WGU D439 (NURS 1011) Foundations
of Nursing OA EXAM STUDY GUIDE
2025/2026 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<LATEST VERSION>
1. SBAR Format - ANSWER ✔ -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 :
2. 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.
,3. Situation: The patient is rating his pain as an 8 on a scale of 0-10. He had his
pain medication 30 minutes ago.
4. 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.
5. 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.
6. Recommendation: It might be helpful to change the pain medication order
for the patient.
7. guided imagery - ANSWER ✔ -mind/body intervention
-Concentrating on an image or series of images to treat pathological
conditions
8. Maslow's Hierarchy of Needs - ANSWER ✔ -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
9. 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!
10.Activity and Sleep promotion - ANSWER ✔ -sleep is a subjective
experience and only the patient can tell you the quality of their sleep
-most of they time they would know the cause of their sleep pronlems and as
a nurse we can find ways while there to hekp decrease thee disturbances
-tools used for sleep assesment : Epworth sleepiness scale
-assessing unconscious patient:
PROMOTION OF SLEEP:
-maintain a regular bedtime and wakeup schedule
-limit naps to 30 mins
-do relaxing activities: reading
-avoid stimulating exercises like watching TV right before bed
-noise control
-nightlight for path of bathroom to be well lit
-pee before bed
-MEDS: sedatives, hypnotics with caution and last resort +assess drug
interactions that may be causing insomnia
-. A dairy product such as warm milk or cocoa that contains l-tryptophan is
often helpful in promotion of sleep
-tooth brushing before bed
, 11.SAFETY AND SLEEP PROMOTION with patients post surgery and have
obstructive sleep apnea - ANSWER ✔ -Patients with OSA who are given
opioid analgesics after surgery have an increased risk of developing airway
obstruction because the medications suppress normal arousal mechanisms.
-Monitor a patient's airway, respiratory rate and depth, and breath sounds
frequently after surgery.
-Recommend lifestyle changes to patients with OSA, changes such as sleep
hygiene, alcohol moderation, smoking cessation, and a weight-loss program
- Teach the patient to elevate the head of the bed and use a side or
prone position for sleep. Use pillows to prevent a supine position.
12.ROM exercises for hinge joints - ANSWER ✔ -hinge joints work on the
arms or bicep muscles up and down
-hip foward and back
13.Accessory muscles - ANSWER ✔ -muscles in the neck and shoulders for
breathing during an attempt of deep inspiration
14.Techniques to move patient in bed at risk of aspiration - ANSWER ✔ -
positioning
15.Positioning to decrease aspiration - ANSWER ✔ -semi-sitting FOWLERS
position to decrease risk of aspiration
16.Aspiration general Precautions - ANSWER ✔ -Assess the patient's level of
consciousness before feeding him or her.
-positoin at 90 degree angle
-Ask the patient to remain sitting in the upright position for at least 30 to 60
minutes after the meal
-Identify obstructions and medication side effects that cause difficulty
swallowing.
of Nursing OA EXAM STUDY GUIDE
2025/2026 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<LATEST VERSION>
1. SBAR Format - ANSWER ✔ -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 :
2. 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.
,3. Situation: The patient is rating his pain as an 8 on a scale of 0-10. He had his
pain medication 30 minutes ago.
4. 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.
5. 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.
6. Recommendation: It might be helpful to change the pain medication order
for the patient.
7. guided imagery - ANSWER ✔ -mind/body intervention
-Concentrating on an image or series of images to treat pathological
conditions
8. Maslow's Hierarchy of Needs - ANSWER ✔ -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
9. 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!
10.Activity and Sleep promotion - ANSWER ✔ -sleep is a subjective
experience and only the patient can tell you the quality of their sleep
-most of they time they would know the cause of their sleep pronlems and as
a nurse we can find ways while there to hekp decrease thee disturbances
-tools used for sleep assesment : Epworth sleepiness scale
-assessing unconscious patient:
PROMOTION OF SLEEP:
-maintain a regular bedtime and wakeup schedule
-limit naps to 30 mins
-do relaxing activities: reading
-avoid stimulating exercises like watching TV right before bed
-noise control
-nightlight for path of bathroom to be well lit
-pee before bed
-MEDS: sedatives, hypnotics with caution and last resort +assess drug
interactions that may be causing insomnia
-. A dairy product such as warm milk or cocoa that contains l-tryptophan is
often helpful in promotion of sleep
-tooth brushing before bed
, 11.SAFETY AND SLEEP PROMOTION with patients post surgery and have
obstructive sleep apnea - ANSWER ✔ -Patients with OSA who are given
opioid analgesics after surgery have an increased risk of developing airway
obstruction because the medications suppress normal arousal mechanisms.
-Monitor a patient's airway, respiratory rate and depth, and breath sounds
frequently after surgery.
-Recommend lifestyle changes to patients with OSA, changes such as sleep
hygiene, alcohol moderation, smoking cessation, and a weight-loss program
- Teach the patient to elevate the head of the bed and use a side or
prone position for sleep. Use pillows to prevent a supine position.
12.ROM exercises for hinge joints - ANSWER ✔ -hinge joints work on the
arms or bicep muscles up and down
-hip foward and back
13.Accessory muscles - ANSWER ✔ -muscles in the neck and shoulders for
breathing during an attempt of deep inspiration
14.Techniques to move patient in bed at risk of aspiration - ANSWER ✔ -
positioning
15.Positioning to decrease aspiration - ANSWER ✔ -semi-sitting FOWLERS
position to decrease risk of aspiration
16.Aspiration general Precautions - ANSWER ✔ -Assess the patient's level of
consciousness before feeding him or her.
-positoin at 90 degree angle
-Ask the patient to remain sitting in the upright position for at least 30 to 60
minutes after the meal
-Identify obstructions and medication side effects that cause difficulty
swallowing.
