WGU D439 Foundations of Nursing
Exam #1Latest Exam set Questions and
simplified correct Answers
You are preparing a presentation for your classmates regarding the clinical care coordination conference
for a patient with terminal cancer. As part of the preparation, you have your classmates read the
Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which statement best describes this code? - correct answer-Defines the
principles of right and wrong to provide patient care
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse
is acting as the patients: - correct answer-Advocate
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which
professional role? - correct answer-Educator
The examination for RN licensure is the same in every state in the United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Provides the minimal standard of knowledge for an RN in practice
D. Guarantees standardized education across all prelicensure programs
5. Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional
roles and responsibilities. Which of the following are examples of these roles and responsibilities?
(Select all that apply.) - correct answer-Caregiver
Autonomy
Patient advocate
Health promotion
The examination for RN licensure is the same in every state in the United States. This examination: -
correct answer-Provides the minimal standard of knowledge for an RN in practice
Health care reform will bring changes in the emphasis of care. Which of these models is expected from
health care reform? - correct answer-Moving from an acute illness to a health promotion, illness
prevention model
The nurse manager meets with the registered nursing staff about an increase in urinary tract infections
in patients with a Foley catheter. The staff work together to review the literature on catheter-associated
,urinary tract infections (CAUTIs), identifies at-risk patients, and establishes new catheter care practices.
This is an example of which QSEN competency? - correct answer-Quality improvement
A critical care nurse is using a new research-based intervention to correctly position patients who are on
ventilators to reduce pneumonia caused by accumulated respiratory secretions. This is an example of
which QSEN competency? - correct answer-Evidence-based practice
The nurses on an acute care medical floor notice an increase in pressure injury formation in their
patients. A nurse consultant decides to compare two types of treatment. The first is the procedure
currently used to assess for pressure injury risk. The second uses a new assessment instrument to
identify at-risk patients. Given this information, the nurse consultant exemplifies which career? - correct
answer-Nurse researcher
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions
provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level
of prevention is the patient participating? - correct answer-Tertiary prevention
Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient who
states: "Me, stop smoking? I've been smoking since I was 16!" - correct answer-"What do you think is
the greatest reason why stopping smoking would be challenging for you?"
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I eat nonstop
when I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I
felt happy again." What are the best responses from the nurse manager? (Select all that apply.)
A. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
B. "I know several nurses who feel this way every now and then. Tell me about the patients you have
cared for recently. Did you find it difficult to care for them?"
C. "You can take diphenhydramine over the counter to help you sleep at night."
D. "Describe for me what you do with your time when you are not working."
E. "The hospital just started a group where nurses get together to talk about their feelings. Would you
like for me to e-mail the schedule to you?" - correct answer-B. "I know several nurses who feel this way
every now and then. Tell me about the patients you have cared for recently. Did you find it difficult to
care for them?"
D. "Describe for me what you do with your time when you are not working."
E. "The hospital just started a group where nurses get together to talk about their feelings. Would you
like for me to e-mail the schedule to you?"
A patient has been laid off from his construction job and has many unpaid bills. He is going through a
divorce from his marriage of 15 years and has been praying daily to help him through this difficult time.
He does not have a primary health care provider because he has never really been sick, and his parents
never took him to a physician when he was a child. Which external variables influence the patient's
health practices? (Select all that apply.)
A. Difficulty paying his bills
, B. Praying daily
C. Age of the patient (46 years)
D. Stress from the divorce and the loss of a job
E. Family practice of not routinely seeing a health care provider - correct answer-A. Difficulty paying his
bills
E. Family practice of not routinely seeing a health care provider
A nurse is conducting a home visit with a new mom and her three children. While in the home the nurse
weighs each family member and reviews their 3-day food diary. She checks the mom's blood pressure
and encourages the mom to take the children for a 30-minute walk every day. The nurse is addressing
which level of need, according to Maslow's Hierarchy of Needs? - correct answer-Physiological
When taking care of patients, a nurse routinely asks whether they take any vitamins or herbal
medications, encourages family members to bring in music that the patients like to help the patients
relax, and frequently prays with her patients if that is important to them. The nurse is practicing which
model? - correct answer-Holistic
Using the Transtheoretical Model of Change, order the steps that a patient goes through to make a
lifestyle change related to physical activity.
A. The individual recognizes that he is out of shape when his daughter asks him to walk with her after
school.
B. Eight months after beginning walking, the individual participates with his wife in a local 5K race.
C. The individual becomes angry when the physician tells him that he needs to increase his activity to
lose 30 pounds.
D. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
E. The individual visits the local running store to purchase walking shoes and obtain advice on a walking
plan. - correct answer-C, A, E, D, B
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect
nurses? (Select all that apply.)
A. Regular participation in a book club
B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
E. Anxiety while working - correct answer-B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
Exam #1Latest Exam set Questions and
simplified correct Answers
You are preparing a presentation for your classmates regarding the clinical care coordination conference
for a patient with terminal cancer. As part of the preparation, you have your classmates read the
Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which statement best describes this code? - correct answer-Defines the
principles of right and wrong to provide patient care
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse
is acting as the patients: - correct answer-Advocate
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which
professional role? - correct answer-Educator
The examination for RN licensure is the same in every state in the United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Provides the minimal standard of knowledge for an RN in practice
D. Guarantees standardized education across all prelicensure programs
5. Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional
roles and responsibilities. Which of the following are examples of these roles and responsibilities?
(Select all that apply.) - correct answer-Caregiver
Autonomy
Patient advocate
Health promotion
The examination for RN licensure is the same in every state in the United States. This examination: -
correct answer-Provides the minimal standard of knowledge for an RN in practice
Health care reform will bring changes in the emphasis of care. Which of these models is expected from
health care reform? - correct answer-Moving from an acute illness to a health promotion, illness
prevention model
The nurse manager meets with the registered nursing staff about an increase in urinary tract infections
in patients with a Foley catheter. The staff work together to review the literature on catheter-associated
,urinary tract infections (CAUTIs), identifies at-risk patients, and establishes new catheter care practices.
This is an example of which QSEN competency? - correct answer-Quality improvement
A critical care nurse is using a new research-based intervention to correctly position patients who are on
ventilators to reduce pneumonia caused by accumulated respiratory secretions. This is an example of
which QSEN competency? - correct answer-Evidence-based practice
The nurses on an acute care medical floor notice an increase in pressure injury formation in their
patients. A nurse consultant decides to compare two types of treatment. The first is the procedure
currently used to assess for pressure injury risk. The second uses a new assessment instrument to
identify at-risk patients. Given this information, the nurse consultant exemplifies which career? - correct
answer-Nurse researcher
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions
provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level
of prevention is the patient participating? - correct answer-Tertiary prevention
Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient who
states: "Me, stop smoking? I've been smoking since I was 16!" - correct answer-"What do you think is
the greatest reason why stopping smoking would be challenging for you?"
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I eat nonstop
when I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I
felt happy again." What are the best responses from the nurse manager? (Select all that apply.)
A. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
B. "I know several nurses who feel this way every now and then. Tell me about the patients you have
cared for recently. Did you find it difficult to care for them?"
C. "You can take diphenhydramine over the counter to help you sleep at night."
D. "Describe for me what you do with your time when you are not working."
E. "The hospital just started a group where nurses get together to talk about their feelings. Would you
like for me to e-mail the schedule to you?" - correct answer-B. "I know several nurses who feel this way
every now and then. Tell me about the patients you have cared for recently. Did you find it difficult to
care for them?"
D. "Describe for me what you do with your time when you are not working."
E. "The hospital just started a group where nurses get together to talk about their feelings. Would you
like for me to e-mail the schedule to you?"
A patient has been laid off from his construction job and has many unpaid bills. He is going through a
divorce from his marriage of 15 years and has been praying daily to help him through this difficult time.
He does not have a primary health care provider because he has never really been sick, and his parents
never took him to a physician when he was a child. Which external variables influence the patient's
health practices? (Select all that apply.)
A. Difficulty paying his bills
, B. Praying daily
C. Age of the patient (46 years)
D. Stress from the divorce and the loss of a job
E. Family practice of not routinely seeing a health care provider - correct answer-A. Difficulty paying his
bills
E. Family practice of not routinely seeing a health care provider
A nurse is conducting a home visit with a new mom and her three children. While in the home the nurse
weighs each family member and reviews their 3-day food diary. She checks the mom's blood pressure
and encourages the mom to take the children for a 30-minute walk every day. The nurse is addressing
which level of need, according to Maslow's Hierarchy of Needs? - correct answer-Physiological
When taking care of patients, a nurse routinely asks whether they take any vitamins or herbal
medications, encourages family members to bring in music that the patients like to help the patients
relax, and frequently prays with her patients if that is important to them. The nurse is practicing which
model? - correct answer-Holistic
Using the Transtheoretical Model of Change, order the steps that a patient goes through to make a
lifestyle change related to physical activity.
A. The individual recognizes that he is out of shape when his daughter asks him to walk with her after
school.
B. Eight months after beginning walking, the individual participates with his wife in a local 5K race.
C. The individual becomes angry when the physician tells him that he needs to increase his activity to
lose 30 pounds.
D. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
E. The individual visits the local running store to purchase walking shoes and obtain advice on a walking
plan. - correct answer-C, A, E, D, B
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect
nurses? (Select all that apply.)
A. Regular participation in a book club
B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
E. Anxiety while working - correct answer-B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
