WGU D446 ADULT HEALTH OR FINAL EXAM 201
QUESTIONS WITH VERIFIED ANSWERS 2026
A - Outcome-driven care
Explanation: All perioperative care is patient-centric with emphasis on a proactive
outcomes-driven approach. Through each patient interaction and creation of a
customized care plan the perioperative nurse identifies risks and designs
interventions to prevent undesirable outcomes (such as injury from positioning, or
unintentional hypothermia). Outcomes based decision making is driven by
evidenced based principles - CORRECT ANSWER A key feature of the Perioperative
Patient-Focused Model is the emphasis on -
A - outcome-driven care
B- Patient-centric care
C - nursing care activities in the perioperative arena
D - nursing research
B - set forth the expectations of the professional role within which the nurse
practices.
Explanation: The American Nurse's Association (ANA) developed standards that
established practice expectations for nurses in all specialties. The Perioperative
Nursing Practice Standards, which were developed in partnership with the ANA,
further define specific expectations and responsibilities for perioperative nurses. -
CORRECT ANSWER AORN's Perioperative Nursing Practice Standards -
,A - guide the appropriate use of the nursing process in the perioperative arena
B - set for the expectaions of the professional role within the nurse practices
C - dictate correct nursing procedures for all major surgeries
D - provide a method for organizing data and documenting nursing care in any
setting
D - Assessment
Explanation: Assessment is the first phase of the nursing process and focuses on
the collection and analysis of objective health data (e.g., vital signs, laboratory
results, patient history) and subjective data (e.g., the patient's perception of pain
or anxiety). - CORRECT ANSWER A nurse gathers data on a patient's past medical
history, allergies, and current medications. What phase of the nursing process is
being used during these activities?
A - Planning
B - Implementation
C - Evaluation
D - Assessment
C - fear related to unknown outcome of surgery
Explanation: The North American Nursing Diagnosis Association International
(NANDA-I) establishes nursing diagnoses. Each approved nursing diagnosis has a
set of components, such as a definition of the diagnostic term; its defining
,characteristics, and its related or risk factors. The diagnosis of fear is defined as a a
response to perceived threat that is consciously recognized as a danger and is
characterized by a number of factors such as apprehension, being scared or dread.
- CORRECT ANSWER During the admission interview, a patient tells the nurse she
is afraid she will not wake up after the surgery. A possible nursing diagnosis is
A - anxiety related to perceived inability to deal with possible pain
B - deficient knowledge related to coping with postoperative pain
C - fear related to unknown outcome of surgery
D - ineffective individual coping related to surgery.
A - The patient will be free from nerve injury as evidenced by intact sensation and
no deviation from her baseline nerve function
Explanation: Patient outcomes are based on the nursing diagnoses established in
the plan of care. They are the standards or criteria by which the effectiveness of
interventions is measured. Outcomes are stated in terms of expected or desired
patient behavior and must be specific and measurable. - CORRECT ANSWER The
perioperative nurse has identified several nursing diagnoses for an 80-year-old
patient with severe kyphosis who is scheduled to undergo a veterbralplasty. Select
the outcome that is most appropriate for the nursing diagnosis of Risk for
Peripheral Neurovascular Dysfunction.
A - The patient will be free from nerve injury as evidenced by intact sensation and
no deviation from her baseline nerve function
B- The patient will be free from perioperative positioning injury.
, C - The patient will maintain adequate ventilation and oxygen exchange despite
kyphosis
D - The patient will not sustain nerve palsy or foot drop as a result of the
procedure
A - The use of theory-derived, research-driven information to make decisions
about the care delivered to individuals or groups
Explanation: Evidence-based practice (EBP) allows the perioperative nurse to base
care decisions on the best available research rather than "traditional" practices,
beliefs, or opinions. - CORRECT ANSWER Which of the following best describes
evidence-based practice?
A - The use of theory-derived, research-driven information to make decisions
about the care delivered to individuals or groups
B- A method of organizing patient data that guides decision-making and ensures
positive outcomes.
C- Evaluation of nursing interventions to guide future care and determine
usefulness.
D- A type of planning used in clinical pathways to decrease recovery time and
control costs.
D- involvement can strengthen the nurse's commitment to meeting standards and
enhance program effectiveness.
Explanation:
QUESTIONS WITH VERIFIED ANSWERS 2026
A - Outcome-driven care
Explanation: All perioperative care is patient-centric with emphasis on a proactive
outcomes-driven approach. Through each patient interaction and creation of a
customized care plan the perioperative nurse identifies risks and designs
interventions to prevent undesirable outcomes (such as injury from positioning, or
unintentional hypothermia). Outcomes based decision making is driven by
evidenced based principles - CORRECT ANSWER A key feature of the Perioperative
Patient-Focused Model is the emphasis on -
A - outcome-driven care
B- Patient-centric care
C - nursing care activities in the perioperative arena
D - nursing research
B - set forth the expectations of the professional role within which the nurse
practices.
Explanation: The American Nurse's Association (ANA) developed standards that
established practice expectations for nurses in all specialties. The Perioperative
Nursing Practice Standards, which were developed in partnership with the ANA,
further define specific expectations and responsibilities for perioperative nurses. -
CORRECT ANSWER AORN's Perioperative Nursing Practice Standards -
,A - guide the appropriate use of the nursing process in the perioperative arena
B - set for the expectaions of the professional role within the nurse practices
C - dictate correct nursing procedures for all major surgeries
D - provide a method for organizing data and documenting nursing care in any
setting
D - Assessment
Explanation: Assessment is the first phase of the nursing process and focuses on
the collection and analysis of objective health data (e.g., vital signs, laboratory
results, patient history) and subjective data (e.g., the patient's perception of pain
or anxiety). - CORRECT ANSWER A nurse gathers data on a patient's past medical
history, allergies, and current medications. What phase of the nursing process is
being used during these activities?
A - Planning
B - Implementation
C - Evaluation
D - Assessment
C - fear related to unknown outcome of surgery
Explanation: The North American Nursing Diagnosis Association International
(NANDA-I) establishes nursing diagnoses. Each approved nursing diagnosis has a
set of components, such as a definition of the diagnostic term; its defining
,characteristics, and its related or risk factors. The diagnosis of fear is defined as a a
response to perceived threat that is consciously recognized as a danger and is
characterized by a number of factors such as apprehension, being scared or dread.
- CORRECT ANSWER During the admission interview, a patient tells the nurse she
is afraid she will not wake up after the surgery. A possible nursing diagnosis is
A - anxiety related to perceived inability to deal with possible pain
B - deficient knowledge related to coping with postoperative pain
C - fear related to unknown outcome of surgery
D - ineffective individual coping related to surgery.
A - The patient will be free from nerve injury as evidenced by intact sensation and
no deviation from her baseline nerve function
Explanation: Patient outcomes are based on the nursing diagnoses established in
the plan of care. They are the standards or criteria by which the effectiveness of
interventions is measured. Outcomes are stated in terms of expected or desired
patient behavior and must be specific and measurable. - CORRECT ANSWER The
perioperative nurse has identified several nursing diagnoses for an 80-year-old
patient with severe kyphosis who is scheduled to undergo a veterbralplasty. Select
the outcome that is most appropriate for the nursing diagnosis of Risk for
Peripheral Neurovascular Dysfunction.
A - The patient will be free from nerve injury as evidenced by intact sensation and
no deviation from her baseline nerve function
B- The patient will be free from perioperative positioning injury.
, C - The patient will maintain adequate ventilation and oxygen exchange despite
kyphosis
D - The patient will not sustain nerve palsy or foot drop as a result of the
procedure
A - The use of theory-derived, research-driven information to make decisions
about the care delivered to individuals or groups
Explanation: Evidence-based practice (EBP) allows the perioperative nurse to base
care decisions on the best available research rather than "traditional" practices,
beliefs, or opinions. - CORRECT ANSWER Which of the following best describes
evidence-based practice?
A - The use of theory-derived, research-driven information to make decisions
about the care delivered to individuals or groups
B- A method of organizing patient data that guides decision-making and ensures
positive outcomes.
C- Evaluation of nursing interventions to guide future care and determine
usefulness.
D- A type of planning used in clinical pathways to decrease recovery time and
control costs.
D- involvement can strengthen the nurse's commitment to meeting standards and
enhance program effectiveness.
Explanation:
