WGU D118 Final
Objective Assessment
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1. A nurse manager is reviewing a unit’s budget variance
report. Which finding requires the most immediate follow-
up?
A. Overtime costs exceeded projections by 2%
B. Supply expenses are under budget
,C. Medication errors increased after staffing reductions
D. Census is lower than expected
Answer: C. Medication errors increased after staffing
reductions
Rationale: Patient safety is the priority. Increased
medication errors may indicate unsafe staffing levels and
require immediate intervention.
2. Which leadership style is most effective during a hospital
disaster response?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C. Autocratic
Rationale: During emergencies, quick decision-making and
clear direction are necessary, making autocratic leadership
most effective.
3. A nurse delegates ambulation of a stable postoperative
client to an assistive personnel (AP). Which action by the
nurse is appropriate?
A. Assess the client after ambulation
B. Delegate client teaching to the AP
C. Ask the AP to evaluate pain level changes
D. Allow the AP to decide ambulation frequency
,Answer: A. Assess the client after ambulation
Rationale: The nurse retains accountability for assessment
and evaluation after delegated tasks.
4. Which statement best describes evidence-based practice
(EBP)?
A. Using only physician preferences for treatment
B. Combining research evidence with clinical expertise and
patient preferences
C. Following hospital tradition
D. Applying procedures without evaluating outcomes
Answer: B. Combining research evidence with clinical
expertise and patient preferences
Rationale: EBP integrates best current evidence, clinician
expertise, and patient values to improve outcomes.
5. A nurse manager identifies increased turnover on a
medical-surgical unit. Which intervention is most likely to
improve retention?
A. Increase mandatory overtime
B. Limit staff meetings
C. Implement shared governance
D. Reduce continuing education opportunities
Answer: C. Implement shared governance
, Rationale: Shared governance promotes staff participation
and autonomy, improving job satisfaction and retention.
6. Which task is appropriate for delegation to an
experienced unlicensed assistive personnel (UAP)?
A. Initial assessment of chest pain
B. Teaching insulin administration
C. Obtaining routine vital signs
D. Evaluating response to medication
Answer: C. Obtaining routine vital signs
Rationale: Routine, predictable tasks may be delegated to
trained UAPs.
7. A nurse manager is using benchmarking to improve
quality. Which action reflects benchmarking?
A. Comparing unit infection rates with national standards
B. Reviewing one client complaint
C. Scheduling annual evaluations
D. Revising a mission statement
Answer: A. Comparing unit infection rates with national
standards
Rationale: Benchmarking compares performance outcomes
with best practices or standards.
Objective Assessment
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
1. A nurse manager is reviewing a unit’s budget variance
report. Which finding requires the most immediate follow-
up?
A. Overtime costs exceeded projections by 2%
B. Supply expenses are under budget
,C. Medication errors increased after staffing reductions
D. Census is lower than expected
Answer: C. Medication errors increased after staffing
reductions
Rationale: Patient safety is the priority. Increased
medication errors may indicate unsafe staffing levels and
require immediate intervention.
2. Which leadership style is most effective during a hospital
disaster response?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C. Autocratic
Rationale: During emergencies, quick decision-making and
clear direction are necessary, making autocratic leadership
most effective.
3. A nurse delegates ambulation of a stable postoperative
client to an assistive personnel (AP). Which action by the
nurse is appropriate?
A. Assess the client after ambulation
B. Delegate client teaching to the AP
C. Ask the AP to evaluate pain level changes
D. Allow the AP to decide ambulation frequency
,Answer: A. Assess the client after ambulation
Rationale: The nurse retains accountability for assessment
and evaluation after delegated tasks.
4. Which statement best describes evidence-based practice
(EBP)?
A. Using only physician preferences for treatment
B. Combining research evidence with clinical expertise and
patient preferences
C. Following hospital tradition
D. Applying procedures without evaluating outcomes
Answer: B. Combining research evidence with clinical
expertise and patient preferences
Rationale: EBP integrates best current evidence, clinician
expertise, and patient values to improve outcomes.
5. A nurse manager identifies increased turnover on a
medical-surgical unit. Which intervention is most likely to
improve retention?
A. Increase mandatory overtime
B. Limit staff meetings
C. Implement shared governance
D. Reduce continuing education opportunities
Answer: C. Implement shared governance
, Rationale: Shared governance promotes staff participation
and autonomy, improving job satisfaction and retention.
6. Which task is appropriate for delegation to an
experienced unlicensed assistive personnel (UAP)?
A. Initial assessment of chest pain
B. Teaching insulin administration
C. Obtaining routine vital signs
D. Evaluating response to medication
Answer: C. Obtaining routine vital signs
Rationale: Routine, predictable tasks may be delegated to
trained UAPs.
7. A nurse manager is using benchmarking to improve
quality. Which action reflects benchmarking?
A. Comparing unit infection rates with national standards
B. Reviewing one client complaint
C. Scheduling annual evaluations
D. Revising a mission statement
Answer: A. Comparing unit infection rates with national
standards
Rationale: Benchmarking compares performance outcomes
with best practices or standards.
