WGU D440 -HESI RN FUNDAMENTALS EXIT EXAM LATEST
2026-2027 ACTUAL EXAM 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)
Which action should the nurse implement when providing wound care instructions to
a client who does not speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions.
B
Rationale: Wound care instructions should be given directly to the client by the nurse
with an interpreter who is trained to provide accurate and objective translation in the
client's primary language so that the client has the opportunity to ask questions
during the teaching process. The interpreter usually does not have any health care
experience, so the nurse must provide client teaching. Family members should not
be used to translate instructions because the client or family member may alter the
instructions during conversation or be uncomfortable with the topics discussed. The
employee should be a trained interpreter to ensure that the nurse's instructions are
understood accurately by the client.
,A 75-year-old client states to the nurse, "I am just not hungry anymore." The client has
lost 10 pounds/4.53 kg in the past 4 months. Which snacks will the nurse recommend
to the client? (Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk
A, B, D, E
Rationale: The nurse must recommend high calorie/high nutrition foods for this client
who is unintentionally losing weight. The candy bar is high calorie, but empty in
nutritional value. The remaining selections are high calorie/high nutrition.
,A client in a long-term care facility reports to the nurse, "I have not had a bowel
movement in 2 days." What is the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day.
C
Rationale: This client may not routinely have a daily bowel movement, so the nurse
should first assess this client's normal bowel habits before attempting any
intervention. Options A, B, or D may then be implemented, if warranted.
, The postoperative client states to the nurse, "When I had surgery last year I got
constipated. It was miserable. What can I do to avoid constipation after this surgery
this time?" (Select all that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and
vegetables."
F.
"When you are resting in bed, make sure you are flat on your back."
A, B, D, E
Rationale: Pain medication can be constipating, and should only be taken when
needed. When in bed, use gravity to help move the contents of the bowel by sitting
upright. The remaining selections are correct. When postoperative, it may take up to
48 hours after a general diet is started to have a bowel movement.
2026-2027 ACTUAL EXAM 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)
Which action should the nurse implement when providing wound care instructions to
a client who does not speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions.
B
Rationale: Wound care instructions should be given directly to the client by the nurse
with an interpreter who is trained to provide accurate and objective translation in the
client's primary language so that the client has the opportunity to ask questions
during the teaching process. The interpreter usually does not have any health care
experience, so the nurse must provide client teaching. Family members should not
be used to translate instructions because the client or family member may alter the
instructions during conversation or be uncomfortable with the topics discussed. The
employee should be a trained interpreter to ensure that the nurse's instructions are
understood accurately by the client.
,A 75-year-old client states to the nurse, "I am just not hungry anymore." The client has
lost 10 pounds/4.53 kg in the past 4 months. Which snacks will the nurse recommend
to the client? (Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk
A, B, D, E
Rationale: The nurse must recommend high calorie/high nutrition foods for this client
who is unintentionally losing weight. The candy bar is high calorie, but empty in
nutritional value. The remaining selections are high calorie/high nutrition.
,A client in a long-term care facility reports to the nurse, "I have not had a bowel
movement in 2 days." What is the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day.
C
Rationale: This client may not routinely have a daily bowel movement, so the nurse
should first assess this client's normal bowel habits before attempting any
intervention. Options A, B, or D may then be implemented, if warranted.
, The postoperative client states to the nurse, "When I had surgery last year I got
constipated. It was miserable. What can I do to avoid constipation after this surgery
this time?" (Select all that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and
vegetables."
F.
"When you are resting in bed, make sure you are flat on your back."
A, B, D, E
Rationale: Pain medication can be constipating, and should only be taken when
needed. When in bed, use gravity to help move the contents of the bowel by sitting
upright. The remaining selections are correct. When postoperative, it may take up to
48 hours after a general diet is started to have a bowel movement.
