WGU D439 FOUNDATIONS OF NURSING
COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS
◉ 30. When working with an older person, you would keep in
mind that the older person is most likely to experience which of
following changes with aging?
A. Thinning of the epidermis
B. Thickening of the epidermis
C. Oiliness of the skin
D. Increased elasticity of the skin
Answer: A
◉ 31. When receiving a report at the beginning of your shift, you
learn that your assigned client has a surgical incision that is
healing by primary intention. You know that your client's incision
is:
A. Well approximated, with minimal or no drainage.
B. Going to take a little longer than usual to heal.
C. Going to have more scarring than most incisions.
D. Draining some serosanguineous drainage.
Answer: A
,◉ 32. The nurse hears a client calling out for help, hurries down
the hallway to the client's room, and finds the client lying on the
floor. The nurse performs an assessment, assists the client back to
bed, notifies the health care provider of the incident, and
completes an incident report. Which statement should the nurse
document on the incident report?
A. The client fell out of bed
B. The client climbed over the side rails
C. The client was found lying on the floor
D. The client became restless and tried to get out of bed.
Answer: C
◉ 33. A client is brought to the emergency department by
emergency medical services (EMS) after being hit by a car. The
name of the client is unknown, and the client has sustained a
severe head injury and multiple fractures and is unconscious. An
emergency craniotomy is required. Regarding informed consent
for the surgical procedure, which is the best action?
A. Obtain a court order for the surgical procedure
B. Ask the EMS team to sign the informed consent
C. Transport the victim to the operating room for surgery
D. Call the police to identify the client and locate the family.
Answer: C
◉ 34. The nurse has just assisted a client back to bed after a fall.
The nurse and health care provider have assessed the client and
have determined that the client is not injured. After completing
, the incident report, the nurse should implement which action
next?
A. Reassess the client
B. Conduct a staff meeting to describe the fall
C. Document in the nurse's notes that an incident report was
completed.
D. Contact the nursing supervisor to update information regarding
the fall
Answer: A
◉ 35. The nurse arrives at work and is told to report (float) to the
intensive care unit (ICU) for the day because the ICU is
understaffed and needs additional nurses to care for the clients.
The nurse has never worked in the ICU. The nurse should take
which action first?
A. Call the hospital lawyer
B. Refuse to float to the ICU
C. Call the nursing supervisor
D. Identify tasks that can be performed safely in the ICU
Answer: D
◉ 36. Nursing staff members are sitting in the lounge taking their
morning break. Unlicensed assistive personnel (UAP) tell the
group that she thinks that the unit secretary has acquired
immunodeficiency syndrome (AIDS) and proceeds to tell the
nursing staff that the secretary probably contracted the disease
COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS
◉ 30. When working with an older person, you would keep in
mind that the older person is most likely to experience which of
following changes with aging?
A. Thinning of the epidermis
B. Thickening of the epidermis
C. Oiliness of the skin
D. Increased elasticity of the skin
Answer: A
◉ 31. When receiving a report at the beginning of your shift, you
learn that your assigned client has a surgical incision that is
healing by primary intention. You know that your client's incision
is:
A. Well approximated, with minimal or no drainage.
B. Going to take a little longer than usual to heal.
C. Going to have more scarring than most incisions.
D. Draining some serosanguineous drainage.
Answer: A
,◉ 32. The nurse hears a client calling out for help, hurries down
the hallway to the client's room, and finds the client lying on the
floor. The nurse performs an assessment, assists the client back to
bed, notifies the health care provider of the incident, and
completes an incident report. Which statement should the nurse
document on the incident report?
A. The client fell out of bed
B. The client climbed over the side rails
C. The client was found lying on the floor
D. The client became restless and tried to get out of bed.
Answer: C
◉ 33. A client is brought to the emergency department by
emergency medical services (EMS) after being hit by a car. The
name of the client is unknown, and the client has sustained a
severe head injury and multiple fractures and is unconscious. An
emergency craniotomy is required. Regarding informed consent
for the surgical procedure, which is the best action?
A. Obtain a court order for the surgical procedure
B. Ask the EMS team to sign the informed consent
C. Transport the victim to the operating room for surgery
D. Call the police to identify the client and locate the family.
Answer: C
◉ 34. The nurse has just assisted a client back to bed after a fall.
The nurse and health care provider have assessed the client and
have determined that the client is not injured. After completing
, the incident report, the nurse should implement which action
next?
A. Reassess the client
B. Conduct a staff meeting to describe the fall
C. Document in the nurse's notes that an incident report was
completed.
D. Contact the nursing supervisor to update information regarding
the fall
Answer: A
◉ 35. The nurse arrives at work and is told to report (float) to the
intensive care unit (ICU) for the day because the ICU is
understaffed and needs additional nurses to care for the clients.
The nurse has never worked in the ICU. The nurse should take
which action first?
A. Call the hospital lawyer
B. Refuse to float to the ICU
C. Call the nursing supervisor
D. Identify tasks that can be performed safely in the ICU
Answer: D
◉ 36. Nursing staff members are sitting in the lounge taking their
morning break. Unlicensed assistive personnel (UAP) tell the
group that she thinks that the unit secretary has acquired
immunodeficiency syndrome (AIDS) and proceeds to tell the
nursing staff that the secretary probably contracted the disease
