring for a patient whose calcium intake must increase
because of high risk factors for osteoporosis. Which of the following
menus should the nurse recommend?
A. Cream of broccoli soup with whole wheat crackers, cheese, and
tapioca for dessert
B. Hot dog on whole wheat bun with a side salad and an apple for
dessert
C. Low-fat turkey chili with sour cream with a side salad and fresh pears
for dessert
D. Turkey salad on toast with tomato and lettuce and honey bun for
dessert ......ANSWER......A
9.A patient on prolonged bed rest is at an increased risk to develop this
common complication of immobility if preventive measures are not
taken:
A. Myoclonus
B. Pathological fractures
C. Pressure ulcers
D. Pruritus ......ANSWER......C
10.Which of the following are physiological outcomes of immobility
WGU D439 OBJECTIVE ASSESSESMENT AND PRACTICE EXAM
NEWEST 2026 TEST BANK| D439 FOUNDATIONS OF NURSING
OA EXAM WITH COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
1.This morning a 21-year-old male patient had a long leg cast applied
and wants to get up and try out his crutches before dinner. The nurse
will not allow this. What is the best rationale that the nurse should give
the patient for this decision?
A. The cast is not dry yet, and it may be damaged while using crutches.
B. The nurse does not have anyone available to accompany the patient.
C. Rest, ice, compression, and elevation are in process to decrease pain.
D. Excess edema and other problems are prevented when the leg is
elevated for 24 hours ......ANSWER......D
2.Which of the following observations made by the nurse who is
evaluating the crutch-walking technique of a patient who is to have no
weight bearing on the right leg indicates that the patient can safely
ambulate independently?
A. The patient keeps the padded area of the crutch firmly in the axillary
area when ambulating.
B. The patient advances the right leg, and both crutches together and
then advances the left leg.
,2|Page
C. The patient moves the left crutch with the left leg and then the right
crutch with the right leg.
D. The patient uses the bedside chair to assist in balance as needed
when ambulating in the room. ......ANSWER......B
3.When giving home care instructions to a patient who has multiple
forearm fractures and a long arm cast on the right arm, which
information should the nurse include?
A. Keep the hand immobile to prevent soft tissue swelling.
B. Keep the right shoulder elevated on a pillow or cushion.
C. Avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs) for
the first 48 hours after the injury.
D. Call the health care provider for increased swelling or numbness.
......ANSWER......D
4. A patient who has been hospitalized for 3 days with a hip fracture has
sudden onset shortness of breath and tachypnea. The patient tells the
nurse, "I feel like I am going to die!" Which action should the nurse take
first?
A. Stay with the patient and offer reassurance.
B. Administer the prescribed PRN oxygen at 4 L/min.
C. Check the patient's legs for swelling or tenderness.
D. Notify the health care provider about the symptoms.
......ANSWER......B
,3|Page
5.The nursing assessment of an 80-year-old patient who demonstrates
some confusion, but no anxiety reveals that the patient is a fall risk
because she continues to get out of bed without help despite frequent
reminders. The initial nursing intervention to prevent falls for this
patient is to:
A. Place a bed alarm device on the bed.
B. Place the patient in a belt restraint.
C. Provide one-on-one observation of the patient.
D. Apply wrist restraints. ......ANSWER......A
6.A couple who is caring for their aging parents are concerned about
factors that put them at risk for falls. Which factors are most likely to
contribute to an increase in falls in the elderly? (Select all that apply.)
A. Inadequate lighting
B. Throw rugs
C. Multiple medications
D. Doorway thresholds
E. Cords covered by carpets
F. Staircases with handrails ......ANSWER......A,B,C,D,E
7.A patient has been on bed rest for over 4 days. On assessment, the
nurse identifies the following as a sign associated with immobility:
A. Decreased peristalsis
B. Decreased heart rate
, 4|Page
C. Increased blood pressure
D. Increased urinary output ......ANSWER......A
8.The nurse is caring for a patient whose calcium intake must increase
because of high risk factors for osteoporosis. Which of the following
menus should the nurse recommend?
A. Cream of broccoli soup with whole wheat crackers, cheese, and
tapioca for dessert
B. Hot dog on whole wheat bun with a side salad and an apple for
dessert
C. Low-fat turkey chili with sour cream with a side salad and fresh pears
for dessert
D. Turkey salad on toast with tomato and lettuce and honey bun for
dessert ......ANSWER......A
9.A patient on prolonged bed rest is at an increased risk to develop this
common complication of immobility if preventive measures are not
taken:
A. Myoclonus
B. Pathological fractures
C. Pressure ulcers
D. Pruritus ......ANSWER......C
10.Which of the following are physiological outcomes of immobility
