1 | Page
WGU D439 FOUNDATIONS
OF NURSING OBJECTIVE
ASSESSMENT
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS GRADED A+
D
O
N
O
What are things to promote sleep?
T
-Routine sleep schedule,
C
O
-PM should involve a cool/dark room, reduce any stimuli in the
bedroom, and no naps in the afternoon; if they do, limit to 20 mins
PY
per day.
-AM should involve a sunny/bright room,
-Do not turn off alarms in pts room
-Do not increase sedation at night
-Replicate your pts sleep schedule
-Avoid these 4-6hrs before bed: caffeine, chocolate (any form), soda,
tea, alcohol, nicotine, exercise, going to bed hungry or too full.
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What is the minimum time one should wash their hands?
15 seconds
How would you take care of a wound?
Follow your hospital's recommendations. Debridement if needed,
keep moist, clean, monitor for signs of infection.
D
O
N
O
What occurs in a pressure wound stage one?
T
Intact skin with persistent, nonblanchable redness that can feel
C
warmer or cooler than the adjacent tissue.
O
PY
What occurs in a pressure wound stage two?
Involves the epidermis and the dermis. The wound bed is viable with
a reddish-pinkish bed without slough, eschar, granulation tissue, or
adipose tissue. It can appear as an intact or ruptured blister.
What occurs in a pressure wound stage three?
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Visible adipose tissue with possible granulation tissue and wound
edges appear rolled under; some slough, eschar present. Affects the
epidermis, dermis, and subcutaneous tissue.
What occurs in a pressure wound stage four?
Skin and tissue loss with cartilage, bone, fascia, muscle, ligaments,
or tendon exposed in the wound or easily palpable.
D
O
What is a living will?
N
A written statement detailing a person's desires regarding their
O
medical treatment in circumstances in which they are no longer able
T
to express informed consent.
C
O
PY
What occurs when the pressure wound is at the deep tissue?
Intact skin is nonblanchable with deep red, maroon, or purple
discoloration; open wounds have a dark wound bed or blood blister.
Pain and temperature changes can be detected earlier than color
changes. Occurs most frequently over the heels, ankles, ischial
tuberosities, and sacral area.
WGU D439 FOUNDATIONS
OF NURSING OBJECTIVE
ASSESSMENT
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS GRADED A+
D
O
N
O
What are things to promote sleep?
T
-Routine sleep schedule,
C
O
-PM should involve a cool/dark room, reduce any stimuli in the
bedroom, and no naps in the afternoon; if they do, limit to 20 mins
PY
per day.
-AM should involve a sunny/bright room,
-Do not turn off alarms in pts room
-Do not increase sedation at night
-Replicate your pts sleep schedule
-Avoid these 4-6hrs before bed: caffeine, chocolate (any form), soda,
tea, alcohol, nicotine, exercise, going to bed hungry or too full.
,2 | Page
What is the minimum time one should wash their hands?
15 seconds
How would you take care of a wound?
Follow your hospital's recommendations. Debridement if needed,
keep moist, clean, monitor for signs of infection.
D
O
N
O
What occurs in a pressure wound stage one?
T
Intact skin with persistent, nonblanchable redness that can feel
C
warmer or cooler than the adjacent tissue.
O
PY
What occurs in a pressure wound stage two?
Involves the epidermis and the dermis. The wound bed is viable with
a reddish-pinkish bed without slough, eschar, granulation tissue, or
adipose tissue. It can appear as an intact or ruptured blister.
What occurs in a pressure wound stage three?
, 3 | Page
Visible adipose tissue with possible granulation tissue and wound
edges appear rolled under; some slough, eschar present. Affects the
epidermis, dermis, and subcutaneous tissue.
What occurs in a pressure wound stage four?
Skin and tissue loss with cartilage, bone, fascia, muscle, ligaments,
or tendon exposed in the wound or easily palpable.
D
O
What is a living will?
N
A written statement detailing a person's desires regarding their
O
medical treatment in circumstances in which they are no longer able
T
to express informed consent.
C
O
PY
What occurs when the pressure wound is at the deep tissue?
Intact skin is nonblanchable with deep red, maroon, or purple
discoloration; open wounds have a dark wound bed or blood blister.
Pain and temperature changes can be detected earlier than color
changes. Occurs most frequently over the heels, ankles, ischial
tuberosities, and sacral area.
