WGU D453 Advanced Nursing Skills Exam
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1. Using the principles of standard precautions, the nurse would wear gloves in
which nursing intervention?
a) Providing a back massage
b) Feeding a client
c) Providing hair care
d) Providing oral hygiene
Correct Answer: d) Providing oral hygiene
Explanation: Standard precautions assume that all body fluids (except sweat) are
potentially infectious. Oral hygiene involves contact with mucous membranes and saliva,
which requires glove use to prevent exposure to pathogens. Back massage and hair care
do not involve body fluids.
2. A nurse obtained a client’s pulse and found the rate to be above normal. The
nurse documents this finding as:
a) Tachypnea
b) Hyper pyrexia
c) Arrythmia
d) Tachycardia
Correct Answer: d) Tachycardia
Explanation: Tachycardia refers to an abnormally fast resting heart rate (usually >100
bpm in adults). Tachypnea refers to rapid breathing, hyperpyrexia refers to extremely high
fever, and arrhythmia refers to an irregular heartbeat rhythm.
,3. Which of the following actions should the nurse take to use a wide base of
support when assisting a client to get up in a chair?
a) Bend at the waist and place arms under the client’s arms and lift
b) Face the client, bend knees and place hands on client’s forearm and lift
c) Spread his or her feet apart
d) Tighten his or her pelvic muscles
Correct Answer: c) Spread his or her feet apart
Explanation: Using a wide base of support means spreading the feet apart to increase
stability and lower the center of gravity, reducing the risk of back injury when lifting or
transferring a patient. Bending at the waist (a) is dangerous; proper body mechanics
involve bending at the knees.
4. A client who is unconscious needs frequent mouth care. When performing
mouth care, the best position for the client is:
a) Fowler’s position
b) Side lying
c) Supine
d) Trendelenburg
Correct Answer: b) Side lying
Explanation: The side-lying position allows fluids used during oral care to drain out of the
mouth by gravity, preventing aspiration into the lungs—a critical safety measure for
unconscious patients who cannot protect their own airway.
5. A walk-in client enters the clinic with a chief complaint of abdominal pain and
diarrhea. The nurse takes the client’s vital signs. What phase of the nursing process
is being implemented here?
a) Assessment
b) Diagnosis
c) Planning
d) Implementation
Correct Answer: a) Assessment
Explanation: The nursing process begins with Assessment, which involves collecting
subjective data (what the patient says) and objective data (vital signs, physical exam
findings). Taking vital signs is a key assessment activity before moving to diagnosis or
planning.
,6. The ability of the body to defend itself against scientific invading agents such as
bacteria, toxins, viruses, and foreign bodies is called:
a) Hormones
b) Secretion
c) Immunity
d) Glands
Correct Answer: c) Immunity
Explanation: Immunity is the body's biological defense system that recognizes and
destroys harmful pathogens and foreign substances. Hormones are chemical messengers,
secretion refers to the release of substances, and glands are organs that produce
secretions.
7. Five teaspoons is equivalent to how many milliliters (ml)?
a) 30 ml
b) 25 ml
c) 12 ml
d) 22 ml
Correct Answer: b) 25 ml
*Explanation: Standard conversion: 1 teaspoon (tsp) = 5 milliliters (mL). Therefore, 5 tsp
× 5 mL/tsp = 25 mL. This is a common dosage calculation conversion for medication
administration.*
8. 1800 ml is equal to how many liters?
a) 1.8
b) 18000
c) 180
d) 2800
Correct Answer: a) 1.8
*Explanation: Metric conversion: 1 liter (L) = 1000 milliliters (mL). To convert mL to L,
divide by 1000. 1800 ÷ 1000 = 1.8 L. This conversion is essential for fluid intake/output
monitoring.*
9. Which of the following is the abbreviation for drops?
a) Gtt.
b) Gtts.
, c) Dp.
d) Dr.
Correct Answer: b) Gtts.
Explanation: Gtt (singular) and Gtts (plural) are the standard abbreviations for "drops,"
derived from the Latin word "guttae." This abbreviation is commonly used in medication
orders for IV drip rates or eye/ear drop administration.
10. The abbreviation for micro drop is:
a) µgtt
b) gtt
c) mdr
d) mgts
Correct Answer: a) µgtt
*Explanation: In IV administration, a micro drop (µgtt) refers to a smaller drop size
delivered by microdrip tubing (typically 60 drops/mL). The symbol µ (mu) represents
"micro," and gtt represents "drops."*
11. Which of the following is the meaning of PRN?
a) When advice
b) Immediately
c) When necessary
d) Now
Correct Answer: c) When necessary
Explanation: PRN is derived from the Latin "pro re nata," meaning "as the situation arises"
or "when necessary." This is a common medication administration frequency indicating
the medication is given only when the patient needs it (e.g., PRN for pain).
12. Which of the following is the appropriate meaning of CBR?
a) Cardiac Board Room
b) Complete Bathroom
c) Complete Bed Rest
d) Complete Board Room
Correct Answer: c) Complete Bed Rest
Newest Version 2025-2026 UP-TO-DATE EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS
| Question And VERIFIED ANSWERS - INSTANT
PDF DOWNLOAD.
1. Using the principles of standard precautions, the nurse would wear gloves in
which nursing intervention?
a) Providing a back massage
b) Feeding a client
c) Providing hair care
d) Providing oral hygiene
Correct Answer: d) Providing oral hygiene
Explanation: Standard precautions assume that all body fluids (except sweat) are
potentially infectious. Oral hygiene involves contact with mucous membranes and saliva,
which requires glove use to prevent exposure to pathogens. Back massage and hair care
do not involve body fluids.
2. A nurse obtained a client’s pulse and found the rate to be above normal. The
nurse documents this finding as:
a) Tachypnea
b) Hyper pyrexia
c) Arrythmia
d) Tachycardia
Correct Answer: d) Tachycardia
Explanation: Tachycardia refers to an abnormally fast resting heart rate (usually >100
bpm in adults). Tachypnea refers to rapid breathing, hyperpyrexia refers to extremely high
fever, and arrhythmia refers to an irregular heartbeat rhythm.
,3. Which of the following actions should the nurse take to use a wide base of
support when assisting a client to get up in a chair?
a) Bend at the waist and place arms under the client’s arms and lift
b) Face the client, bend knees and place hands on client’s forearm and lift
c) Spread his or her feet apart
d) Tighten his or her pelvic muscles
Correct Answer: c) Spread his or her feet apart
Explanation: Using a wide base of support means spreading the feet apart to increase
stability and lower the center of gravity, reducing the risk of back injury when lifting or
transferring a patient. Bending at the waist (a) is dangerous; proper body mechanics
involve bending at the knees.
4. A client who is unconscious needs frequent mouth care. When performing
mouth care, the best position for the client is:
a) Fowler’s position
b) Side lying
c) Supine
d) Trendelenburg
Correct Answer: b) Side lying
Explanation: The side-lying position allows fluids used during oral care to drain out of the
mouth by gravity, preventing aspiration into the lungs—a critical safety measure for
unconscious patients who cannot protect their own airway.
5. A walk-in client enters the clinic with a chief complaint of abdominal pain and
diarrhea. The nurse takes the client’s vital signs. What phase of the nursing process
is being implemented here?
a) Assessment
b) Diagnosis
c) Planning
d) Implementation
Correct Answer: a) Assessment
Explanation: The nursing process begins with Assessment, which involves collecting
subjective data (what the patient says) and objective data (vital signs, physical exam
findings). Taking vital signs is a key assessment activity before moving to diagnosis or
planning.
,6. The ability of the body to defend itself against scientific invading agents such as
bacteria, toxins, viruses, and foreign bodies is called:
a) Hormones
b) Secretion
c) Immunity
d) Glands
Correct Answer: c) Immunity
Explanation: Immunity is the body's biological defense system that recognizes and
destroys harmful pathogens and foreign substances. Hormones are chemical messengers,
secretion refers to the release of substances, and glands are organs that produce
secretions.
7. Five teaspoons is equivalent to how many milliliters (ml)?
a) 30 ml
b) 25 ml
c) 12 ml
d) 22 ml
Correct Answer: b) 25 ml
*Explanation: Standard conversion: 1 teaspoon (tsp) = 5 milliliters (mL). Therefore, 5 tsp
× 5 mL/tsp = 25 mL. This is a common dosage calculation conversion for medication
administration.*
8. 1800 ml is equal to how many liters?
a) 1.8
b) 18000
c) 180
d) 2800
Correct Answer: a) 1.8
*Explanation: Metric conversion: 1 liter (L) = 1000 milliliters (mL). To convert mL to L,
divide by 1000. 1800 ÷ 1000 = 1.8 L. This conversion is essential for fluid intake/output
monitoring.*
9. Which of the following is the abbreviation for drops?
a) Gtt.
b) Gtts.
, c) Dp.
d) Dr.
Correct Answer: b) Gtts.
Explanation: Gtt (singular) and Gtts (plural) are the standard abbreviations for "drops,"
derived from the Latin word "guttae." This abbreviation is commonly used in medication
orders for IV drip rates or eye/ear drop administration.
10. The abbreviation for micro drop is:
a) µgtt
b) gtt
c) mdr
d) mgts
Correct Answer: a) µgtt
*Explanation: In IV administration, a micro drop (µgtt) refers to a smaller drop size
delivered by microdrip tubing (typically 60 drops/mL). The symbol µ (mu) represents
"micro," and gtt represents "drops."*
11. Which of the following is the meaning of PRN?
a) When advice
b) Immediately
c) When necessary
d) Now
Correct Answer: c) When necessary
Explanation: PRN is derived from the Latin "pro re nata," meaning "as the situation arises"
or "when necessary." This is a common medication administration frequency indicating
the medication is given only when the patient needs it (e.g., PRN for pain).
12. Which of the following is the appropriate meaning of CBR?
a) Cardiac Board Room
b) Complete Bathroom
c) Complete Bed Rest
d) Complete Board Room
Correct Answer: c) Complete Bed Rest
