WGU D439 Foundations of Nursing –
Complete 200+ Question Exam Bank
Latest Updated 2026/2027
EXAM OVERVIEW
Course: D439 – Foundations of Nursing
University: Western Governors University (WGU)
Exam Type: Objective Assessment (OA)
This comprehensive study guide contains 250+
NCLEX-style questions with detailed rationales
covering the essential concepts tested in the WGU
D439 Foundations of Nursing exam. Material aligns
with WGU curriculum, ATI Fundamentals, and
NCLEX-RN® test plan standards.
Key Topics Covered:
1
,- Nursing Process (ADPIE)
- Safety & Infection Control
- Health Assessment & Vital Signs
- Medication Administration
- Patient Care & Mobility
- Delegation & Prioritization
- Legal & Ethical Nursing
- Patient Education & Communication
- End-of-Life Care
- Documentation & Informatics
SECTION 1: NURSING PROCESS & CRITICAL
THINKING (Questions 1–30)
Question 1
2
,A nurse is assessing a patient who is 1 day post-
operative. The patient rates pain 9/10, and the
surgical site is draining yellow fluid. In which phase
of the nursing process is the nurse working?
A) Planning
B) Evaluation
C) Assessment
D) Implementation
Answer: C
Rationale: Assessment is the first step of the nursing
process, involving the collection of subjective data
(pain rating) and objective data (wound drainage).
The nurse is gathering data, which defines the
assessment phase.
3
, Question 2
After reviewing assessment data, a nurse identifies
that a patient's wound is infected and writes the
nursing diagnosis "Impaired Skin Integrity." This
occurs during which step?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: B
Rationale: Diagnosis is the step where the nurse
analyzes assessment data to identify actual or
4
Complete 200+ Question Exam Bank
Latest Updated 2026/2027
EXAM OVERVIEW
Course: D439 – Foundations of Nursing
University: Western Governors University (WGU)
Exam Type: Objective Assessment (OA)
This comprehensive study guide contains 250+
NCLEX-style questions with detailed rationales
covering the essential concepts tested in the WGU
D439 Foundations of Nursing exam. Material aligns
with WGU curriculum, ATI Fundamentals, and
NCLEX-RN® test plan standards.
Key Topics Covered:
1
,- Nursing Process (ADPIE)
- Safety & Infection Control
- Health Assessment & Vital Signs
- Medication Administration
- Patient Care & Mobility
- Delegation & Prioritization
- Legal & Ethical Nursing
- Patient Education & Communication
- End-of-Life Care
- Documentation & Informatics
SECTION 1: NURSING PROCESS & CRITICAL
THINKING (Questions 1–30)
Question 1
2
,A nurse is assessing a patient who is 1 day post-
operative. The patient rates pain 9/10, and the
surgical site is draining yellow fluid. In which phase
of the nursing process is the nurse working?
A) Planning
B) Evaluation
C) Assessment
D) Implementation
Answer: C
Rationale: Assessment is the first step of the nursing
process, involving the collection of subjective data
(pain rating) and objective data (wound drainage).
The nurse is gathering data, which defines the
assessment phase.
3
, Question 2
After reviewing assessment data, a nurse identifies
that a patient's wound is infected and writes the
nursing diagnosis "Impaired Skin Integrity." This
occurs during which step?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: B
Rationale: Diagnosis is the step where the nurse
analyzes assessment data to identify actual or
4
