WGU D439 Foundations of Nursing Exam 2026 | 158
Questions & Answers | Latest Update | Exam Prep |
100% Pass Guarantee
1. What is the primary characteristic of primary intention in wound healing?
The edges of the wound are brought together.
There is significant scarring.
The wound heals by granulation tissue formation.
The wound remains open to heal naturally.
2. The nurse notices a client grimacing while moving from the bed to a chair,
but when asked about the pain the client denies having any pain. Which
intervention should the nurse implement first?
Administer PRN oral pain medication.
Review the pain medication prescribed.
Ask the client what is causing the grimacing.
Monitor the client's nonverbal behavior.
3. In a clinical scenario, if a newborn is exposed to a disease, what role does
passive immunity play in their protection?
Passive immunity requires the newborn to receive vaccinations.
Passive immunity only protects against bacterial infections, not viral
ones.
Passive immunity provides immediate protection through maternal
antibodies transferred during pregnancy or breastfeeding.
Passive immunity has no effect on newborns since they have not
developed their own immune system.
,4. Bowlby's 6 stages of normal grief reaction include:
guilt - anxiety - shock - numbness - loneliness - anger
mourn - turn away - let go - adjust - accept - rebuild
shock/disbelief - searching/pining - mixed feelings surface -
disorganization/despair - reorganization/coping -
reconnection/resolution
numbness - dejection - rejection - anger - loss - avoidance
5. Describe how environmental modifications can contribute to fall prevention
in elderly patients.
Environmental modifications only apply to younger patients.
Environmental modifications are unnecessary if the patient is
physically active.
Environmental modifications can increase the risk of falls.
Environmental modifications, such as removing obstacles and
ensuring adequate lighting, help create a safer space for elderly
patients.
6. Surgical asepsis is the:
surgical removal of organisms from patient
complete removal of organisms from equipment and environment
spreading of organisms during surgery
surgical removal of microorganisms
,7. If a nurse observes a patient grimacing during a procedure but the patient
insists they are not in pain, what should the nurse do next to ensure proper
care?
The nurse should ignore the grimacing and proceed with the
procedure.
The nurse should ask the patient to leave the room.
The nurse should conduct a thorough assessment to evaluate the
patient's condition.
The nurse should assume the patient is not in pain.
8. What is the primary concern for a patient experiencing nausea, vomiting, and
diarrhea?
Pain management
Infection
Dehydration
Malnutrition
9. Describe the significance of identifying a stage one pressure wound in
patient care.
Identifying a stage one pressure wound is crucial as it indicates
early tissue damage that can be prevented from progressing.
Stage one pressure wounds are not significant and can be ignored.
Stage one pressure wounds are the same as stage two wounds.
Stage one pressure wounds indicate a need for surgical intervention.
10. What is the definition of passive immunity?
, Passive immunity occurs only after vaccination.
Passive immunity is the transfer of antibodies from one individual to
another.
Passive immunity is a type of innate immunity.
Passive immunity is the body's own production of antibodies.
11. A patient with bowel incontinence is hesitant to discuss their condition. How
should the nurse approach this situation to encourage communication?
Discuss the patient's condition with other staff without consent.
Pressure the patient to talk about their condition immediately.
Ignore the patient's reluctance and proceed with assessments.
Use therapeutic communication techniques to create a trusting
environment.
12. What are the seven steps of effective wound management?
Assess, Cleanse, Protect, Fill, Cover, Secure, Evaluate
Assess, Cleanse, Protect, Fill, Cover, Diagnose, Evaluate
Assess, Cleanse, Protect, Fill, Suture, Secure, Evaluate
Assess, Cleanse, Protect, Graft, Cover, Secure, Evaluate
13. What type of fluid is characterized as serous drainage from a wound?
Red, bloody fluid
Thick, yellow pus
Brown, foul-smelling fluid
Clear, watery fluid
Questions & Answers | Latest Update | Exam Prep |
100% Pass Guarantee
1. What is the primary characteristic of primary intention in wound healing?
The edges of the wound are brought together.
There is significant scarring.
The wound heals by granulation tissue formation.
The wound remains open to heal naturally.
2. The nurse notices a client grimacing while moving from the bed to a chair,
but when asked about the pain the client denies having any pain. Which
intervention should the nurse implement first?
Administer PRN oral pain medication.
Review the pain medication prescribed.
Ask the client what is causing the grimacing.
Monitor the client's nonverbal behavior.
3. In a clinical scenario, if a newborn is exposed to a disease, what role does
passive immunity play in their protection?
Passive immunity requires the newborn to receive vaccinations.
Passive immunity only protects against bacterial infections, not viral
ones.
Passive immunity provides immediate protection through maternal
antibodies transferred during pregnancy or breastfeeding.
Passive immunity has no effect on newborns since they have not
developed their own immune system.
,4. Bowlby's 6 stages of normal grief reaction include:
guilt - anxiety - shock - numbness - loneliness - anger
mourn - turn away - let go - adjust - accept - rebuild
shock/disbelief - searching/pining - mixed feelings surface -
disorganization/despair - reorganization/coping -
reconnection/resolution
numbness - dejection - rejection - anger - loss - avoidance
5. Describe how environmental modifications can contribute to fall prevention
in elderly patients.
Environmental modifications only apply to younger patients.
Environmental modifications are unnecessary if the patient is
physically active.
Environmental modifications can increase the risk of falls.
Environmental modifications, such as removing obstacles and
ensuring adequate lighting, help create a safer space for elderly
patients.
6. Surgical asepsis is the:
surgical removal of organisms from patient
complete removal of organisms from equipment and environment
spreading of organisms during surgery
surgical removal of microorganisms
,7. If a nurse observes a patient grimacing during a procedure but the patient
insists they are not in pain, what should the nurse do next to ensure proper
care?
The nurse should ignore the grimacing and proceed with the
procedure.
The nurse should ask the patient to leave the room.
The nurse should conduct a thorough assessment to evaluate the
patient's condition.
The nurse should assume the patient is not in pain.
8. What is the primary concern for a patient experiencing nausea, vomiting, and
diarrhea?
Pain management
Infection
Dehydration
Malnutrition
9. Describe the significance of identifying a stage one pressure wound in
patient care.
Identifying a stage one pressure wound is crucial as it indicates
early tissue damage that can be prevented from progressing.
Stage one pressure wounds are not significant and can be ignored.
Stage one pressure wounds are the same as stage two wounds.
Stage one pressure wounds indicate a need for surgical intervention.
10. What is the definition of passive immunity?
, Passive immunity occurs only after vaccination.
Passive immunity is the transfer of antibodies from one individual to
another.
Passive immunity is a type of innate immunity.
Passive immunity is the body's own production of antibodies.
11. A patient with bowel incontinence is hesitant to discuss their condition. How
should the nurse approach this situation to encourage communication?
Discuss the patient's condition with other staff without consent.
Pressure the patient to talk about their condition immediately.
Ignore the patient's reluctance and proceed with assessments.
Use therapeutic communication techniques to create a trusting
environment.
12. What are the seven steps of effective wound management?
Assess, Cleanse, Protect, Fill, Cover, Secure, Evaluate
Assess, Cleanse, Protect, Fill, Cover, Diagnose, Evaluate
Assess, Cleanse, Protect, Fill, Suture, Secure, Evaluate
Assess, Cleanse, Protect, Graft, Cover, Secure, Evaluate
13. What type of fluid is characterized as serous drainage from a wound?
Red, bloody fluid
Thick, yellow pus
Brown, foul-smelling fluid
Clear, watery fluid
