WGU D439 FOUNDATIONS OF NURSING OA
109 ACTUAL TEST PAPER WITH CORRECT
ANSWERS
◉ restraint order time.
Answer: ONLY last 24 hours
◉ urine specific gravity test use.
Answer: identify dehydration, kidney problems, conditions like
diabetes insipidus
◉ urine specific gravity test & range.
Answer: concentration of particles in urine; 1.005- 1.030
◉ high urine specific gravity test.
Answer: HIGH = YOU'RE DRY/ DEHYDRATED =
VOMITING/DIARRHEA
◉ low urine specific gravity test.
Answer: "overflow" kidney damage, kidney failure
◉ pressure ulcers.
,Answer: "1 red, 2 broken, 3 deep, 4 bone"
red intact skin, break with blister, deep tissue, bone visible
◉ pressure ulcers stage 1.
Answer: red intact skin
◉ pressure ulcers stage 2.
Answer: skin breaks & blisters; 2 layers affected (epidermis, dermis)
◉ pressure ulcers stage 3.
Answer: full thickness skin loss; 3 layers affected (epi, dermis, sub-q
tissue)
◉ pressure ulcers stage 4.
Answer: goes down into muscle and bone; 4 layers
◉ pressure ulcers unstageable.
Answer: eschar (black/brown dead tissue) and slough (yellow and
stringy) make it impossible to see; perform debridement
◉ pressure ulcers deep tissue.
, Answer: purple and dead; over bony prominences; thirty degree
lateral inclined position releases pressure
◉ scale used to measure risk of ulcers.
Answer: braden scale; 1=high risk, 4=low to none
◉ MRSA (methicillin-resistant staphylococcus aureus).
Answer: "MRS. A" mask, red swelling, separate room, antibiotics
(vancomycin)"
◉ MRSA precautions.
Answer: INSTITUTE CONTACT PRECAUTIONS: mask, gloves, gown,
spreads through contact separate room
◉ MRSA prevention.
Answer: PPE, hand hygiene
◉ MRSA S/S.
Answer: red swollen area, drainage, abscess, can cause sepsis
◉ MRSA increased risk.
Answer: weakened immune system, extended hospital stays,
surgeries
109 ACTUAL TEST PAPER WITH CORRECT
ANSWERS
◉ restraint order time.
Answer: ONLY last 24 hours
◉ urine specific gravity test use.
Answer: identify dehydration, kidney problems, conditions like
diabetes insipidus
◉ urine specific gravity test & range.
Answer: concentration of particles in urine; 1.005- 1.030
◉ high urine specific gravity test.
Answer: HIGH = YOU'RE DRY/ DEHYDRATED =
VOMITING/DIARRHEA
◉ low urine specific gravity test.
Answer: "overflow" kidney damage, kidney failure
◉ pressure ulcers.
,Answer: "1 red, 2 broken, 3 deep, 4 bone"
red intact skin, break with blister, deep tissue, bone visible
◉ pressure ulcers stage 1.
Answer: red intact skin
◉ pressure ulcers stage 2.
Answer: skin breaks & blisters; 2 layers affected (epidermis, dermis)
◉ pressure ulcers stage 3.
Answer: full thickness skin loss; 3 layers affected (epi, dermis, sub-q
tissue)
◉ pressure ulcers stage 4.
Answer: goes down into muscle and bone; 4 layers
◉ pressure ulcers unstageable.
Answer: eschar (black/brown dead tissue) and slough (yellow and
stringy) make it impossible to see; perform debridement
◉ pressure ulcers deep tissue.
, Answer: purple and dead; over bony prominences; thirty degree
lateral inclined position releases pressure
◉ scale used to measure risk of ulcers.
Answer: braden scale; 1=high risk, 4=low to none
◉ MRSA (methicillin-resistant staphylococcus aureus).
Answer: "MRS. A" mask, red swelling, separate room, antibiotics
(vancomycin)"
◉ MRSA precautions.
Answer: INSTITUTE CONTACT PRECAUTIONS: mask, gloves, gown,
spreads through contact separate room
◉ MRSA prevention.
Answer: PPE, hand hygiene
◉ MRSA S/S.
Answer: red swollen area, drainage, abscess, can cause sepsis
◉ MRSA increased risk.
Answer: weakened immune system, extended hospital stays,
surgeries
