WGU D439 Foundations of Nursing
Quiz 2: Nursing Process, Assessment and Clinical Judgment
50 Original Questions with Correct Answers and Detailed Explanations
PASSPOINTPRO
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, PASSPOINTPRO | WGU D439 | QUIZ 2
Quiz Instructions
Choose the best answer before reviewing the answer and explanation beneath each question. Use missed items to
identify concepts for focused review in your official course materials.
1. Which action is part of the assessment phase of the nursing process?
A. Determine whether goals were met
B. Select nursing interventions
C. Collect objective and subjective patient data
D. Write the discharge prescription
Answer: C - Collect objective and subjective patient data
Explanation: Assessment involves gathering and validating information about the patient's health. These data provide the
foundation for nursing diagnoses and decisions. Planning, implementation, and evaluation occur after relevant data are
collected.
2. Which finding is subjective data?
A. The incision measures 5 cm
B. The pulse is 108/min
C. The patient reports nausea after breakfast
D. The temperature is 38.1 C
Answer: C - The patient reports nausea after breakfast
Explanation: Subjective data describe what the patient reports or experiences. Symptoms such as nausea, pain, and
dizziness cannot be directly measured by the nurse. Vital signs and observed measurements are objective data.
3. Which finding is objective data?
A. The patient says the chest feels tight
B. The family states the patient seems worried
C. The nurse observes 2+ ankle edema
D. The patient reports feeling tired
Answer: C - The nurse observes 2+ ankle edema
Explanation: Objective data are observable or measurable findings obtained through examination or testing. Edema graded
by the nurse is an objective assessment. Statements from the patient or family are subjective information.
4. After collecting assessment data, what should the nurse do next?
A. Implement every available intervention
B. Evaluate discharge outcomes
C. Analyze the data to identify patient problems
D. Delegate the nursing diagnosis
Answer: C - Analyze the data to identify patient problems
Explanation: Analysis organizes cues and identifies actual or potential patient problems. The nurse must interpret the data
before selecting goals and interventions. Nursing judgment and diagnosis cannot be delegated.
5. Which statement is written as a patient-centered outcome?
A. The patient will walk 50 feet with a walker by 1600
B. Physical therapy will visit today
C. The nurse will assist with ambulation
D. Teach the patient about walker safety
Answer: A - The patient will walk 50 feet with a walker by 1600
Explanation: A patient-centered outcome states the expected patient behavior and a measurable time frame. It provides a
clear standard for evaluation. Statements describing staff actions are interventions rather than outcomes.
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