WGU · FOUNDATIONS OF NURSING
WGU D439 Foundations of Nursing Objective Assessment | OA 78 Questions and
Answers 2026/2027
A+
Complete Blueprint Coverage · Foundations of Nursing OA
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Nursing Process, Assessment, and Clinical Judgment
Safety, Infection Control, and Safe Environment
Basic Care and Comfort: Hygiene, Mobility, Skin, Nutrition, Elimination
Medication Administration, Vital Signs, and Monitoring
Communication, Ethics, Legal Principles, and Professional Practice
STUVIAACTUALEXAM
,SECTION 1: NURSING PROCESS, ASSESSMENT, AND CLINICAL JUDGMENT
Q1.
A nurse is collecting data on a newly admitted client. The client reports pain of 7/10 and the nurse observes guarding of the
abdomen. According to the nursing process, this activity occurs in which phase?
A. Implementation
B. Assessment
C. Evaluation
D. Planning
Correct Answer: D
Rationale:
Assessment is the systematic collection of subjective and objective data. Pain reports and observed guarding are assessment findings that will
later guide planning and implementation.
Q2.
After completing an assessment, a nurse identifies that a client is at risk for falls due to unsteady gait and recent medication
changes. The nurse then develops expected outcomes and selects interventions. Which nursing-process phase is the nurse
performing?
A. Assessment
B. Diagnosis / Analysis and Planning
C. Implementation only
D. Evaluation
Correct Answer: B
Rationale:
After data collection, the nurse analyzes findings, identifies problems or risks, and plans outcomes and interventions. This corresponds to the
diagnosis/analysis and planning phases.
Q3.
A client’s oxygen saturation has improved from 88% to 95% after the nurse applied oxygen and assisted the client into a
high-Fowler position. The nurse documents the change and decides to continue the current plan. Which phase of the nursing
process is demonstrated?
A. Assessment only
B. Planning
C. Evaluation
D. Diagnosis
Correct Answer: A
Rationale:
Evaluation involves comparing current data with expected outcomes and determining whether to continue, modify, or terminate the plan.
Improved SpO2 after interventions is an evaluative finding.
, Q4.
A nurse prioritizes care for four clients. One client has a new onset of chest pain, another needs routine vital signs, a third is
waiting for discharge teaching, and a fourth requests assistance to the bathroom. Which client should the nurse see first?
A. The client requesting bathroom assistance
B. The client with new-onset chest pain
C. The client needing routine vital signs
D. The client waiting for discharge teaching
Correct Answer: D
Rationale:
Prioritization follows ABCs and acute vs. non-acute needs. New-onset chest pain may indicate a life-threatening cardiac event and takes
precedence over routine or comfort needs.
Q5.
A nurse writes the following outcome: “Client will ambulate 50 feet with a walker and standby assistance by discharge.” What
makes this outcome measurable?
A. It uses the word “will.”
B. It specifies a concrete distance, assistive device, level of assistance, and timeframe.
C. It focuses only on the nurse’s actions.
D. It is written in past tense.
Correct Answer: D
Rationale:
Measurable outcomes include specific criteria (distance, device, assistance) and a timeframe so progress can be objectively evaluated.
Q6.
During assessment a client states, “I feel like I can’t catch my breath.” The nurse notes a respiratory rate of 28 and use of
accessory muscles. How should the nurse classify these data?
A. Both statements are objective data.
B. The client’s statement is subjective; the respiratory rate and accessory-muscle use are objective.
C. Both are purely subjective.
D. Accessory-muscle use is subjective.
Correct Answer: A
Rationale:
Subjective data are what the client reports; objective data are observable or measurable findings. The feeling of dyspnea is subjective; RR and
accessory-muscle use are objective.
Q7.
A nurse is planning care for a client with impaired skin integrity. Which intervention is correctly written as a nursing action rather
than a goal?
A. Client’s wound will decrease in size by 0.5 cm within 5 days.
B. Irrigate the wound with sterile normal saline once per shift and apply the prescribed dressing.
C. Client will verbalize understanding of wound care by discharge.
D. Wound will remain free of infection.
Correct Answer: A
Rationale:
Interventions describe specific nursing actions. Goals/outcomes describe expected client responses. Option B is an actionable nursing
intervention.
WGU D439 Foundations of Nursing Objective Assessment | OA 78 Questions and
Answers 2026/2027
A+
Complete Blueprint Coverage · Foundations of Nursing OA
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Nursing Process, Assessment, and Clinical Judgment
Safety, Infection Control, and Safe Environment
Basic Care and Comfort: Hygiene, Mobility, Skin, Nutrition, Elimination
Medication Administration, Vital Signs, and Monitoring
Communication, Ethics, Legal Principles, and Professional Practice
STUVIAACTUALEXAM
,SECTION 1: NURSING PROCESS, ASSESSMENT, AND CLINICAL JUDGMENT
Q1.
A nurse is collecting data on a newly admitted client. The client reports pain of 7/10 and the nurse observes guarding of the
abdomen. According to the nursing process, this activity occurs in which phase?
A. Implementation
B. Assessment
C. Evaluation
D. Planning
Correct Answer: D
Rationale:
Assessment is the systematic collection of subjective and objective data. Pain reports and observed guarding are assessment findings that will
later guide planning and implementation.
Q2.
After completing an assessment, a nurse identifies that a client is at risk for falls due to unsteady gait and recent medication
changes. The nurse then develops expected outcomes and selects interventions. Which nursing-process phase is the nurse
performing?
A. Assessment
B. Diagnosis / Analysis and Planning
C. Implementation only
D. Evaluation
Correct Answer: B
Rationale:
After data collection, the nurse analyzes findings, identifies problems or risks, and plans outcomes and interventions. This corresponds to the
diagnosis/analysis and planning phases.
Q3.
A client’s oxygen saturation has improved from 88% to 95% after the nurse applied oxygen and assisted the client into a
high-Fowler position. The nurse documents the change and decides to continue the current plan. Which phase of the nursing
process is demonstrated?
A. Assessment only
B. Planning
C. Evaluation
D. Diagnosis
Correct Answer: A
Rationale:
Evaluation involves comparing current data with expected outcomes and determining whether to continue, modify, or terminate the plan.
Improved SpO2 after interventions is an evaluative finding.
, Q4.
A nurse prioritizes care for four clients. One client has a new onset of chest pain, another needs routine vital signs, a third is
waiting for discharge teaching, and a fourth requests assistance to the bathroom. Which client should the nurse see first?
A. The client requesting bathroom assistance
B. The client with new-onset chest pain
C. The client needing routine vital signs
D. The client waiting for discharge teaching
Correct Answer: D
Rationale:
Prioritization follows ABCs and acute vs. non-acute needs. New-onset chest pain may indicate a life-threatening cardiac event and takes
precedence over routine or comfort needs.
Q5.
A nurse writes the following outcome: “Client will ambulate 50 feet with a walker and standby assistance by discharge.” What
makes this outcome measurable?
A. It uses the word “will.”
B. It specifies a concrete distance, assistive device, level of assistance, and timeframe.
C. It focuses only on the nurse’s actions.
D. It is written in past tense.
Correct Answer: D
Rationale:
Measurable outcomes include specific criteria (distance, device, assistance) and a timeframe so progress can be objectively evaluated.
Q6.
During assessment a client states, “I feel like I can’t catch my breath.” The nurse notes a respiratory rate of 28 and use of
accessory muscles. How should the nurse classify these data?
A. Both statements are objective data.
B. The client’s statement is subjective; the respiratory rate and accessory-muscle use are objective.
C. Both are purely subjective.
D. Accessory-muscle use is subjective.
Correct Answer: A
Rationale:
Subjective data are what the client reports; objective data are observable or measurable findings. The feeling of dyspnea is subjective; RR and
accessory-muscle use are objective.
Q7.
A nurse is planning care for a client with impaired skin integrity. Which intervention is correctly written as a nursing action rather
than a goal?
A. Client’s wound will decrease in size by 0.5 cm within 5 days.
B. Irrigate the wound with sterile normal saline once per shift and apply the prescribed dressing.
C. Client will verbalize understanding of wound care by discharge.
D. Wound will remain free of infection.
Correct Answer: A
Rationale:
Interventions describe specific nursing actions. Goals/outcomes describe expected client responses. Option B is an actionable nursing
intervention.
