WGU D439
WGU-D439 FOUNDATIONS EXAM
QUESTIONS AND ANSWERS 2025
SBAR Format -Correct Answers ✔--model for effective communication
identifying Situation, Background, Assessment, and Recommendation
-there are two types of ways that communication tools are used to communicate a
patients change in condition: CUS tool (Concerned, Uncomfortable, Safety) and
SBAR
-note to always maintain pt privacy and confidentiality
SBAR EXAMPLE :
Case Study: You administered 1 tablet of oxycodone HCl 5 mg/ibuprofen 400 mg
PO to a patient 30 minutes ago for postsurgical pain. You return to the patient's
room to evaluate the effectiveness of the medication 30 minutes later. The patient
rates his pain as an 8 on a scale of 0-10. You use SBAR to contact the patient's
health care provider.
Situation: The patient is rating his pain as an 8 on a scale of 0-10. He had his pain
medication 30 minutes ago.
Background: The patient had a knee replacement and returned from the
postanesthesia care unit 6 hours ago. He has 1 tablet of oxycodone HCl 5
mg/ibuprofen 400 mg PO ordered every 6 hours. This is the first pain medication
he has taken since being admitted to the unit.
Assessment: His current medication order is not sufficiently managing the
patient's pain. He does not want to sit up or move because of the pain he is
experiencing.
WGU D439
,WGU D439
Recommendation: It might be helpful to change the pain medication order for the
patient.
guided imagery -Correct Answers ✔--mind/body intervention
-Concentrating on an image or series of images to treat pathological conditions
Maslow's Hierarchy of Needs -Correct Answers ✔--where (1) physiological needs
are PRIORITY then (2) safety and security, (3) love and belonging needs. (4) self
esteem needs, and FINALLY (5) self actualization needs
The nurse planning care for a client experiencing dystocia determines that the
priority is which action?
1. Position changes and providing comfort measures
2. Explanations to the client about what is happening
3. Monitoring for changes in the condition of the birthing parent and fetus
4. Encouraging the use of breathing techniques learned in childbirth preparatory
classes
Answer: 3
Test-Taking Strategy: Note the strategic word, priority, and use Maslow's
Hierarchy of Needs theory to prioritize, remembering that physiological needs
come first. The nurse needs to have knowledge of the client's priority needs and
generate solutions. All the options are correct and would be implemented during
the care of a client with dystocia. Also note that the correct option is the only one
that addresses both the birthing parent and the fetus. Remember to use Maslow's
Hierarchy of Needs theory to help prioritize and generate solutions!
EHR system and limitations -Correct Answers ✔--EHR AND EMR are different
from eachother
-A health care agency often relies on the nursing history model included in the
electronic health record (EHR) as the organizing framework for an assessment.
However, EHR frameworks are often medically driven. Frameworks developed
WGU D439
, WGU D439
from nursing theories are more holistic and patient-centered, providing a more
comprehensive patient review.
-When it comes to the EMR freezing it's best to notify IT or when the computer
system shuts down during data entry. The nurse should follow established
protocols and prepare to re-enter data as a late entry when the system is
operational. Also never attempt to reboot or fix the EMR system which may
prolong the complication.
It's also not recommended to print EMR from a backup server without proper
authorization and ensuring data privacy and security.
-patient outcome data; and use clinical decision support systems. The electronic
health record (EHR) is an efficient method for documenting and managing patient
health care information (see Chapter 26.) Computerized physician/provider order
entry (CPOE), allowing health care providers to directly enter medical orders, is a
critical patient safety initiative especially in the area of medication ordering and
administration
-Change-of-shift, hand-off reporting, and hourly bedside rounds are ways to keep
all health care providers and patients informed
Hand Hygeine -Correct Answers ✔--hand washing does not kill microorganisms
but reduces the amount of them present
-four techniques: hand washing, antiseptic hand wash, antiseptic hand rub, surgical
hand antisepsis
-4 elements of hand washing: water, friction, soap , and time
Dosage Calculation (ml, tbsp->ml) -Correct Answers ✔-
VITAL SIGNS -Correct Answers ✔--what to do if reassessment is needed
-know the pt usual range of vital signs (baseline)
-assess respiratory
Factors affecting vital signs of older adults:
MOBILITY: How do you use crutches? -Correct Answers ✔-TYPES OF GAITS:
WGU D439
WGU-D439 FOUNDATIONS EXAM
QUESTIONS AND ANSWERS 2025
SBAR Format -Correct Answers ✔--model for effective communication
identifying Situation, Background, Assessment, and Recommendation
-there are two types of ways that communication tools are used to communicate a
patients change in condition: CUS tool (Concerned, Uncomfortable, Safety) and
SBAR
-note to always maintain pt privacy and confidentiality
SBAR EXAMPLE :
Case Study: You administered 1 tablet of oxycodone HCl 5 mg/ibuprofen 400 mg
PO to a patient 30 minutes ago for postsurgical pain. You return to the patient's
room to evaluate the effectiveness of the medication 30 minutes later. The patient
rates his pain as an 8 on a scale of 0-10. You use SBAR to contact the patient's
health care provider.
Situation: The patient is rating his pain as an 8 on a scale of 0-10. He had his pain
medication 30 minutes ago.
Background: The patient had a knee replacement and returned from the
postanesthesia care unit 6 hours ago. He has 1 tablet of oxycodone HCl 5
mg/ibuprofen 400 mg PO ordered every 6 hours. This is the first pain medication
he has taken since being admitted to the unit.
Assessment: His current medication order is not sufficiently managing the
patient's pain. He does not want to sit up or move because of the pain he is
experiencing.
WGU D439
,WGU D439
Recommendation: It might be helpful to change the pain medication order for the
patient.
guided imagery -Correct Answers ✔--mind/body intervention
-Concentrating on an image or series of images to treat pathological conditions
Maslow's Hierarchy of Needs -Correct Answers ✔--where (1) physiological needs
are PRIORITY then (2) safety and security, (3) love and belonging needs. (4) self
esteem needs, and FINALLY (5) self actualization needs
The nurse planning care for a client experiencing dystocia determines that the
priority is which action?
1. Position changes and providing comfort measures
2. Explanations to the client about what is happening
3. Monitoring for changes in the condition of the birthing parent and fetus
4. Encouraging the use of breathing techniques learned in childbirth preparatory
classes
Answer: 3
Test-Taking Strategy: Note the strategic word, priority, and use Maslow's
Hierarchy of Needs theory to prioritize, remembering that physiological needs
come first. The nurse needs to have knowledge of the client's priority needs and
generate solutions. All the options are correct and would be implemented during
the care of a client with dystocia. Also note that the correct option is the only one
that addresses both the birthing parent and the fetus. Remember to use Maslow's
Hierarchy of Needs theory to help prioritize and generate solutions!
EHR system and limitations -Correct Answers ✔--EHR AND EMR are different
from eachother
-A health care agency often relies on the nursing history model included in the
electronic health record (EHR) as the organizing framework for an assessment.
However, EHR frameworks are often medically driven. Frameworks developed
WGU D439
, WGU D439
from nursing theories are more holistic and patient-centered, providing a more
comprehensive patient review.
-When it comes to the EMR freezing it's best to notify IT or when the computer
system shuts down during data entry. The nurse should follow established
protocols and prepare to re-enter data as a late entry when the system is
operational. Also never attempt to reboot or fix the EMR system which may
prolong the complication.
It's also not recommended to print EMR from a backup server without proper
authorization and ensuring data privacy and security.
-patient outcome data; and use clinical decision support systems. The electronic
health record (EHR) is an efficient method for documenting and managing patient
health care information (see Chapter 26.) Computerized physician/provider order
entry (CPOE), allowing health care providers to directly enter medical orders, is a
critical patient safety initiative especially in the area of medication ordering and
administration
-Change-of-shift, hand-off reporting, and hourly bedside rounds are ways to keep
all health care providers and patients informed
Hand Hygeine -Correct Answers ✔--hand washing does not kill microorganisms
but reduces the amount of them present
-four techniques: hand washing, antiseptic hand wash, antiseptic hand rub, surgical
hand antisepsis
-4 elements of hand washing: water, friction, soap , and time
Dosage Calculation (ml, tbsp->ml) -Correct Answers ✔-
VITAL SIGNS -Correct Answers ✔--what to do if reassessment is needed
-know the pt usual range of vital signs (baseline)
-assess respiratory
Factors affecting vital signs of older adults:
MOBILITY: How do you use crutches? -Correct Answers ✔-TYPES OF GAITS:
WGU D439
