WGU D439
WGU D439 Foundations of Nursing OA
Approval Q & A UPDATED 2025-2026
The nurse is caring for four clients. The client with which clinical manifestation
requires immediate attention from the nurse?
Respiratory rate of 25 breaths per minute after resting for 3 minutes after activity
The nurse places a client who had abdominal surgery in the semi-Fowler position.
The client states, "I prefer to lie flat when in bed. I feel like I am almost sitting up."
Which is an appropriate response by the nurse?
"Lifting your chest above your abdomen facilitates drainage in your wound
drains."
The nurse is educating a client who has just been prescribed a diuretic about how
to safely perform activities of daily living. Which statement should the nurse
include in the teaching
Change positions slowly to minimize orthostatic hypotension
The nurse recognizes that which statements made by a patient indicate an
understanding of behaviors that will promote sleep? (Select all that apply.)
"I will not watch television in bed."
"I will not drink caffeine later in the day."
"I will start to exercise regularly during the day."
Your patient is being discharged home and will be required to self-administer
injectable Heparin. You are observing the patient administer their scheduled dose
of Heparin to confirm that the patient knows how to do it correctly. What action by
the patient requires you to re-educate them about how to administer Heparin?
The patient injects the needle 1 inch away from the umbilicus
WGU D439
, WGU D439
A nurse caring for patients in a long-term care facility is often required to collect
urine specimens from patients for laboratory testing. Which techniques for urine
collection are performed correctly? Select all that apply.
The nurse collects about 3 mL of urine from a patient's indwelling catheter to send
for a urine culture.
The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
The nurse is caring for a 60-year-old client with a diagnosis of C-diff and is
incontinent who requires frequent linen changes. What should the nurse be most
concerned for
Impaired skin integrity
The nurse is making an occupied bed. Which nursing action is most important
Ensuring that the client's head is supported and is in functional alignment
When giving a client a bed bath, a nurse washes the client's extremities from distal
to proximal. Which of the following rationales best supports this nursing action?
Stimulates Venous return
The nurse is caring for a debilitated female client with nocturia. Which nursing
intervention is the priority when planning to meet this client's needs
Positioning a bedside commode near the bed
The nurse plans to teach a client with hemiparesis to use a cane. Which should the
nurse teach the client to do? Select all that apply.
Hold the cane in the strong hand when walking
The nurse is caring for a group of clients in the post anesthesia care unit. Which
response by a client in the post anesthesia care unit is the priority concern for the
nurse?
Reduced level of consciousness
The nurse is meeting a client for the first time. Which should the nurse do during
the orientation phase of this therapeutic relationship?
WGU D439
WGU D439 Foundations of Nursing OA
Approval Q & A UPDATED 2025-2026
The nurse is caring for four clients. The client with which clinical manifestation
requires immediate attention from the nurse?
Respiratory rate of 25 breaths per minute after resting for 3 minutes after activity
The nurse places a client who had abdominal surgery in the semi-Fowler position.
The client states, "I prefer to lie flat when in bed. I feel like I am almost sitting up."
Which is an appropriate response by the nurse?
"Lifting your chest above your abdomen facilitates drainage in your wound
drains."
The nurse is educating a client who has just been prescribed a diuretic about how
to safely perform activities of daily living. Which statement should the nurse
include in the teaching
Change positions slowly to minimize orthostatic hypotension
The nurse recognizes that which statements made by a patient indicate an
understanding of behaviors that will promote sleep? (Select all that apply.)
"I will not watch television in bed."
"I will not drink caffeine later in the day."
"I will start to exercise regularly during the day."
Your patient is being discharged home and will be required to self-administer
injectable Heparin. You are observing the patient administer their scheduled dose
of Heparin to confirm that the patient knows how to do it correctly. What action by
the patient requires you to re-educate them about how to administer Heparin?
The patient injects the needle 1 inch away from the umbilicus
WGU D439
, WGU D439
A nurse caring for patients in a long-term care facility is often required to collect
urine specimens from patients for laboratory testing. Which techniques for urine
collection are performed correctly? Select all that apply.
The nurse collects about 3 mL of urine from a patient's indwelling catheter to send
for a urine culture.
The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
The nurse is caring for a 60-year-old client with a diagnosis of C-diff and is
incontinent who requires frequent linen changes. What should the nurse be most
concerned for
Impaired skin integrity
The nurse is making an occupied bed. Which nursing action is most important
Ensuring that the client's head is supported and is in functional alignment
When giving a client a bed bath, a nurse washes the client's extremities from distal
to proximal. Which of the following rationales best supports this nursing action?
Stimulates Venous return
The nurse is caring for a debilitated female client with nocturia. Which nursing
intervention is the priority when planning to meet this client's needs
Positioning a bedside commode near the bed
The nurse plans to teach a client with hemiparesis to use a cane. Which should the
nurse teach the client to do? Select all that apply.
Hold the cane in the strong hand when walking
The nurse is caring for a group of clients in the post anesthesia care unit. Which
response by a client in the post anesthesia care unit is the priority concern for the
nurse?
Reduced level of consciousness
The nurse is meeting a client for the first time. Which should the nurse do during
the orientation phase of this therapeutic relationship?
WGU D439
