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WGU RN TO BSN EXAM PREP 2026 QUESTIONS LATEST 2026 –
2027 VERSION SOLVED QUESTIONS & ANSWERS
WGU RN TO BSN EXAM PREP
250 PRACTICE QUESTIONS WITH RATIONALES
SECTION 1: FOUNDATIONS OF NURSING & LEADERSHIP
1. The nurse is caring for a client with a signed do not resuscitate (DNR) order. The
unlicensed assistive personnel (UAP) reports the client is not breathing. What is
the nurse's priority action?
• A) Ask the UAP to complete postmortem care
• B) Begin cardiopulmonary resuscitation (CPR) and call a code
• C) Report the client's status to the healthcare provider
• D) Notify the family of the client's death
Answer: C
Rationale: A valid DNR order means CPR should not be initiated. The nurse should
report the client's status to the healthcare provider and follow facility protocol for death
notification. The family should be notified after the provider is informed .
2. The nurse observes a newly employed UAP checking the temperature of an adult
client using a tympanic thermometer. The UAP pulls the client's auricle up and
back and prepares to insert the thermometer. Which action should the nurse
implement?
• A) Use positive reinforcement to affirm the procedure is being performed
correctly
• B) Demonstrate the correct technique for pulling the client's auricle down and
back
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• C) Advise the UAP to hold the thermometer securely in place for a full three
minutes
• D) Remind the UAP to lubricate the thermometer before gently inserting it in the
ear
Answer: A
Rationale: For an adult, the auricle should be pulled up and back to straighten the ear
canal . The UAP is performing the procedure correctly, so the nurse should provide
positive reinforcement.
3. The nurse in a skilled nursing facility observes a colleague leaving printed
electronic medical record (EMR) copies of a client unattended on a countertop.
What is the appropriate action?
• A) Communicate the colleague's activities to the unit charge nurse
• B) Warn the colleague that copying health information is unlawful
• C) Send an email to facility administrators reporting the action
• D) Dispose of the copies and continue with client care assignments
Answer: A
Rationale: Leaving printed EMR copies unattended is a HIPAA violation. The nurse
should first address the issue with the colleague or report it to the charge nurse to
ensure patient privacy is protected .
4. Which of the following is a key component of the WGU RN to BSN program?
• A) All courses are instructor-led with scheduled lectures
• B) The program is self-paced with competency-based assessments
• C) Clinical hours are not required for RN to BSN students
• D) All courses are graded on a traditional A-F scale
Answer: B
Rationale: WGU's RN to BSN program is self-paced and competency-based. Students
demonstrate mastery through performance assessments and objective assessments
rather than accumulating credit hours .
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5. What is the minimum number of competency units (CUs) an undergraduate
student must enroll in each term at WGU?
• A) 6 CUs
• B) 8 CUs
• C) 12 CUs
• D) 15 CUs
Answer: C
Rationale: WGU requires undergraduate students to enroll in at least 12 competency
units each term to maintain On-Time Progress. Graduate students must enroll in at least
8 CUs .
6. What does passing a course at WGU mean in comparison to traditional grading
systems?
• A) Equivalent to a "C" grade or better
• B) Equivalent to a "B" grade or better
• C) Equivalent to an "A" grade
• D) Passing means earning 80% or higher
Answer: B
Rationale: Passing a course at WGU means the student has demonstrated competency
equivalent to a "B" grade or better in a traditional grading system .
SECTION 2: PHARMACOLOGY & DOSAGE CALCULATIONS
7. The provider orders 500 mg of a medication. The medication is available as 250
mg tablets. How many tablets should the nurse administer?
• A) 0.5 tablet
• B) 1 tablet
• C) 2 tablets
• D) 4 tablets
Answer: C
Rationale: 500 mg ÷ 250 mg/tablet = 2 tablets. Dosage calculations require careful
attention to units and conversion factors .
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8. A prescription reads 750 mg of a medication supplied as 250 mg tablets. How
many tablets should be given?
• A) 1 tablet
• B) 2 tablets
• C) 3 tablets
• D) 4 tablets
Answer: C
Rationale: 750 mg ÷ 250 mg/tablet = 3 tablets. Always verify the calculation and check
the medication administration record .
9. A medication order is written for 1.2 g. The medication is available in 400-mg
tablets. How many tablets should the nurse give?
• A) 2 tablets
• B) 3 tablets
• C) 4 tablets
• D) 5 tablets
Answer: B
Rationale: 1.2 g = 1,200 mg; 1,200 mg ÷ 400 mg/tablet = 3 tablets. Convert grams to
milligrams before calculating .
10. Convert 0.25 g to milligrams.
• A) 25 mg
• B) 250 mg
• C) 2,500 mg
• D) 25,000 mg
Answer: B
Rationale: 0.25 g × 1,000 = 250 mg. Grams are converted to milligrams by multiplying by
1,000 .
WGU RN TO BSN EXAM PREP 2026 QUESTIONS LATEST 2026 –
2027 VERSION SOLVED QUESTIONS & ANSWERS
WGU RN TO BSN EXAM PREP
250 PRACTICE QUESTIONS WITH RATIONALES
SECTION 1: FOUNDATIONS OF NURSING & LEADERSHIP
1. The nurse is caring for a client with a signed do not resuscitate (DNR) order. The
unlicensed assistive personnel (UAP) reports the client is not breathing. What is
the nurse's priority action?
• A) Ask the UAP to complete postmortem care
• B) Begin cardiopulmonary resuscitation (CPR) and call a code
• C) Report the client's status to the healthcare provider
• D) Notify the family of the client's death
Answer: C
Rationale: A valid DNR order means CPR should not be initiated. The nurse should
report the client's status to the healthcare provider and follow facility protocol for death
notification. The family should be notified after the provider is informed .
2. The nurse observes a newly employed UAP checking the temperature of an adult
client using a tympanic thermometer. The UAP pulls the client's auricle up and
back and prepares to insert the thermometer. Which action should the nurse
implement?
• A) Use positive reinforcement to affirm the procedure is being performed
correctly
• B) Demonstrate the correct technique for pulling the client's auricle down and
back
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• C) Advise the UAP to hold the thermometer securely in place for a full three
minutes
• D) Remind the UAP to lubricate the thermometer before gently inserting it in the
ear
Answer: A
Rationale: For an adult, the auricle should be pulled up and back to straighten the ear
canal . The UAP is performing the procedure correctly, so the nurse should provide
positive reinforcement.
3. The nurse in a skilled nursing facility observes a colleague leaving printed
electronic medical record (EMR) copies of a client unattended on a countertop.
What is the appropriate action?
• A) Communicate the colleague's activities to the unit charge nurse
• B) Warn the colleague that copying health information is unlawful
• C) Send an email to facility administrators reporting the action
• D) Dispose of the copies and continue with client care assignments
Answer: A
Rationale: Leaving printed EMR copies unattended is a HIPAA violation. The nurse
should first address the issue with the colleague or report it to the charge nurse to
ensure patient privacy is protected .
4. Which of the following is a key component of the WGU RN to BSN program?
• A) All courses are instructor-led with scheduled lectures
• B) The program is self-paced with competency-based assessments
• C) Clinical hours are not required for RN to BSN students
• D) All courses are graded on a traditional A-F scale
Answer: B
Rationale: WGU's RN to BSN program is self-paced and competency-based. Students
demonstrate mastery through performance assessments and objective assessments
rather than accumulating credit hours .
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5. What is the minimum number of competency units (CUs) an undergraduate
student must enroll in each term at WGU?
• A) 6 CUs
• B) 8 CUs
• C) 12 CUs
• D) 15 CUs
Answer: C
Rationale: WGU requires undergraduate students to enroll in at least 12 competency
units each term to maintain On-Time Progress. Graduate students must enroll in at least
8 CUs .
6. What does passing a course at WGU mean in comparison to traditional grading
systems?
• A) Equivalent to a "C" grade or better
• B) Equivalent to a "B" grade or better
• C) Equivalent to an "A" grade
• D) Passing means earning 80% or higher
Answer: B
Rationale: Passing a course at WGU means the student has demonstrated competency
equivalent to a "B" grade or better in a traditional grading system .
SECTION 2: PHARMACOLOGY & DOSAGE CALCULATIONS
7. The provider orders 500 mg of a medication. The medication is available as 250
mg tablets. How many tablets should the nurse administer?
• A) 0.5 tablet
• B) 1 tablet
• C) 2 tablets
• D) 4 tablets
Answer: C
Rationale: 500 mg ÷ 250 mg/tablet = 2 tablets. Dosage calculations require careful
attention to units and conversion factors .
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8. A prescription reads 750 mg of a medication supplied as 250 mg tablets. How
many tablets should be given?
• A) 1 tablet
• B) 2 tablets
• C) 3 tablets
• D) 4 tablets
Answer: C
Rationale: 750 mg ÷ 250 mg/tablet = 3 tablets. Always verify the calculation and check
the medication administration record .
9. A medication order is written for 1.2 g. The medication is available in 400-mg
tablets. How many tablets should the nurse give?
• A) 2 tablets
• B) 3 tablets
• C) 4 tablets
• D) 5 tablets
Answer: B
Rationale: 1.2 g = 1,200 mg; 1,200 mg ÷ 400 mg/tablet = 3 tablets. Convert grams to
milligrams before calculating .
10. Convert 0.25 g to milligrams.
• A) 25 mg
• B) 250 mg
• C) 2,500 mg
• D) 25,000 mg
Answer: B
Rationale: 0.25 g × 1,000 = 250 mg. Grams are converted to milligrams by multiplying by
1,000 .
