WGU D439 FOUNDATIONS OF
NURSING OA APPROVAL Q & A
(COPY) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS 100%
CORRECT!!!
Scenario 1: Prioritizing Patient Care
Question: The nurse is monitoring a group of four patients. Which clinical
finding should the nurse prioritize for immediate intervention?
Answer: A patient who maintains a respiratory rate of 25 breaths per minute
even after resting for 3 minutes post-activity. This suggests the patient is failing
to recover from exertional stress, signaling potential respiratory or cardiac
distress. ✔✔
Scenario 2: Post-Op Positioning (Semi-Fowler’s)
Question: After abdominal surgery, a patient expresses discomfort with being
placed in the semi-Fowler position and asks to lie flat. How should the nurse
explain the benefit of this position?
Answer: "By keeping your chest elevated above your abdomen, we reduce the
pressure on your incision and help your surgical drains work more effectively,
which prevents fluid buildup." ✔✔
Scenario 3: Patient Safety with Diuretics
Question: What is the most critical safety instruction a nurse should provide to
a patient starting a new diuretic prescription?
Answer: It is vital to transition between sitting, standing, and lying down very
slowly. This helps prevent sudden drops in blood pressure (orthostatic
hypotension) that could lead to dizziness or a fall. ✔✔
, The nurse recognizes that which statements made by a patient indicate an
understanding of behaviors that will promote sleep? (Select all that apply.)
"I will not watch television in bed."
"I will not drink caffeine later in the day."
"I will start to exercise regularly during the day."
Your patient is being discharged home and will be required to self-administer
injectable Heparin. You are observing the patient administer their scheduled
dose of Heparin to confirm that the patient knows how to do it correctly. What
action by the patient requires you to re-educate them about how to administer
Heparin?
The patient injects the needle 1 inch away from the umbilicus
A nurse caring for patients in a long-term care facility is often required to collect
urine specimens from patients for laboratory testing. Which techniques for urine
collection are performed correctly? Select all that apply.
The nurse collects about 3 mL of urine from a patient's indwelling catheter to
send for a urine culture.
The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
The nurse is caring for a 60-year-old client with a diagnosis of C-diff and is
incontinent who requires frequent linen changes. What should the nurse be most
concerned for
NURSING OA APPROVAL Q & A
(COPY) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS 100%
CORRECT!!!
Scenario 1: Prioritizing Patient Care
Question: The nurse is monitoring a group of four patients. Which clinical
finding should the nurse prioritize for immediate intervention?
Answer: A patient who maintains a respiratory rate of 25 breaths per minute
even after resting for 3 minutes post-activity. This suggests the patient is failing
to recover from exertional stress, signaling potential respiratory or cardiac
distress. ✔✔
Scenario 2: Post-Op Positioning (Semi-Fowler’s)
Question: After abdominal surgery, a patient expresses discomfort with being
placed in the semi-Fowler position and asks to lie flat. How should the nurse
explain the benefit of this position?
Answer: "By keeping your chest elevated above your abdomen, we reduce the
pressure on your incision and help your surgical drains work more effectively,
which prevents fluid buildup." ✔✔
Scenario 3: Patient Safety with Diuretics
Question: What is the most critical safety instruction a nurse should provide to
a patient starting a new diuretic prescription?
Answer: It is vital to transition between sitting, standing, and lying down very
slowly. This helps prevent sudden drops in blood pressure (orthostatic
hypotension) that could lead to dizziness or a fall. ✔✔
, The nurse recognizes that which statements made by a patient indicate an
understanding of behaviors that will promote sleep? (Select all that apply.)
"I will not watch television in bed."
"I will not drink caffeine later in the day."
"I will start to exercise regularly during the day."
Your patient is being discharged home and will be required to self-administer
injectable Heparin. You are observing the patient administer their scheduled
dose of Heparin to confirm that the patient knows how to do it correctly. What
action by the patient requires you to re-educate them about how to administer
Heparin?
The patient injects the needle 1 inch away from the umbilicus
A nurse caring for patients in a long-term care facility is often required to collect
urine specimens from patients for laboratory testing. Which techniques for urine
collection are performed correctly? Select all that apply.
The nurse collects about 3 mL of urine from a patient's indwelling catheter to
send for a urine culture.
The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
The nurse is caring for a 60-year-old client with a diagnosis of C-diff and is
incontinent who requires frequent linen changes. What should the nurse be most
concerned for
