WGU NURSING COMPREHENSIVE EXAM 3|125
QUESTIONS WITH VERIFIED ANSWER 2026
Assess the client's needs for food, liquids, and rest. - CORRECT ANSWER A 38-year-
old female client is admitted to the mental health unit after a recent manic
episode of spending large amounts of money on new furniture, making excessive
long-distance phone calls, and not sleeping for three days. During the admission
process, the client is wearing a green bathing suit. What intervention should the
nurse implement?
Firmly inform the client that acting out anger is not acceptable. - CORRECT
ANSWER During a group therapy session, a client with hypomania threatens to
strike another client. What intervention is best for the nurse to implement?
Document a possible Type I latex allergy. - CORRECT ANSWER A client who is a
laboratory technician and has a history of allergic rhinitis, asthma, and multiple
food allergies is scheduled for surgery. Which action should the nurse implement?
Use of prescribed eye drops since last exam by ophthalmologist. - CORRECT
ANSWER In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an IOP of 28 mmHg. What information should the nurse ask
the client?
Observe the vertical distention of the veins as the client is gradually elevated to an
upright position. - CORRECT ANSWER Which action should the nurse implement to
assess for JVD in a client with HF?
,Failure of the liver to convert ammonia absorbed from the bowel to urea. -
CORRECT ANSWER The nurse identifies a client's laboratory results and identifies
an elevated serum ammonia level. Which pathophysiological process contributes
to this finding?
Aspiration pneumonia. - CORRECT ANSWER A client with GERD is unconscious and
unresponsive to stimuli. The nurse places the client in a side-lying position. The
nurse should monitor for the risk of which complication?
Irrigate the NGT with normal saline. - CORRECT ANSWER A client returns to the
unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours,
the nurse determines the client has no drainage from the NGT and has absent
bowel sounds. What action should the nurse implement?
A rigid, beardlike abdomen. - CORRECT ANSWER A male client who is admitted
with a bleeding peptic ulcer develops sudden, severe upper abdominal pain. The
client becomes diaphoretic and draws his knees over his abdomen. Which finding
should the nurse report to the healthcare provider?
Notify HCP - CORRECT ANSWER A client returns to the postoperative unit after a
gastroduodenostomy (Bill Roth I) for treatment of a perforated ulcer. The
healthcare provider's prescriptions include morphine with a patient-controlled
analgesia (PCA), nasogastric tube (NGT) to low intermittent nasogastric suction,
and IV fluids and antibiotics. The client complains of increasing abdominal pain 12
hours after returning to the surgical unit. The nurse determines the client has no
bowel sounds, and 200 ml of bright red nasogastric drainage is in the suction
canister in the past hour. What is the priority action the nurse should implement?
, Maintain dry perineal dressings - CORRECT ANSWER A client returns from surgery
after undergoing an abdominal-perineal resection with a sigmoid colostomy. The
colostomy is dressed with petroleum jelly gauze and dry gauze dressings. The
perineal incision is partially closed with two drains attached to Jackson-Pratt
suction bulbs. During the early postoperative period, the nurse should give the
highest priority to which nursing action?
Intravenous drug abuse - CORRECT ANSWER What information in a client's history
indicates the highest risk factor for hepatitis C?
Apply a pressure-relieving mattress under the client. - CORRECT ANSWER A client
with advanced cirrhosis and hepatic encephalopathy is manifesting mounting
ascites and 4+ pitting edema of the feet and legs. The nurse identifies fluid leaking
from his skin when he is turned. Which intervention is most important for the
nurse to include in the client's plan of care?
Gonorrhea is often asymptomatic in women because the infection is not visible. -
CORRECT ANSWER A female client arrives at the clinic because her boyfriend
received the results of a Gram stain smear that revealed the presence of Neisseria
gonorrhoeae. The client tells the nurse that she has not had any symptoms and
almost did not come to the clinic. What information should the nurse provide the
client?
Notify HCP - CORRECT ANSWER A client with an open reduction and application of
an external fixator for open, comminuted fractures of the tibia and fibula begins
to complain of severe pain in the affected leg, which is not relieved by analgesics.
The client says the toes are numb and tingling, although they appear pink. What
action should the nurse implement?
QUESTIONS WITH VERIFIED ANSWER 2026
Assess the client's needs for food, liquids, and rest. - CORRECT ANSWER A 38-year-
old female client is admitted to the mental health unit after a recent manic
episode of spending large amounts of money on new furniture, making excessive
long-distance phone calls, and not sleeping for three days. During the admission
process, the client is wearing a green bathing suit. What intervention should the
nurse implement?
Firmly inform the client that acting out anger is not acceptable. - CORRECT
ANSWER During a group therapy session, a client with hypomania threatens to
strike another client. What intervention is best for the nurse to implement?
Document a possible Type I latex allergy. - CORRECT ANSWER A client who is a
laboratory technician and has a history of allergic rhinitis, asthma, and multiple
food allergies is scheduled for surgery. Which action should the nurse implement?
Use of prescribed eye drops since last exam by ophthalmologist. - CORRECT
ANSWER In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an IOP of 28 mmHg. What information should the nurse ask
the client?
Observe the vertical distention of the veins as the client is gradually elevated to an
upright position. - CORRECT ANSWER Which action should the nurse implement to
assess for JVD in a client with HF?
,Failure of the liver to convert ammonia absorbed from the bowel to urea. -
CORRECT ANSWER The nurse identifies a client's laboratory results and identifies
an elevated serum ammonia level. Which pathophysiological process contributes
to this finding?
Aspiration pneumonia. - CORRECT ANSWER A client with GERD is unconscious and
unresponsive to stimuli. The nurse places the client in a side-lying position. The
nurse should monitor for the risk of which complication?
Irrigate the NGT with normal saline. - CORRECT ANSWER A client returns to the
unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours,
the nurse determines the client has no drainage from the NGT and has absent
bowel sounds. What action should the nurse implement?
A rigid, beardlike abdomen. - CORRECT ANSWER A male client who is admitted
with a bleeding peptic ulcer develops sudden, severe upper abdominal pain. The
client becomes diaphoretic and draws his knees over his abdomen. Which finding
should the nurse report to the healthcare provider?
Notify HCP - CORRECT ANSWER A client returns to the postoperative unit after a
gastroduodenostomy (Bill Roth I) for treatment of a perforated ulcer. The
healthcare provider's prescriptions include morphine with a patient-controlled
analgesia (PCA), nasogastric tube (NGT) to low intermittent nasogastric suction,
and IV fluids and antibiotics. The client complains of increasing abdominal pain 12
hours after returning to the surgical unit. The nurse determines the client has no
bowel sounds, and 200 ml of bright red nasogastric drainage is in the suction
canister in the past hour. What is the priority action the nurse should implement?
, Maintain dry perineal dressings - CORRECT ANSWER A client returns from surgery
after undergoing an abdominal-perineal resection with a sigmoid colostomy. The
colostomy is dressed with petroleum jelly gauze and dry gauze dressings. The
perineal incision is partially closed with two drains attached to Jackson-Pratt
suction bulbs. During the early postoperative period, the nurse should give the
highest priority to which nursing action?
Intravenous drug abuse - CORRECT ANSWER What information in a client's history
indicates the highest risk factor for hepatitis C?
Apply a pressure-relieving mattress under the client. - CORRECT ANSWER A client
with advanced cirrhosis and hepatic encephalopathy is manifesting mounting
ascites and 4+ pitting edema of the feet and legs. The nurse identifies fluid leaking
from his skin when he is turned. Which intervention is most important for the
nurse to include in the client's plan of care?
Gonorrhea is often asymptomatic in women because the infection is not visible. -
CORRECT ANSWER A female client arrives at the clinic because her boyfriend
received the results of a Gram stain smear that revealed the presence of Neisseria
gonorrhoeae. The client tells the nurse that she has not had any symptoms and
almost did not come to the clinic. What information should the nurse provide the
client?
Notify HCP - CORRECT ANSWER A client with an open reduction and application of
an external fixator for open, comminuted fractures of the tibia and fibula begins
to complain of severe pain in the affected leg, which is not relieved by analgesics.
The client says the toes are numb and tingling, although they appear pink. What
action should the nurse implement?
