WGU D027 OBJECTIVE ASSESSMENT FINAL
EXAM 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS!!
<LATEST VERSION>
1. A nurse enters a client’s room without knocking and begins a procedure
without explaining it. This violates which ethical principle?
A) Justice
B) Beneficence
C) Autonomy ✅
D) Fidelity
Answer: C
Autonomy is respecting the client’s independence, privacy, and right to
information.
2. A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The
nurse’s priority action is to:
A) Lower the flow rate ✅
B) Increase fluids
C) Encourage coughing
D) Place in high Fowler’s
Answer: A
High-flow oxygen can suppress hypoxic drive in COPD; limit to ≤2 L/min
unless prescribed otherwise.
3. Which client is at greatest risk for fluid volume deficit?
A) An older adult with diarrhea ✅
, B) A teen with mild sore throat
C) A middle-aged adult with controlled hypertension
D) A child recovering from a simple fracture
Answer: A
Older adults with fluid losses are most vulnerable to dehydration.
4. When prioritizing care using Maslow’s hierarchy, which client should the
nurse assess first?
A) Client requesting pain medication
B) Client with O2 sat 82% ✅
C) Client upset about diagnosis
D) Client asking about discharge
Answer: B
Airway/breathing needs (ABCs) come before other concerns.
5. A nurse delegates vital signs for a stable client to an unlicensed assistive
personnel (UAP). Which follow-up is most appropriate?
A) Document that vitals were taken
B) Reassess the vitals personally ✅
C) Trust the UAP’s work without checking
D) Ask the client about symptoms only
Answer: B
The nurse retains accountability and must validate data accuracy.
6. Which statement by a client taking warfarin shows correct understanding?
A) “I will eat more spinach and kale.”
B) “I’ll use an electric razor instead of a blade.” ✅
C) “I should stop taking it if my gums bleed.”
D) “I’ll avoid blood tests unless I feel sick.”
Answer: B
, Clients on anticoagulants should minimize bleeding risks and comply with
INR monitoring.
7. The most effective method to prevent catheter-associated urinary tract
infections (CAUTIs) is:
A) Irrigating the catheter daily
B) Changing catheter every 3 days
C) Using sterile technique during insertion ✅
D) Collecting urine every shift
Answer: C
Infection prevention begins at insertion with aseptic technique.
8. A nurse finds a client on the floor. What is the priority action?
A) Call provider
B) Assess for injuries ✅
C) Fill out incident report
D) Ask what happened
Answer: B
Client safety and injury assessment come first.
9. A nurse is teaching about insulin administration. Which site allows the
fastest absorption?
A) Thigh
B) Abdomen ✅
C) Buttocks
D) Upper arm
Answer: B
Abdomen provides most consistent, fastest absorption.
, 10. Which finding is a contraindication for administering a beta-blocker?
A) Hypertension
B) Angina
C) Asthma ✅
D) Tachycardia
Answer: C
Beta-blockers may cause bronchospasm, especially in asthma.
11. A client reports difficulty sleeping in the hospital. The nurse’s best action is
to:
A) Administer sleep medication immediately
B) Offer warm milk and decrease noise ✅
C) Ask about past dreams
D) Ignore since hospitalization is stressful
Answer: B
Non-pharmacological interventions are first-line.
12. Which isolation precaution is required for a client with tuberculosis?
A) Contact
B) Airborne ✅
C) Droplet
D) Standard only
Answer: B
TB requires airborne isolation and N95 respirator.
13. A nurse is assessing an IV site and notes redness and warmth. This indicates:
A) Infiltration
B) Phlebitis ✅
C) Infection
D) Occlusion
EXAM 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS!!
<LATEST VERSION>
1. A nurse enters a client’s room without knocking and begins a procedure
without explaining it. This violates which ethical principle?
A) Justice
B) Beneficence
C) Autonomy ✅
D) Fidelity
Answer: C
Autonomy is respecting the client’s independence, privacy, and right to
information.
2. A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The
nurse’s priority action is to:
A) Lower the flow rate ✅
B) Increase fluids
C) Encourage coughing
D) Place in high Fowler’s
Answer: A
High-flow oxygen can suppress hypoxic drive in COPD; limit to ≤2 L/min
unless prescribed otherwise.
3. Which client is at greatest risk for fluid volume deficit?
A) An older adult with diarrhea ✅
, B) A teen with mild sore throat
C) A middle-aged adult with controlled hypertension
D) A child recovering from a simple fracture
Answer: A
Older adults with fluid losses are most vulnerable to dehydration.
4. When prioritizing care using Maslow’s hierarchy, which client should the
nurse assess first?
A) Client requesting pain medication
B) Client with O2 sat 82% ✅
C) Client upset about diagnosis
D) Client asking about discharge
Answer: B
Airway/breathing needs (ABCs) come before other concerns.
5. A nurse delegates vital signs for a stable client to an unlicensed assistive
personnel (UAP). Which follow-up is most appropriate?
A) Document that vitals were taken
B) Reassess the vitals personally ✅
C) Trust the UAP’s work without checking
D) Ask the client about symptoms only
Answer: B
The nurse retains accountability and must validate data accuracy.
6. Which statement by a client taking warfarin shows correct understanding?
A) “I will eat more spinach and kale.”
B) “I’ll use an electric razor instead of a blade.” ✅
C) “I should stop taking it if my gums bleed.”
D) “I’ll avoid blood tests unless I feel sick.”
Answer: B
, Clients on anticoagulants should minimize bleeding risks and comply with
INR monitoring.
7. The most effective method to prevent catheter-associated urinary tract
infections (CAUTIs) is:
A) Irrigating the catheter daily
B) Changing catheter every 3 days
C) Using sterile technique during insertion ✅
D) Collecting urine every shift
Answer: C
Infection prevention begins at insertion with aseptic technique.
8. A nurse finds a client on the floor. What is the priority action?
A) Call provider
B) Assess for injuries ✅
C) Fill out incident report
D) Ask what happened
Answer: B
Client safety and injury assessment come first.
9. A nurse is teaching about insulin administration. Which site allows the
fastest absorption?
A) Thigh
B) Abdomen ✅
C) Buttocks
D) Upper arm
Answer: B
Abdomen provides most consistent, fastest absorption.
, 10. Which finding is a contraindication for administering a beta-blocker?
A) Hypertension
B) Angina
C) Asthma ✅
D) Tachycardia
Answer: C
Beta-blockers may cause bronchospasm, especially in asthma.
11. A client reports difficulty sleeping in the hospital. The nurse’s best action is
to:
A) Administer sleep medication immediately
B) Offer warm milk and decrease noise ✅
C) Ask about past dreams
D) Ignore since hospitalization is stressful
Answer: B
Non-pharmacological interventions are first-line.
12. Which isolation precaution is required for a client with tuberculosis?
A) Contact
B) Airborne ✅
C) Droplet
D) Standard only
Answer: B
TB requires airborne isolation and N95 respirator.
13. A nurse is assessing an IV site and notes redness and warmth. This indicates:
A) Infiltration
B) Phlebitis ✅
C) Infection
D) Occlusion
