WGU C483 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ The nurse enters a clients room to administer oral medication's and find an
unlicensed assistive personnel providing personal care to the client, whose
condition has obviously deteriorated. The client is lying in a supine position
and is weak, pale, and diaphoretic. Which is the priority nursing action?A)
Determine why the UAP did not notify the nurse of the change in the clients
condition.B) Advised the UAP to stop providing care so the nurse can assess
the clients condition.C) Explain to the UAP that changes in a clients
condition should be reported immediately.D) Ask for UAP to position the
client so the oral medication's can be administered..
Answer: B) Advised the UAP to stop providing care so the nurse can assess
the clients condition.
◍ The school nurse is called to the soccer field because a child has epistaxis.
In which position should the nurse place the child?A) Side-lying with the
head slightly elevated.B) Sitting up and leaning forward.C) Standing with
the head leaning backwards.D) Supine with the legs raised..
Answer: B) Sitting up and leaning forward.
◍ The nurse is caring for a non-ambulatory client with a reddened sacrum that
is unrelieved by repositioning. What nursing diagnosis should be included
on the client's plan of care? 1 Risk for pressure ulcer 2 Risk for impaired
skin integrity 3 Impaired skin integrity, related to infrequent turning and
repositioning 4 Impaired skin integrity, related to the effects of pressure and
shearing force.
Answer: 4
◍ Fidelity =.
Answer: Keeping promises; "Integrity"
,◍ The nurse notices that the mother a 9-year-old Vietnamese child always
looks at the floor when she talks to the nurse. What action should the nurse
take?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the child.
C. Ask another nurse to interview the mother now.
D. Tell the mother politely to look at you when answering..
Answer: Eye contact is a culturally-influenced form of non-verbal
communication. In some non-Western cultures, such as the Vietnamese
culture, a client or family member may avoid eye contact as a form of
respect, so the nurse should continue to ask the mother questions about the
child (B). (A, C, and D) are not indicated.Correct Answer: B
◍ NGN: Nurses Notes, saturation is low. Noted cyanosis in the clients lips.
Healthcare provider made aware.1310: pain rating for on a pain scale of 0 to
10. Temperature elevation noted. The client is anxious and using accessory
muscles to breathe. Alerted the surgeon about the client status. New orders
noted.(what does the nurse need to document at 1330? SATAA) urine
output.B) Respiratory rate.C) Blood pressure.D) Pain.E) Temperature.F)
Flow rate of oxygen.G) Oxygen saturation..
Answer: B) Respiratory rate.C) Blood pressure.D) Pain.E) Temperature.G)
Oxygen saturation.
◍ Acls and cpr asap!.
Answer: Asystole
◍ While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but
without drainage. Which is the most important action for the nurse to
take?A) Determine if the drainage has an unpleasant odor.B) Cleanse the
wound with a sterile saline solution.C) Monitor the clients white blood cell
count.D) Request a culture and sensitivity of the wound..
Answer: D) Request a culture and sensitivity of the wound.
◍ The nurse is providing education to a client who experiences recurrent levels
, of moderate anxiety to situation and perceived stress. In addition to
information about prescribe medication and administration, which
instruction should the nurse include in the teaching?A) Think about reasons
the episodes occur.B) Center attention on positive upbeat music.C) Practice
using muscle relaxation techniques.D) Find outlets for more social
interaction..
Answer: C) Practice using muscle relaxation techniques.
◍ A client with acute asthma exacerbation is manifesting inspiratory and
expiratory wheezes and a decreased forced expiratory volume. Which
prescribed drug class should the nurse administer first to the client?A)
Inhaled short acting beta two agonists.B) Inhaled corticosteroids.C)
Anti-cholinergics.D) Leukotriene modifiers..
Answer: B) Inhaled corticosteroids.
◍ An elderly male client who suffered a cerebral vascular accident is receiving
tube feedings via a gastrostomy tube. The nurse knows that the best position
for this client during administration of the feedings is A) prone. B) Fowler's.
C) Sims'. D) supine.
Answer: B) Fowler'sThe client should be positioned in a semi-sitting
(Fowler's) (B) position during feeding to decrease the occurrence of
aspiration. A gastrostomy tube, known as a PEG tube, due to placement by a
percutaneous endoscopic gastrostomy procedure, is inserted directly into the
stomach through an incision in the abdomen for long-term administration of
nutrition and hydration in the debilitated client. In (A and/or C), the client is
placed on the abdomen, an unsafe position for feeding. Placing the client in
(D) increases the risk of aspiration
◍ A client is to have mafenide (Sulfamylon) cream applied to burned areas.
For which serious side effect of mafenide therapy should the nurse monitor
this client?1Curling ulcer2Renal shutdown3Metabolic acidosis4Hemolysis
of red blood cells.
Answer: 3Mafenide interferes with the kidneys' role in hydrogen ion
excretion, resulting in metabolic acidosis. Curling ulcer, renal shutdown,
, and hemolysis of red blood cells are not adverse effects of the drugs.
◍ NGN: Match the activity with the most appropriate person to do the activity.
UAP, RN/RT-Provide mouth care.-Document changes in respiratory
status.-Set up the oxygen administration system.-Change the gauze under
the nasal cannula..
Answer: UAP-Provide mouth care.-Change the gauze under the nasal
cannula.RN/RT-Document changes in respiratory status.-Set up the oxygen
administration system.
◍ Client should the nurse assess frequently because of the risk for overflow
incontinence?A) a client with hematuria and decreasing hemoglobin and
hematocrit levels.B) A client who has been fast, with increased serum
creatinine levels.C) A client who is confused and frequently forgets to go to
the bathroom.D) A client who has a history of frequent urinary tract
infections..
Answer: C) A client who is confused and frequently forgets to go to the
bathroom.
◍ A child newly diagnosed with sickle cell anemia is being discharged from
the hospital. Which information is most important for the nurse to provide
the parents prior to discharge?A) Instructions about how much fluid the
child to drink daily.B) Referral for social services for the child and
family.C) Signs of addiction to opioid pain medications.D) Information
about nonpharmaceutical pain relief measures..
Answer: A) Instructions about how much fluid the child to drink daily.
◍ NGN: Orders, 1300 admit to the surgical unit, vital signs every four hours,
advanced diet as tolerated, administer lactated ringers IV at 85 mL per hour,
ibuprofen 800 mg PO every eight hours PRN for pain.(the nurse would
anticipate which of the following could be affecting the clients current
condition? SAT
A. A) stress.B) Medication.C) Anemia.D) Fever.E) Hypothermia.F)
Hypertension.G) Pain..
Answer: A) stress.B) Medication.G) Pain.
QUESTIONS WITH ANSWERS GRADED A+
◍ The nurse enters a clients room to administer oral medication's and find an
unlicensed assistive personnel providing personal care to the client, whose
condition has obviously deteriorated. The client is lying in a supine position
and is weak, pale, and diaphoretic. Which is the priority nursing action?A)
Determine why the UAP did not notify the nurse of the change in the clients
condition.B) Advised the UAP to stop providing care so the nurse can assess
the clients condition.C) Explain to the UAP that changes in a clients
condition should be reported immediately.D) Ask for UAP to position the
client so the oral medication's can be administered..
Answer: B) Advised the UAP to stop providing care so the nurse can assess
the clients condition.
◍ The school nurse is called to the soccer field because a child has epistaxis.
In which position should the nurse place the child?A) Side-lying with the
head slightly elevated.B) Sitting up and leaning forward.C) Standing with
the head leaning backwards.D) Supine with the legs raised..
Answer: B) Sitting up and leaning forward.
◍ The nurse is caring for a non-ambulatory client with a reddened sacrum that
is unrelieved by repositioning. What nursing diagnosis should be included
on the client's plan of care? 1 Risk for pressure ulcer 2 Risk for impaired
skin integrity 3 Impaired skin integrity, related to infrequent turning and
repositioning 4 Impaired skin integrity, related to the effects of pressure and
shearing force.
Answer: 4
◍ Fidelity =.
Answer: Keeping promises; "Integrity"
,◍ The nurse notices that the mother a 9-year-old Vietnamese child always
looks at the floor when she talks to the nurse. What action should the nurse
take?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the child.
C. Ask another nurse to interview the mother now.
D. Tell the mother politely to look at you when answering..
Answer: Eye contact is a culturally-influenced form of non-verbal
communication. In some non-Western cultures, such as the Vietnamese
culture, a client or family member may avoid eye contact as a form of
respect, so the nurse should continue to ask the mother questions about the
child (B). (A, C, and D) are not indicated.Correct Answer: B
◍ NGN: Nurses Notes, saturation is low. Noted cyanosis in the clients lips.
Healthcare provider made aware.1310: pain rating for on a pain scale of 0 to
10. Temperature elevation noted. The client is anxious and using accessory
muscles to breathe. Alerted the surgeon about the client status. New orders
noted.(what does the nurse need to document at 1330? SATAA) urine
output.B) Respiratory rate.C) Blood pressure.D) Pain.E) Temperature.F)
Flow rate of oxygen.G) Oxygen saturation..
Answer: B) Respiratory rate.C) Blood pressure.D) Pain.E) Temperature.G)
Oxygen saturation.
◍ Acls and cpr asap!.
Answer: Asystole
◍ While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but
without drainage. Which is the most important action for the nurse to
take?A) Determine if the drainage has an unpleasant odor.B) Cleanse the
wound with a sterile saline solution.C) Monitor the clients white blood cell
count.D) Request a culture and sensitivity of the wound..
Answer: D) Request a culture and sensitivity of the wound.
◍ The nurse is providing education to a client who experiences recurrent levels
, of moderate anxiety to situation and perceived stress. In addition to
information about prescribe medication and administration, which
instruction should the nurse include in the teaching?A) Think about reasons
the episodes occur.B) Center attention on positive upbeat music.C) Practice
using muscle relaxation techniques.D) Find outlets for more social
interaction..
Answer: C) Practice using muscle relaxation techniques.
◍ A client with acute asthma exacerbation is manifesting inspiratory and
expiratory wheezes and a decreased forced expiratory volume. Which
prescribed drug class should the nurse administer first to the client?A)
Inhaled short acting beta two agonists.B) Inhaled corticosteroids.C)
Anti-cholinergics.D) Leukotriene modifiers..
Answer: B) Inhaled corticosteroids.
◍ An elderly male client who suffered a cerebral vascular accident is receiving
tube feedings via a gastrostomy tube. The nurse knows that the best position
for this client during administration of the feedings is A) prone. B) Fowler's.
C) Sims'. D) supine.
Answer: B) Fowler'sThe client should be positioned in a semi-sitting
(Fowler's) (B) position during feeding to decrease the occurrence of
aspiration. A gastrostomy tube, known as a PEG tube, due to placement by a
percutaneous endoscopic gastrostomy procedure, is inserted directly into the
stomach through an incision in the abdomen for long-term administration of
nutrition and hydration in the debilitated client. In (A and/or C), the client is
placed on the abdomen, an unsafe position for feeding. Placing the client in
(D) increases the risk of aspiration
◍ A client is to have mafenide (Sulfamylon) cream applied to burned areas.
For which serious side effect of mafenide therapy should the nurse monitor
this client?1Curling ulcer2Renal shutdown3Metabolic acidosis4Hemolysis
of red blood cells.
Answer: 3Mafenide interferes with the kidneys' role in hydrogen ion
excretion, resulting in metabolic acidosis. Curling ulcer, renal shutdown,
, and hemolysis of red blood cells are not adverse effects of the drugs.
◍ NGN: Match the activity with the most appropriate person to do the activity.
UAP, RN/RT-Provide mouth care.-Document changes in respiratory
status.-Set up the oxygen administration system.-Change the gauze under
the nasal cannula..
Answer: UAP-Provide mouth care.-Change the gauze under the nasal
cannula.RN/RT-Document changes in respiratory status.-Set up the oxygen
administration system.
◍ Client should the nurse assess frequently because of the risk for overflow
incontinence?A) a client with hematuria and decreasing hemoglobin and
hematocrit levels.B) A client who has been fast, with increased serum
creatinine levels.C) A client who is confused and frequently forgets to go to
the bathroom.D) A client who has a history of frequent urinary tract
infections..
Answer: C) A client who is confused and frequently forgets to go to the
bathroom.
◍ A child newly diagnosed with sickle cell anemia is being discharged from
the hospital. Which information is most important for the nurse to provide
the parents prior to discharge?A) Instructions about how much fluid the
child to drink daily.B) Referral for social services for the child and
family.C) Signs of addiction to opioid pain medications.D) Information
about nonpharmaceutical pain relief measures..
Answer: A) Instructions about how much fluid the child to drink daily.
◍ NGN: Orders, 1300 admit to the surgical unit, vital signs every four hours,
advanced diet as tolerated, administer lactated ringers IV at 85 mL per hour,
ibuprofen 800 mg PO every eight hours PRN for pain.(the nurse would
anticipate which of the following could be affecting the clients current
condition? SAT
A. A) stress.B) Medication.C) Anemia.D) Fever.E) Hypothermia.F)
Hypertension.G) Pain..
Answer: A) stress.B) Medication.G) Pain.
