WGU D446 Adult II Exam 1|160 QUESTIONS WITH
VERIFIED ANSWERS 2026
-right task
-right circumstance
-right person
-right direction and communication
-right supervision and evaluation - CORRECT ANSWER What are the 5 rights of
delegation?
-assessments
-patient teaching
-evaluation of care
-admitting a patient
-caring for an unstable patient - CORRECT ANSWER What can you NOT delegate to
a LPN or UAP?
-Can: oral meds
-Can: IM/SQ injections
-Other medications depend on hospital policy (ex. some can hang IVF)
-LPN can do dialysis catheter care Q shift
-Cannot: dialysate exchange, intraperitoneal antibiotics, or dialysis catheter care
teaching - CORRECT ANSWER What medications + interventions can LPNs perform
regarding CKD/in general?
,S: Situation
-what is happening in the present
-identify self, patient, and room number
-state the problem: what it is, when it started, and the severity
-identify why you are concerned
B: Background
-what is the background that led up to this situation
-state pertinent background related to the situation: admitting diagnosis, date of
admission, medications, allergies, most recent VS, labs, treatment, and code
status
A: Assessment
-explain what you think the problem is
-what is your assessment of the situation
-state changes from prior assessments
-explain if the patient is unstable or worsening
R: Recommendation/ Request
-explain what we should do to correct the problem - CORRECT ANSWER What
does SBAR stand for? What information should be included in each area?
,-know that some herbs interact with over the counter meds and prescriptions
(educate about this)
-some herbs can increase clotting time (ex. can bleed out during surgery)
-stop all CAM 2-3 weeks prior to surgery
-obtain a thorough medication list by using open ended question (ex. all herbs,
prescriptions, and supplements)
-educate: take the recommended amount; moisture, sunlight, and heat may
change the components of the herbs; side effects of herbs should be reported to
the HCP - CORRECT ANSWER What is the RN's role in caring for a patient who uses
complementary and alternative therapy?
B
Rationale: This response ("the blood pressure should be monitored ...") indicates
the nurse's acceptance of the patient's choice while still indicating the possible
need for standard drug therapy for hypertension. The response beginning
"meditation can be a good complementary therapy ..." is incorrect because
hypertension can sometimes be controlled by practices such as meditation. The
remaining two responses indicate that the patient may not be successful in
practicing meditation and would discourage the patient from trying this
potentially helpful complementary therapy. - CORRECT ANSWER A patient treated
with antihypertensive medication is planning to start using meditation to promote
relaxation and reduced anxiety. The nurse cautions the patient that
a.meditation can be used successfully only if the patient is responsive to
suggestion.
b.the blood pressure should be monitored frequently because the medication
might need to be adjusted.
, c.frequent appointments, practice times, and goal setting are necessary for
effective use of meditation.
d.meditation can be a good complementary therapy, but medications will always
be needed.
C
A nursing assistant has the skill to care for the client who requires urine specimen
collections. Colostomy irrigations and tube feeds are not performed by UAP. The
client with difficulty swallowing would be at risk for aspiration. - CORRECT
ANSWER The RN is planning the client assignments for the day. Which of the
following is the most appropriate assignment for the nursing assistant?
a.A client requiring a colostomy irrigation
b.A client receiving continuous tube feedings
c.A client who requires urine specimen collection
d.A client with difficulty swallowing food and fluids
-Upper = systemic s/s like a fever, chills, malaise, flank pain
-Lower: dysuria (painful urination; common), frequency (do not feel like fully
emptying; pee less than every 2 hours), urgency (can become incontinent), supra-
pubic discomfort/pressure, hematuria, cloudy urine, and foul smelling urine -
CORRECT ANSWER S/S of a UTI (upper vs. lower)
-s/s: non-localized abdominal discomfort and confusion
VERIFIED ANSWERS 2026
-right task
-right circumstance
-right person
-right direction and communication
-right supervision and evaluation - CORRECT ANSWER What are the 5 rights of
delegation?
-assessments
-patient teaching
-evaluation of care
-admitting a patient
-caring for an unstable patient - CORRECT ANSWER What can you NOT delegate to
a LPN or UAP?
-Can: oral meds
-Can: IM/SQ injections
-Other medications depend on hospital policy (ex. some can hang IVF)
-LPN can do dialysis catheter care Q shift
-Cannot: dialysate exchange, intraperitoneal antibiotics, or dialysis catheter care
teaching - CORRECT ANSWER What medications + interventions can LPNs perform
regarding CKD/in general?
,S: Situation
-what is happening in the present
-identify self, patient, and room number
-state the problem: what it is, when it started, and the severity
-identify why you are concerned
B: Background
-what is the background that led up to this situation
-state pertinent background related to the situation: admitting diagnosis, date of
admission, medications, allergies, most recent VS, labs, treatment, and code
status
A: Assessment
-explain what you think the problem is
-what is your assessment of the situation
-state changes from prior assessments
-explain if the patient is unstable or worsening
R: Recommendation/ Request
-explain what we should do to correct the problem - CORRECT ANSWER What
does SBAR stand for? What information should be included in each area?
,-know that some herbs interact with over the counter meds and prescriptions
(educate about this)
-some herbs can increase clotting time (ex. can bleed out during surgery)
-stop all CAM 2-3 weeks prior to surgery
-obtain a thorough medication list by using open ended question (ex. all herbs,
prescriptions, and supplements)
-educate: take the recommended amount; moisture, sunlight, and heat may
change the components of the herbs; side effects of herbs should be reported to
the HCP - CORRECT ANSWER What is the RN's role in caring for a patient who uses
complementary and alternative therapy?
B
Rationale: This response ("the blood pressure should be monitored ...") indicates
the nurse's acceptance of the patient's choice while still indicating the possible
need for standard drug therapy for hypertension. The response beginning
"meditation can be a good complementary therapy ..." is incorrect because
hypertension can sometimes be controlled by practices such as meditation. The
remaining two responses indicate that the patient may not be successful in
practicing meditation and would discourage the patient from trying this
potentially helpful complementary therapy. - CORRECT ANSWER A patient treated
with antihypertensive medication is planning to start using meditation to promote
relaxation and reduced anxiety. The nurse cautions the patient that
a.meditation can be used successfully only if the patient is responsive to
suggestion.
b.the blood pressure should be monitored frequently because the medication
might need to be adjusted.
, c.frequent appointments, practice times, and goal setting are necessary for
effective use of meditation.
d.meditation can be a good complementary therapy, but medications will always
be needed.
C
A nursing assistant has the skill to care for the client who requires urine specimen
collections. Colostomy irrigations and tube feeds are not performed by UAP. The
client with difficulty swallowing would be at risk for aspiration. - CORRECT
ANSWER The RN is planning the client assignments for the day. Which of the
following is the most appropriate assignment for the nursing assistant?
a.A client requiring a colostomy irrigation
b.A client receiving continuous tube feedings
c.A client who requires urine specimen collection
d.A client with difficulty swallowing food and fluids
-Upper = systemic s/s like a fever, chills, malaise, flank pain
-Lower: dysuria (painful urination; common), frequency (do not feel like fully
emptying; pee less than every 2 hours), urgency (can become incontinent), supra-
pubic discomfort/pressure, hematuria, cloudy urine, and foul smelling urine -
CORRECT ANSWER S/S of a UTI (upper vs. lower)
-s/s: non-localized abdominal discomfort and confusion
