WGU Nursing Fundamentals Assessment
QUESTIONS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | LATEST EXAM UPDATE | EXAM PREP |
STUDY GUIDE | PRACTICE TEST
,WGU Nursing Fundamentals Assessment Practice Questions
1. A nurse is preparing to administer medication to a client. Which of the following is the most important action to prevent
medication errors?
- A) Checking the medication label three times
- B) Administering the medication with the client's breakfast
- C) Verifying the client's allergies
- D) Documenting the medication after administration
- Answer: A) Checking the medication label three times
- Rationale: The "three checks" of medication administration (when pulling from the drawer, when preparing, and when
administering) are a critical safety standard to ensure the right medication is given. While verifying allergies is also crucial,
the three checks are the primary defense against giving the wrong drug or dose.
2. A client is on contact precautions. Which of the following PPE is essential for the nurse to wear when entering the
room?
- A) A mask and goggles
- B) A gown and gloves
- C) A gown, gloves, and mask
,- D) Gloves only
- Answer: B) A gown and gloves
- Rationale: Contact precautions are designed to prevent the transmission of pathogens through direct or indirect contact.
A gown and gloves are the standard PPE required to prevent contamination of the nurse's clothing and skin.
3. Which of the following is the correct technique for measuring a client's blood pressure?
- A) Place the cuff over the client's clothing.
- B) Inflate the cuff until the client feels discomfort.
- C) Position the client's arm at heart level.
- D) Deflate the cuff as quickly as possible.
- Answer: C) Position the client's arm at heart level.
- Rationale: For an accurate blood pressure reading, the client's arm must be supported and positioned at the level of the
heart. This ensures that the hydrostatic pressure of the blood is not affected by gravity.
4. A nurse is assessing a client's pain. Which of the following is a subjective indicator of pain?
- A) Increased heart rate
- B) Client's report of "sharp, stabbing pain"
- C) Facial grimacing
- D) Elevated blood pressure
- Answer: B) Client's report of "sharp, stabbing pain"
, - Rationale: Pain is a subjective experience. The client's self-report is the most reliable indicator of pain. Objective
indicators like vital signs and grimacing can be influenced by other factors.
5. A nurse is teaching a client about a low-sodium diet. Which of the following foods should the nurse instruct the client to
avoid?
- A) Fresh fruits
- B) Canned soup
- C) Grilled chicken
- D) Steamed vegetables
- Answer: B) Canned soup
- Rationale: Canned soups are typically high in sodium as it is used as a preservative and flavor enhancer. Fresh fruits,
unprocessed meats, and fresh vegetables are generally low in sodium.
6. Which of the following is the primary purpose of hand hygiene?
- A) To remove visible dirt from the hands
- B) To reduce the number of microorganisms on the hands
- C) To keep the skin moisturized
- D) To prevent the nurse from getting sick
- Answer: B) To reduce the number of microorganisms on the hands
- Rationale: Hand hygiene is the single most effective way to prevent the spread of infection. Its primary purpose is to
reduce the number of transient and resident microorganisms on the hands.
QUESTIONS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | LATEST EXAM UPDATE | EXAM PREP |
STUDY GUIDE | PRACTICE TEST
,WGU Nursing Fundamentals Assessment Practice Questions
1. A nurse is preparing to administer medication to a client. Which of the following is the most important action to prevent
medication errors?
- A) Checking the medication label three times
- B) Administering the medication with the client's breakfast
- C) Verifying the client's allergies
- D) Documenting the medication after administration
- Answer: A) Checking the medication label three times
- Rationale: The "three checks" of medication administration (when pulling from the drawer, when preparing, and when
administering) are a critical safety standard to ensure the right medication is given. While verifying allergies is also crucial,
the three checks are the primary defense against giving the wrong drug or dose.
2. A client is on contact precautions. Which of the following PPE is essential for the nurse to wear when entering the
room?
- A) A mask and goggles
- B) A gown and gloves
- C) A gown, gloves, and mask
,- D) Gloves only
- Answer: B) A gown and gloves
- Rationale: Contact precautions are designed to prevent the transmission of pathogens through direct or indirect contact.
A gown and gloves are the standard PPE required to prevent contamination of the nurse's clothing and skin.
3. Which of the following is the correct technique for measuring a client's blood pressure?
- A) Place the cuff over the client's clothing.
- B) Inflate the cuff until the client feels discomfort.
- C) Position the client's arm at heart level.
- D) Deflate the cuff as quickly as possible.
- Answer: C) Position the client's arm at heart level.
- Rationale: For an accurate blood pressure reading, the client's arm must be supported and positioned at the level of the
heart. This ensures that the hydrostatic pressure of the blood is not affected by gravity.
4. A nurse is assessing a client's pain. Which of the following is a subjective indicator of pain?
- A) Increased heart rate
- B) Client's report of "sharp, stabbing pain"
- C) Facial grimacing
- D) Elevated blood pressure
- Answer: B) Client's report of "sharp, stabbing pain"
, - Rationale: Pain is a subjective experience. The client's self-report is the most reliable indicator of pain. Objective
indicators like vital signs and grimacing can be influenced by other factors.
5. A nurse is teaching a client about a low-sodium diet. Which of the following foods should the nurse instruct the client to
avoid?
- A) Fresh fruits
- B) Canned soup
- C) Grilled chicken
- D) Steamed vegetables
- Answer: B) Canned soup
- Rationale: Canned soups are typically high in sodium as it is used as a preservative and flavor enhancer. Fresh fruits,
unprocessed meats, and fresh vegetables are generally low in sodium.
6. Which of the following is the primary purpose of hand hygiene?
- A) To remove visible dirt from the hands
- B) To reduce the number of microorganisms on the hands
- C) To keep the skin moisturized
- D) To prevent the nurse from getting sick
- Answer: B) To reduce the number of microorganisms on the hands
- Rationale: Hand hygiene is the single most effective way to prevent the spread of infection. Its primary purpose is to
reduce the number of transient and resident microorganisms on the hands.