WGU D442 Basic Nursing Skills | OA|
Objective Assessment -Solved
1. A nurse is preparing to transfer a patient from the bed to a wheelchair. Which
action is most important before beginning the transfer?
A. Raise the bed to its highest position
B. Lock the wheelchair brakes
C. Remove the patient's nonskid footwear
D. Place the wheelchair several feet from the bed
2. Which action is most effective for preventing healthcare-associated infections?
A. Wearing gloves for every patient interaction
B. Using antibiotics prophylactically
C. Performing hand hygiene appropriately
D. Wearing an N95 respirator for routine care
3. A patient is at high risk for falls. Which intervention should the nurse implement?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Place the call light outside the patient's reach
D. Encourage the patient to walk without assistance
4. Which position is generally safest for a patient who is receiving oral care and has
difficulty swallowing?
A. Supine
B. Trendelenburg
C. Upright or high-Fowler's
D. Prone
5. A nurse obtains a blood pressure of 86/52 mm Hg in a patient who reports
dizziness. What should the nurse do first?
A. Document the result and continue the assessment later
B. Assist the patient to a safe position and assess the patient
C. Encourage the patient to ambulate
D. Administer an antihypertensive medication
6. Which pulse site is commonly used to assess circulation to the foot?
A. Radial
B. Brachial
,C. Carotid
D. Dorsalis pedis
7. Which finding is most concerning when assessing a patient's respiratory status?
A. Respiratory rate of 16/min
B. Symmetrical chest expansion
C. Oxygen saturation of 88%
D. Clear bilateral breath sounds
8. When measuring a patient's oral temperature, which action should the nurse
take?
A. Place the thermometer under the tongue
B. Place the thermometer on top of the tongue
C. Ask the patient to breathe through the mouth
D. Measure immediately after the patient drinks a hot beverage
9. A nurse is assisting a weak patient with ambulation. Which equipment provides
additional support?
A. Gait belt
B. Restraint vest
C. Abdominal binder
D. Elastic bandage
10. Which nursing action demonstrates proper body mechanics?
A. Bending at the waist while lifting
B. Keeping the load close to the body
C. Twisting while moving a patient
D. Keeping the feet together
11. A patient has an indwelling urinary catheter. Which intervention helps reduce
the risk of infection?
A. Keep the drainage bag above bladder level
B. Disconnect the tubing routinely
C. Maintain a closed drainage system
D. Irrigate the catheter every shift
12. Which finding should the nurse recognize as a possible indication of
dehydration?
A. Moist mucous membranes
B. Clear pale urine
C. Dry mucous membranes
D. Bounding pulse
, 13. A nurse is changing a patient's bed linens. Which principle should the nurse
follow?
A. Shake linens vigorously before placing them on the bed
B. Place used linens on the floor temporarily
C. Keep contaminated linens away from the nurse's uniform
D. Reuse clean linens that touch the floor
14. Which finding should the nurse report immediately after assessing a patient's
skin?
A. Warm, intact skin
B. Nonblanchable redness over the sacrum
C. Slightly dry elbows
D. Freckles on the arms
15. Which intervention is appropriate for preventing pressure injuries?
A. Reposition immobile patients regularly
B. Massage areas of nonblanchable redness
C. Keep the skin continuously moist
D. Place the patient directly on a bony prominence
16. A nurse is preparing to administer an oral medication. Which action should
occur before administration?
A. Ask another patient to identify the medication
B. Verify the medication against the prescription/order
C. Leave the medication at the bedside unattended
D. Crush every medication before administration
17. Which medication should generally NOT be crushed?
A. Scored immediate-release tablet
B. Enteric-coated tablet
C. Plain vitamin tablet
D. Immediate-release tablet
18. A patient states, "I don't want this medication." What should the nurse do first?
A. Force the patient to take it
B. Hide it in the patient's food
C. Explore the patient's reason for refusing
D. Document that the medication was administered
19. Which identification method is safest before administering medication?
Objective Assessment -Solved
1. A nurse is preparing to transfer a patient from the bed to a wheelchair. Which
action is most important before beginning the transfer?
A. Raise the bed to its highest position
B. Lock the wheelchair brakes
C. Remove the patient's nonskid footwear
D. Place the wheelchair several feet from the bed
2. Which action is most effective for preventing healthcare-associated infections?
A. Wearing gloves for every patient interaction
B. Using antibiotics prophylactically
C. Performing hand hygiene appropriately
D. Wearing an N95 respirator for routine care
3. A patient is at high risk for falls. Which intervention should the nurse implement?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Place the call light outside the patient's reach
D. Encourage the patient to walk without assistance
4. Which position is generally safest for a patient who is receiving oral care and has
difficulty swallowing?
A. Supine
B. Trendelenburg
C. Upright or high-Fowler's
D. Prone
5. A nurse obtains a blood pressure of 86/52 mm Hg in a patient who reports
dizziness. What should the nurse do first?
A. Document the result and continue the assessment later
B. Assist the patient to a safe position and assess the patient
C. Encourage the patient to ambulate
D. Administer an antihypertensive medication
6. Which pulse site is commonly used to assess circulation to the foot?
A. Radial
B. Brachial
,C. Carotid
D. Dorsalis pedis
7. Which finding is most concerning when assessing a patient's respiratory status?
A. Respiratory rate of 16/min
B. Symmetrical chest expansion
C. Oxygen saturation of 88%
D. Clear bilateral breath sounds
8. When measuring a patient's oral temperature, which action should the nurse
take?
A. Place the thermometer under the tongue
B. Place the thermometer on top of the tongue
C. Ask the patient to breathe through the mouth
D. Measure immediately after the patient drinks a hot beverage
9. A nurse is assisting a weak patient with ambulation. Which equipment provides
additional support?
A. Gait belt
B. Restraint vest
C. Abdominal binder
D. Elastic bandage
10. Which nursing action demonstrates proper body mechanics?
A. Bending at the waist while lifting
B. Keeping the load close to the body
C. Twisting while moving a patient
D. Keeping the feet together
11. A patient has an indwelling urinary catheter. Which intervention helps reduce
the risk of infection?
A. Keep the drainage bag above bladder level
B. Disconnect the tubing routinely
C. Maintain a closed drainage system
D. Irrigate the catheter every shift
12. Which finding should the nurse recognize as a possible indication of
dehydration?
A. Moist mucous membranes
B. Clear pale urine
C. Dry mucous membranes
D. Bounding pulse
, 13. A nurse is changing a patient's bed linens. Which principle should the nurse
follow?
A. Shake linens vigorously before placing them on the bed
B. Place used linens on the floor temporarily
C. Keep contaminated linens away from the nurse's uniform
D. Reuse clean linens that touch the floor
14. Which finding should the nurse report immediately after assessing a patient's
skin?
A. Warm, intact skin
B. Nonblanchable redness over the sacrum
C. Slightly dry elbows
D. Freckles on the arms
15. Which intervention is appropriate for preventing pressure injuries?
A. Reposition immobile patients regularly
B. Massage areas of nonblanchable redness
C. Keep the skin continuously moist
D. Place the patient directly on a bony prominence
16. A nurse is preparing to administer an oral medication. Which action should
occur before administration?
A. Ask another patient to identify the medication
B. Verify the medication against the prescription/order
C. Leave the medication at the bedside unattended
D. Crush every medication before administration
17. Which medication should generally NOT be crushed?
A. Scored immediate-release tablet
B. Enteric-coated tablet
C. Plain vitamin tablet
D. Immediate-release tablet
18. A patient states, "I don't want this medication." What should the nurse do first?
A. Force the patient to take it
B. Hide it in the patient's food
C. Explore the patient's reason for refusing
D. Document that the medication was administered
19. Which identification method is safest before administering medication?
