WGU D439 OA2 Exam Prep 2027 | Foundations of
Nursing | Verified Q&A | Pass Guarantee
1. Why is it important to inject low molecular weight heparin at least 2 inches
from the umbilicus?
To avoid injecting into areas with a higher risk of bleeding or
absorption issues.
To prevent the medication from interacting with other medications.
To minimize pain at the injection site.
To ensure the medication is absorbed faster.
2. What type of mask is deemed sufficient for a UAP caring for a client with
bacterial meningitis?
N95 respirator
Surgical mask
Particulate filter mask
Standard face mask
3. In a scenario where a patient with an NG tube begins to vomit and shows
signs of respiratory distress, what should the nurse prioritize after performing
oropharyngeal suctioning?
Document the incident in the patient's chart.
Assess the patient's respiratory status.
Notify the healthcare power of attorney.
Increase the NG tube feed rate.
,4. A patient recovering from elbow surgery is advised to perform active range
of motion exercises. Which instruction should the nurse provide to ensure
effective exercise of the hinge joint?
Lift the arm overhead without bending
Rotate the arm in a circular motion
Bend the arm by flexing the ulnar to the humerus
Extend the arm straight out to the side
5. The nurse is using the 'Teach Back' technique to evaluate a patient after
teaching about medication adherence. Which question by the nurse is
appropriate to verify the patient's understanding?
'Do you understand?'
'How do you feel your family will react to this once you are at home?'
'Please review what we talked about. How will you make it work at
home?'
'Will you be able to comply with your medicine regimen?'
6. A nurse is caring for a child who has been vomiting and experiencing
diarrhea for several days. If the child's urine specific gravity is measured at
1.035, what action should the nurse take next?
Administer antiemetics immediately
Increase the child's oral intake of solid foods
Initiate fluid replacement therapy
Schedule a follow-up appointment
, 7. What type of exercise should the nurse teach the client recovering from a
liver laceration and fractures?
Have client contract muscle group for ten seconds and then release
Isometric exercise
ADLs
Pain level
Teach client how to use resistive bands
8. A patient with advanced dementia is showing increased restlessness and
agitation at night. What nursing intervention is most appropriate to promote
sleep?
Administering a stronger sedative at bedtime.
Creating a calming bedtime routine and ensuring a comfortable
sleeping environment.
Using restraints to prevent nighttime wandering.
Keeping the patient awake during the day to ensure tiredness at night.
9. A client with left sided heart failure asks the nurse why it is so difficult for him
to breathe while lying flat. What is the nurse's best response?
Explain that with his condition, blood is backing up into the lungs
and that it may help to sleep while propped on pillows.
Ask if the client suddenly wakes up with a feeling of breathlessness at
night.
Instruct the client to take his diuretic as ordered.
Explain that blood is backing up into the peripheral circulation and
instruct the client on coughing and deep breathing.
Nursing | Verified Q&A | Pass Guarantee
1. Why is it important to inject low molecular weight heparin at least 2 inches
from the umbilicus?
To avoid injecting into areas with a higher risk of bleeding or
absorption issues.
To prevent the medication from interacting with other medications.
To minimize pain at the injection site.
To ensure the medication is absorbed faster.
2. What type of mask is deemed sufficient for a UAP caring for a client with
bacterial meningitis?
N95 respirator
Surgical mask
Particulate filter mask
Standard face mask
3. In a scenario where a patient with an NG tube begins to vomit and shows
signs of respiratory distress, what should the nurse prioritize after performing
oropharyngeal suctioning?
Document the incident in the patient's chart.
Assess the patient's respiratory status.
Notify the healthcare power of attorney.
Increase the NG tube feed rate.
,4. A patient recovering from elbow surgery is advised to perform active range
of motion exercises. Which instruction should the nurse provide to ensure
effective exercise of the hinge joint?
Lift the arm overhead without bending
Rotate the arm in a circular motion
Bend the arm by flexing the ulnar to the humerus
Extend the arm straight out to the side
5. The nurse is using the 'Teach Back' technique to evaluate a patient after
teaching about medication adherence. Which question by the nurse is
appropriate to verify the patient's understanding?
'Do you understand?'
'How do you feel your family will react to this once you are at home?'
'Please review what we talked about. How will you make it work at
home?'
'Will you be able to comply with your medicine regimen?'
6. A nurse is caring for a child who has been vomiting and experiencing
diarrhea for several days. If the child's urine specific gravity is measured at
1.035, what action should the nurse take next?
Administer antiemetics immediately
Increase the child's oral intake of solid foods
Initiate fluid replacement therapy
Schedule a follow-up appointment
, 7. What type of exercise should the nurse teach the client recovering from a
liver laceration and fractures?
Have client contract muscle group for ten seconds and then release
Isometric exercise
ADLs
Pain level
Teach client how to use resistive bands
8. A patient with advanced dementia is showing increased restlessness and
agitation at night. What nursing intervention is most appropriate to promote
sleep?
Administering a stronger sedative at bedtime.
Creating a calming bedtime routine and ensuring a comfortable
sleeping environment.
Using restraints to prevent nighttime wandering.
Keeping the patient awake during the day to ensure tiredness at night.
9. A client with left sided heart failure asks the nurse why it is so difficult for him
to breathe while lying flat. What is the nurse's best response?
Explain that with his condition, blood is backing up into the lungs
and that it may help to sleep while propped on pillows.
Ask if the client suddenly wakes up with a feeling of breathlessness at
night.
Instruct the client to take his diuretic as ordered.
Explain that blood is backing up into the peripheral circulation and
instruct the client on coughing and deep breathing.
