WGU D455
Professional Nursing Role Transition
HCV2 HESI-Style Objective Assessment Practice
150 Original Questions, Answers & Detailed Rationales
September 2026 Edition
Independent practice resource. Not affiliated with, endorsed by, or produced by Western Governors University or
Elsevier/HESI. Contains no actual, recalled, leaked, or secure examination items.
,WGU D455 | HCV2 HESI-Style Practice Assessment
Assessment Guide
Purpose. Use this fixed-length practice assessment to rehearse entry-level clinical judgment, prioritization, safety,
communication, delegation, and professional role transition. Answer all items before consulting Part II.
Domain Items Emphasis
D1 18 Ethical Competence and Professional Identity
D2 15 Scholarship and Evidence-Based Practice
D3 24 Patient Safety and Quality Improvement
D4 63 Clinical Judgment and Medication Management
D5 12 Professional Communication and Collaboration
D6 18 Leadership, Delegation, and Professional Development
Important blueprint note. WGU’s public program guide lists 13 D455 learner competencies. The six domains above are an editorial consolidation for
study—not a publicly verified official six-domain WGU blueprint. “HCV2” is retained as the requested course/exam variant label, but no primary public
source located during research defined that code or confirmed a fixed question count or four-hour limit.
Suggested simulation: Allow 4 hours for these 150 fixed-length items. This is a study convention, not a verified statement of
WGU’s current proctored settings. For dosage items, round only as directed and include the unit.
Independent original preparation material | September 2026 Page 2
,WGU D455 | HCV2 HESI-Style Practice Assessment
Part I - Questions
D1: Ethical Competence and Professional Identity
1. A competent adult with end-stage kidney disease refuses dialysis after receiving understandable information.
Which action should the nurse take?
A. Respect the refusal and notify the provider
B. Request a capacity hearing immediately
C. Withhold symptom management
D. Ask the family to override the refusal
2. A competent adult with end-stage kidney disease refuses dialysis after receiving understandable information.
Which finding most strongly supports that the decision is informed?
A. The client repeats the benefits, risks, and alternatives in their own words
B. The family agrees with the decision
C. The refusal is witnessed by two nurses
D. The client has private insurance
3. A competent adult with end-stage kidney disease refuses dialysis after receiving understandable information.
Which documentation is best?
A. Family permits refusal
B. Client noncompliant with dialysis
C. Client refuses; provider aware
D. Client states dialysis may prolong life but declines because burdens outweigh benefits; provider notified
4. A nurse sees a coworker post a de-identified photograph of a distinctive wound on a private social-media
group. What is the nurse’s priority response?
A. Share it only with staff
B. Wait until a client complains
C. Like the post but do not comment
D. Ask the coworker to delete it and follow the reporting policy
5. A nurse sees a coworker post a de-identified photograph of a distinctive wound on a private social-media
group. Which ethical duty is most directly threatened?
A. Confidentiality and privacy
B. Distributive justice
C. Veracity about billing
D. Fidelity to a staffing contract
Independent original preparation material | September 2026 Page 3
, WGU D455 | HCV2 HESI-Style Practice Assessment
6. A nurse sees a coworker post a de-identified photograph of a distinctive wound on a private social-media
group. Which outcome best shows effective remediation?
A. The post is removed and the event is reported through privacy procedures
B. The group is changed from public to private
C. Comments are disabled
D. The client’s room number is removed
7. A postoperative client has a signed advance directive declining intubation. The client becomes unable to
speak, and a relative demands “everything.” What should the nurse do first?
A. Delay action until an ethics meeting
B. Prepare for intubation
C. Verify the directive and immediately communicate it to the team
D. Ask the relative to sign a new directive
8. A postoperative client has a signed advance directive declining intubation. The client becomes unable to
speak, and a relative demands “everything.” Which principle guides the response?
A. Utility
B. Reciprocity
C. Autonomy
D. Paternalism
9. A postoperative client has a signed advance directive declining intubation. The client becomes unable to
speak, and a relative demands “everything.” Which action would be inappropriate?
A. Clarify code-status orders
B. Document discussions
C. Ask the relative to revoke the client’s directive
D. Provide comfort-focused care
10. A newly licensed nurse is asked to perform an unfamiliar central-line procedure without supervision. What is
the safest response?
A. Perform it to appear confident
B. Refuse all central-line care permanently
C. State the limitation and obtain qualified supervision
D. Ask an unlicensed assistant to perform it
11. A newly licensed nurse is asked to perform an unfamiliar central-line procedure without supervision. Which
concept is demonstrated?
A. Institutional loyalty
B. Self-regulation and competence
C. Beneficence by concealment
D. Delegation of accountability
Independent original preparation material | September 2026 Page 4
Professional Nursing Role Transition
HCV2 HESI-Style Objective Assessment Practice
150 Original Questions, Answers & Detailed Rationales
September 2026 Edition
Independent practice resource. Not affiliated with, endorsed by, or produced by Western Governors University or
Elsevier/HESI. Contains no actual, recalled, leaked, or secure examination items.
,WGU D455 | HCV2 HESI-Style Practice Assessment
Assessment Guide
Purpose. Use this fixed-length practice assessment to rehearse entry-level clinical judgment, prioritization, safety,
communication, delegation, and professional role transition. Answer all items before consulting Part II.
Domain Items Emphasis
D1 18 Ethical Competence and Professional Identity
D2 15 Scholarship and Evidence-Based Practice
D3 24 Patient Safety and Quality Improvement
D4 63 Clinical Judgment and Medication Management
D5 12 Professional Communication and Collaboration
D6 18 Leadership, Delegation, and Professional Development
Important blueprint note. WGU’s public program guide lists 13 D455 learner competencies. The six domains above are an editorial consolidation for
study—not a publicly verified official six-domain WGU blueprint. “HCV2” is retained as the requested course/exam variant label, but no primary public
source located during research defined that code or confirmed a fixed question count or four-hour limit.
Suggested simulation: Allow 4 hours for these 150 fixed-length items. This is a study convention, not a verified statement of
WGU’s current proctored settings. For dosage items, round only as directed and include the unit.
Independent original preparation material | September 2026 Page 2
,WGU D455 | HCV2 HESI-Style Practice Assessment
Part I - Questions
D1: Ethical Competence and Professional Identity
1. A competent adult with end-stage kidney disease refuses dialysis after receiving understandable information.
Which action should the nurse take?
A. Respect the refusal and notify the provider
B. Request a capacity hearing immediately
C. Withhold symptom management
D. Ask the family to override the refusal
2. A competent adult with end-stage kidney disease refuses dialysis after receiving understandable information.
Which finding most strongly supports that the decision is informed?
A. The client repeats the benefits, risks, and alternatives in their own words
B. The family agrees with the decision
C. The refusal is witnessed by two nurses
D. The client has private insurance
3. A competent adult with end-stage kidney disease refuses dialysis after receiving understandable information.
Which documentation is best?
A. Family permits refusal
B. Client noncompliant with dialysis
C. Client refuses; provider aware
D. Client states dialysis may prolong life but declines because burdens outweigh benefits; provider notified
4. A nurse sees a coworker post a de-identified photograph of a distinctive wound on a private social-media
group. What is the nurse’s priority response?
A. Share it only with staff
B. Wait until a client complains
C. Like the post but do not comment
D. Ask the coworker to delete it and follow the reporting policy
5. A nurse sees a coworker post a de-identified photograph of a distinctive wound on a private social-media
group. Which ethical duty is most directly threatened?
A. Confidentiality and privacy
B. Distributive justice
C. Veracity about billing
D. Fidelity to a staffing contract
Independent original preparation material | September 2026 Page 3
, WGU D455 | HCV2 HESI-Style Practice Assessment
6. A nurse sees a coworker post a de-identified photograph of a distinctive wound on a private social-media
group. Which outcome best shows effective remediation?
A. The post is removed and the event is reported through privacy procedures
B. The group is changed from public to private
C. Comments are disabled
D. The client’s room number is removed
7. A postoperative client has a signed advance directive declining intubation. The client becomes unable to
speak, and a relative demands “everything.” What should the nurse do first?
A. Delay action until an ethics meeting
B. Prepare for intubation
C. Verify the directive and immediately communicate it to the team
D. Ask the relative to sign a new directive
8. A postoperative client has a signed advance directive declining intubation. The client becomes unable to
speak, and a relative demands “everything.” Which principle guides the response?
A. Utility
B. Reciprocity
C. Autonomy
D. Paternalism
9. A postoperative client has a signed advance directive declining intubation. The client becomes unable to
speak, and a relative demands “everything.” Which action would be inappropriate?
A. Clarify code-status orders
B. Document discussions
C. Ask the relative to revoke the client’s directive
D. Provide comfort-focused care
10. A newly licensed nurse is asked to perform an unfamiliar central-line procedure without supervision. What is
the safest response?
A. Perform it to appear confident
B. Refuse all central-line care permanently
C. State the limitation and obtain qualified supervision
D. Ask an unlicensed assistant to perform it
11. A newly licensed nurse is asked to perform an unfamiliar central-line procedure without supervision. Which
concept is demonstrated?
A. Institutional loyalty
B. Self-regulation and competence
C. Beneficence by concealment
D. Delegation of accountability
Independent original preparation material | September 2026 Page 4
