WGU C229 Final Exam With Actual
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass 2025/2026 /Latest
Update/Instant Download Pdf
1. Which of the following is the primary goal of evidence-based practice in nursing?
A. To reduce healthcare costs
B. To improve patient outcomes
C. To follow traditional nursing practices
D. To increase nurse workload
B. To improve patient outcomes
Rationale: Evidence-based practice integrates the best research evidence with clinical
expertise and patient values to enhance patient care outcomes.
2. The first step in the nursing process is:
A. Planning
B. Assessment
C. Implementation
D. Evaluation
B. Assessment
Rationale: The nursing process begins with assessment, which involves collecting
comprehensive patient data to identify needs.
3. A nurse is evaluating a patient’s response to a newly prescribed medication. This step
falls under which part of the nursing process?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
D. Evaluation
Rationale: Evaluation determines whether desired outcomes are met and informs whether
modifications to care are needed.
, 4. Which of the following best defines patient-centered care?
A. Focus on tasks to complete for the patient
B. Care that involves the patient in decision-making
C. Prioritizing hospital policies over patient preferences
D. Providing care according to provider convenience
B. Care that involves the patient in decision-making
Rationale: Patient-centered care emphasizes respect for patient preferences, needs, and
values in care planning and delivery.
5. When prioritizing nursing interventions, which patient should be seen first?
A. Patient with controlled hypertension
B. Patient with acute shortness of breath
C. Patient scheduled for routine lab tests
D. Patient requesting a health education session
B. Patient with acute shortness of breath
Rationale: Using Maslow’s hierarchy and ABCs, airway and breathing take priority in acute
situations.
6. Which of the following is an example of a secondary prevention measure?
A. Vaccination
B. Blood pressure screening
C. Teaching hand hygiene
D. Rehabilitation after stroke
B. Blood pressure screening
Rationale: Secondary prevention aims to detect disease early through screening and early
intervention.
7. A nurse identifies a patient’s problem as “Impaired physical mobility related to pain.”
This is an example of a:
A. Medical diagnosis
B. Nursing diagnosis
C. Collaborative problem
D. Risk factor
B. Nursing diagnosis
Rationale: Nursing diagnoses focus on patient responses to health conditions, rather than
the medical condition itself.
8. The SMART acronym for goal setting stands for:
A. Specific, Measurable, Achievable, Relevant, Time-bound
B. Simple, Manageable, Appropriate, Realistic, Timely
, C. Specific, Measurable, Accurate, Responsible, Timely
D. Significant, Meaningful, Achievable, Realistic, Timely
A. Specific, Measurable, Achievable, Relevant, Time-bound
Rationale: SMART goals provide clear, actionable, and trackable objectives for patient
care.
9. Which communication technique encourages patients to share more information?
A. Closed-ended questions
B. Leading questions
C. Open-ended questions
D. Giving advice
C. Open-ended questions
Rationale: Open-ended questions allow patients to express themselves fully, providing
richer information for assessment.
10. Which of the following actions demonstrates proper hand hygiene?
A. Rubbing hands with alcohol-based sanitizer for 10 seconds
B. Washing hands with soap and water for 15 seconds
C. Washing hands with soap and water for at least 20 seconds
D. Wiping hands with a paper towel
C. Washing hands with soap and water for at least 20 seconds
Rationale: Effective hand hygiene reduces the risk of healthcare-associated infections.
11. A patient with a history of COPD reports increased shortness of breath. Which
nursing action is the priority?
A. Administer prescribed inhaler
B. Provide teaching on COPD management
C. Document findings in the chart
D. Schedule a follow-up appointment
A. Administer prescribed inhaler
Rationale: Immediate intervention to alleviate respiratory distress takes priority.
12. Which of the following is a modifiable risk factor for cardiovascular disease?
A. Age
B. Family history
C. Smoking
D. Gender
C. Smoking
Rationale: Modifiable risk factors can be changed or controlled to reduce disease risk.
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass 2025/2026 /Latest
Update/Instant Download Pdf
1. Which of the following is the primary goal of evidence-based practice in nursing?
A. To reduce healthcare costs
B. To improve patient outcomes
C. To follow traditional nursing practices
D. To increase nurse workload
B. To improve patient outcomes
Rationale: Evidence-based practice integrates the best research evidence with clinical
expertise and patient values to enhance patient care outcomes.
2. The first step in the nursing process is:
A. Planning
B. Assessment
C. Implementation
D. Evaluation
B. Assessment
Rationale: The nursing process begins with assessment, which involves collecting
comprehensive patient data to identify needs.
3. A nurse is evaluating a patient’s response to a newly prescribed medication. This step
falls under which part of the nursing process?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
D. Evaluation
Rationale: Evaluation determines whether desired outcomes are met and informs whether
modifications to care are needed.
, 4. Which of the following best defines patient-centered care?
A. Focus on tasks to complete for the patient
B. Care that involves the patient in decision-making
C. Prioritizing hospital policies over patient preferences
D. Providing care according to provider convenience
B. Care that involves the patient in decision-making
Rationale: Patient-centered care emphasizes respect for patient preferences, needs, and
values in care planning and delivery.
5. When prioritizing nursing interventions, which patient should be seen first?
A. Patient with controlled hypertension
B. Patient with acute shortness of breath
C. Patient scheduled for routine lab tests
D. Patient requesting a health education session
B. Patient with acute shortness of breath
Rationale: Using Maslow’s hierarchy and ABCs, airway and breathing take priority in acute
situations.
6. Which of the following is an example of a secondary prevention measure?
A. Vaccination
B. Blood pressure screening
C. Teaching hand hygiene
D. Rehabilitation after stroke
B. Blood pressure screening
Rationale: Secondary prevention aims to detect disease early through screening and early
intervention.
7. A nurse identifies a patient’s problem as “Impaired physical mobility related to pain.”
This is an example of a:
A. Medical diagnosis
B. Nursing diagnosis
C. Collaborative problem
D. Risk factor
B. Nursing diagnosis
Rationale: Nursing diagnoses focus on patient responses to health conditions, rather than
the medical condition itself.
8. The SMART acronym for goal setting stands for:
A. Specific, Measurable, Achievable, Relevant, Time-bound
B. Simple, Manageable, Appropriate, Realistic, Timely
, C. Specific, Measurable, Accurate, Responsible, Timely
D. Significant, Meaningful, Achievable, Realistic, Timely
A. Specific, Measurable, Achievable, Relevant, Time-bound
Rationale: SMART goals provide clear, actionable, and trackable objectives for patient
care.
9. Which communication technique encourages patients to share more information?
A. Closed-ended questions
B. Leading questions
C. Open-ended questions
D. Giving advice
C. Open-ended questions
Rationale: Open-ended questions allow patients to express themselves fully, providing
richer information for assessment.
10. Which of the following actions demonstrates proper hand hygiene?
A. Rubbing hands with alcohol-based sanitizer for 10 seconds
B. Washing hands with soap and water for 15 seconds
C. Washing hands with soap and water for at least 20 seconds
D. Wiping hands with a paper towel
C. Washing hands with soap and water for at least 20 seconds
Rationale: Effective hand hygiene reduces the risk of healthcare-associated infections.
11. A patient with a history of COPD reports increased shortness of breath. Which
nursing action is the priority?
A. Administer prescribed inhaler
B. Provide teaching on COPD management
C. Document findings in the chart
D. Schedule a follow-up appointment
A. Administer prescribed inhaler
Rationale: Immediate intervention to alleviate respiratory distress takes priority.
12. Which of the following is a modifiable risk factor for cardiovascular disease?
A. Age
B. Family history
C. Smoking
D. Gender
C. Smoking
Rationale: Modifiable risk factors can be changed or controlled to reduce disease risk.
