EXAM -D439 WGU ACTUAL EXAM WITH
QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ || 100% GUARANTEED
PASS NEWEST VERSION
The UAP tells you that a patient who is receiving oxygen at a flow rate of 6 L/ min
by nasal cannula is reporting nasal passage discomfort. What intervention should
you suggest improving the patient's comfort for this problem?
A. Humidify the patient's oxygen.
B. Use a simple face mask instead of a nasal cannula.
C. Provide the patient with an extra pillow.
D. Have the patient sit up in a chair at the bedside. - Answer A
73. These activities are included in the care plan for a 78-year-old patient admitted
to the hospital with anemia caused by possible gastrointestinal bleeding. Which
activity can you delegate to an experienced UAP?
A. Obtaining stool specimens for fecal blood test (Hemoccult) slides
B. Having the patient sign a colonoscopy consent form
C. Giving the prescribed polyethylene glycol electrolyte solution (GoLYTELY)
D. Checking for allergies to contrast dye or shellfish - Answer A
74. The nurse is teaching an older female patient how to manage stress
incontinence at home. She instructs her to contract her pelvic floor muscles for at
,least 10 seconds followed by a brief period of relaxation. What is this intervention
called?
A. Prompted voiding
B. Crede technique
C. Valsalva maneuver
D. Kegel exercises - Answer D
75. A nurse is preparing a brochure to teach patients how to prevent UTIs. Which
teaching points would the nurse include? Select all that apply.
A. Wear underwear with a synthetic crotch
B. Take baths rather than showers
C. Drink 8 to 10 8-oz glasses of water per day
D. Drink a glass of water before and after intercourse and void afterward
E. Dry the perineal area after urination or defecation from the front to the back
F. Observe the urine for color, amount, odor, and frequency - Answer C,D,E,F
76. The nurse should anticipate conducting which assessment when preparing to
provide care for a client experiencing alterations in bowel function? (Select all that
apply.)
A. Client interview
B. Skin assessment
C. Renal assessment
D. Abdominal assessment
E. Inguinal area assessment - Answer A,B,D,E
,77. During an office visit, a client reports infrequent and difficult bowel
movements. Which teaching topic should the nurse include when developing the
client's plan of care? (Select all that apply.)
A. The importance of staying active
B. The use of laxatives or stool softeners
C. The importance of cooking and storing food correctly
D. The importance of consuming adequate amounts of fluid and fiber
E. The avoidance of raw fruit, vegetables, and meat when traveling abroad -
Answer A,B,D
78. When caring for a client with severe dehydration, the nurse should ensure
which results are documented?
A. Oxygen saturation
B. Respiratory rate
C. Intake/output
D. Catheter care - Answer C
79. A nurse is mentoring a new graduate nurse about caring for a Foley catheter.
Which action by the new graduate nurse requires immediate intervention?
A. The nurse puts on a pair of non-sterile gloves before inserting the Foley
catheter.
B. The nurse provides regular perineal care.
C. The nurse checks the collection system to ensure that it has remained closed.
D. The nurse washes hands before donning gloves. - Answer A
, 80. A client is extremely upset and mentions something about a work-related issue
that the nurse cannot understand. Which is the nurse's best response?
A. "It's natural to worry about your job."
B. "Your job must be very important to you."
C. "Calm down so that I can understand what you're saying."
D. "I'm not quite sure I heard what you were saying about your work." - Answer
D
81. Which do nurses sometimes do that increases their risk for injury when moving
clients?
1.Use longer, rather than shorter, muscles when moving clients
2.Place their feet wide apart when transferring clients
3.Pull rather than push when turning clients
4. Rotate their backs when moving clients - Answer #4
82. The nurse is caring for a client who is experiencing pain. For which common
psychological response to pain should the nurse assess the client?
1.Concerned about loss of control and independence
2.Withdrawing from social interactions with others
3.Asking for medication to provide relief
4.Experiencing nausea and vomiting - Answer #1
83. The nurse cares for the client who is confused. The health care provider
ordered that the client have cotton wrist restraints to prevent the client from
attempting to remove the intravenous (IV) and indwelling catheter. Which is
essential for the nurse to include in the client's care plan?