2026 D220 WGU ACTUAL EXAM 240 QUESTION AND
CORRECT DETAILED ANSWERS WITH RATIONALES
LATEST VERSION 2026 RATED A GRADE.
2026/2027 Frequently Most Tested Questions
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A nurse is reviewing a patient's medical record to plan and manage the patient's pain.
Which information in the medical record is most critical for this purpose?
a. The patient's vital signs from the previous shift.
b. The physician's orders for pain medication.
c. The patient's dietary preferences.
d. The patient's family medical history.
✔️ Correct Answer: B
Rationale: Physician orders are the legal and clinical directives that specify which
medications (including PRN analgesics), dosages, routes, and frequencies are authorized
for the patient. This information is essential for the nurse to safely and effectively
manage the patient's pain. While vital signs and other assessments provide context, the
physician's order is the foundational document for medication administration.
A patient has completed the course of treatment for tuberculosis and is ready to be
discharged home. Which instruction should be prioritized in the patient's discharge
education?
,a. The importance of completing all prescribed medications.
b. The need for a high-calorie diet to regain weight.
c. The importance of bed rest for at least two weeks.
d. The schedule for follow-up chest X-rays.
✔️ Correct Answer: A
Rationale: Tuberculosis treatment requires a strict, multi-month regimen of multiple
antibiotics. Incomplete treatment can lead to drug resistance, treatment failure, and
relapse. Ensuring the patient understands the critical importance of adhering to the full
course of medication is the most vital component of discharge teaching to prevent the
spread and recurrence of the disease.
After assessing a patient, a nurse observes a decrease in respirations and wheezing on
auscultation. Which data set in the medical record best informs the decision to
implement the "ineffective airway clearance" nursing care plan?
a. The radiology report indicating pulmonary infiltrates and the nursing assessment
indicating a decrease in respirations.
b. The patient's history of smoking and family history of asthma.
c. The patient's current medication list and allergy status.
d. The patient's social history and occupation.
✔️ Correct Answer: A
Rationale: An ineffective airway clearance care plan is warranted when objective clinical
data supports the presence of an airway obstruction or compromise. The radiology
report (pulmonary infiltrates) provides objective evidence of a pathological process in
the lungs, and the nursing assessment (decreased respirations and wheezing) provides
the clinical signs and symptoms. Together, these data points form the clinical basis for
the nursing diagnosis and subsequent care plan.
A health administrator at a clinic observes an increase in the number of patients
presenting with complaints of difficulty breathing, fatigue, and loss of appetite. Which
,data in the electronic health record (EHR) will provide a cross-reference to identify the
impacted patient population?
a. The patient's laboratory results.
b. The patient's medication lists.
c. The patient demographic records.
d. The patient's progress notes.
✔️ Correct Answer: C
Rationale: Demographic records contain information such as age, gender, race, ethnicity,
and geographic location. Cross-referencing this data with the presenting symptoms
allows the administrator to identify specific patient populations that are most affected
by the trend, which can be crucial for public health surveillance and targeted
interventions.
Which data in a medical record would inform the nurse that a PRN (as-needed) pain
medication can be administered to the patient?
a. The medication administration record and the nursing assessment notes from the last
shift indicating the patient's level of comfort.
b. The physician's order for the PRN medication and the patient's current pain level.
c. The patient's history of allergies and previous adverse reactions.
d. The patient's vital signs and pain rating on a 0-10 scale.
✔️ Correct Answer: B
Rationale: For a PRN medication to be administered, two conditions must be met: (1)
there must be a valid physician's order for the medication, and (2) the patient must meet
the clinical criteria for its use (e.g., a pain score above a certain threshold). The
physician's order provides the legal authority, and the patient's current pain assessment
(e.g., a pain rating scale) provides the clinical indication.
Which view in the electronic health record (EHR) is most useful for confirming that a
patient's blood pressure is stabilizing?
, a. The clinical notes view.
b. The medication administration record view.
c. The graphical trending view.
d. The laboratory results view.
✔️ Correct Answer: C
Rationale: A graphical trending view plots data points (such as blood pressure readings)
over time, often with a line graph. This visual representation allows the nurse to easily
see patterns, identify if the blood pressure is trending upward, downward, or stabilizing,
which is much more efficient than reviewing individual data points in a table or flow
sheet.
After a patient's initial assessment, a nurse observes an increase in edema, bilateral
crackles, and a persistent cough. Which data set in the medical record from the last shift
informs the decision to implement the "fluid volume overload" care plan?
a. The nursing flowsheet and intake and output record.
b. The physician's progress notes.
c. The laboratory results.
d. The radiology reports.
✔️ Correct Answer: A
Rationale: The nursing flowsheet documents the patient's daily weight, which is a key
indicator of fluid status. The intake and output record tracks the patient's fluid intake
and output, providing an objective measure of fluid balance. Together, these two data
sets from the nursing assessment provide the most direct evidence of fluid volume
overload, supporting the nursing diagnosis.
Which data set in the electronic health record (EHR) will assist in evaluating the number
of positive influenza tests at a facility within the past year?
a. The radiology records.
b. The laboratory records.
CORRECT DETAILED ANSWERS WITH RATIONALES
LATEST VERSION 2026 RATED A GRADE.
2026/2027 Frequently Most Tested Questions
and 100% Accurate From Past papers | Graded
A+ , Reviewed and Updated | 100% Guarantee
Pass | Latest Exam and Newest Version!!!
A nurse is reviewing a patient's medical record to plan and manage the patient's pain.
Which information in the medical record is most critical for this purpose?
a. The patient's vital signs from the previous shift.
b. The physician's orders for pain medication.
c. The patient's dietary preferences.
d. The patient's family medical history.
✔️ Correct Answer: B
Rationale: Physician orders are the legal and clinical directives that specify which
medications (including PRN analgesics), dosages, routes, and frequencies are authorized
for the patient. This information is essential for the nurse to safely and effectively
manage the patient's pain. While vital signs and other assessments provide context, the
physician's order is the foundational document for medication administration.
A patient has completed the course of treatment for tuberculosis and is ready to be
discharged home. Which instruction should be prioritized in the patient's discharge
education?
,a. The importance of completing all prescribed medications.
b. The need for a high-calorie diet to regain weight.
c. The importance of bed rest for at least two weeks.
d. The schedule for follow-up chest X-rays.
✔️ Correct Answer: A
Rationale: Tuberculosis treatment requires a strict, multi-month regimen of multiple
antibiotics. Incomplete treatment can lead to drug resistance, treatment failure, and
relapse. Ensuring the patient understands the critical importance of adhering to the full
course of medication is the most vital component of discharge teaching to prevent the
spread and recurrence of the disease.
After assessing a patient, a nurse observes a decrease in respirations and wheezing on
auscultation. Which data set in the medical record best informs the decision to
implement the "ineffective airway clearance" nursing care plan?
a. The radiology report indicating pulmonary infiltrates and the nursing assessment
indicating a decrease in respirations.
b. The patient's history of smoking and family history of asthma.
c. The patient's current medication list and allergy status.
d. The patient's social history and occupation.
✔️ Correct Answer: A
Rationale: An ineffective airway clearance care plan is warranted when objective clinical
data supports the presence of an airway obstruction or compromise. The radiology
report (pulmonary infiltrates) provides objective evidence of a pathological process in
the lungs, and the nursing assessment (decreased respirations and wheezing) provides
the clinical signs and symptoms. Together, these data points form the clinical basis for
the nursing diagnosis and subsequent care plan.
A health administrator at a clinic observes an increase in the number of patients
presenting with complaints of difficulty breathing, fatigue, and loss of appetite. Which
,data in the electronic health record (EHR) will provide a cross-reference to identify the
impacted patient population?
a. The patient's laboratory results.
b. The patient's medication lists.
c. The patient demographic records.
d. The patient's progress notes.
✔️ Correct Answer: C
Rationale: Demographic records contain information such as age, gender, race, ethnicity,
and geographic location. Cross-referencing this data with the presenting symptoms
allows the administrator to identify specific patient populations that are most affected
by the trend, which can be crucial for public health surveillance and targeted
interventions.
Which data in a medical record would inform the nurse that a PRN (as-needed) pain
medication can be administered to the patient?
a. The medication administration record and the nursing assessment notes from the last
shift indicating the patient's level of comfort.
b. The physician's order for the PRN medication and the patient's current pain level.
c. The patient's history of allergies and previous adverse reactions.
d. The patient's vital signs and pain rating on a 0-10 scale.
✔️ Correct Answer: B
Rationale: For a PRN medication to be administered, two conditions must be met: (1)
there must be a valid physician's order for the medication, and (2) the patient must meet
the clinical criteria for its use (e.g., a pain score above a certain threshold). The
physician's order provides the legal authority, and the patient's current pain assessment
(e.g., a pain rating scale) provides the clinical indication.
Which view in the electronic health record (EHR) is most useful for confirming that a
patient's blood pressure is stabilizing?
, a. The clinical notes view.
b. The medication administration record view.
c. The graphical trending view.
d. The laboratory results view.
✔️ Correct Answer: C
Rationale: A graphical trending view plots data points (such as blood pressure readings)
over time, often with a line graph. This visual representation allows the nurse to easily
see patterns, identify if the blood pressure is trending upward, downward, or stabilizing,
which is much more efficient than reviewing individual data points in a table or flow
sheet.
After a patient's initial assessment, a nurse observes an increase in edema, bilateral
crackles, and a persistent cough. Which data set in the medical record from the last shift
informs the decision to implement the "fluid volume overload" care plan?
a. The nursing flowsheet and intake and output record.
b. The physician's progress notes.
c. The laboratory results.
d. The radiology reports.
✔️ Correct Answer: A
Rationale: The nursing flowsheet documents the patient's daily weight, which is a key
indicator of fluid status. The intake and output record tracks the patient's fluid intake
and output, providing an objective measure of fluid balance. Together, these two data
sets from the nursing assessment provide the most direct evidence of fluid volume
overload, supporting the nursing diagnosis.
Which data set in the electronic health record (EHR) will assist in evaluating the number
of positive influenza tests at a facility within the past year?
a. The radiology records.
b. The laboratory records.
