WGU D439 HESI FUNDS PRACTICE QAs 1 Questions with 100% accurate solutions 2026-2027

What should the nurse obtain information about when a child has clear liquid popsicles made from flavored gelatin?

Whether they contain fruit or pulp

What outcome statement should the nurse use for a client with type 2 diabetes after discharge?

The client will adhere to the medication regimen after discharge.

What is the best response for a nurse when parents ask about lab results of their emancipated child?

I can only give medical information to your child because they are legally an adult.

What is the priority problem for a client with neuropathy and increasing numbness in the lower extremities?

Risk for impaired skin integrity.

What is the best response for a nurse when entering a client's room and finding them crying?

While touching the client's forearm, ask 'Would you like to talk about it?'

What approach should the nurse take when questioning a client about sexual activity?

Begin with questions that are less sensitive in nature.

What focus should the nurse direct a client's attention to during guided imagery for chronic pain?

Positive external places.

What finding should the nurse expect if a surgical incision is healing properly one week post-surgery?

A well approximated incision site.

What action should the nurse instruct to exercise hinge joints during active range of motion exercises?

Bend the arm by flexing the ulnar to the humerus.

What legal action can be taken when a nurse helps a victim at a motor vehicle collision?

Good Samaritan immunity.

What indicates that a UAP understands gloving procedures?

Puts on new gloves when entering a client's room.

What indicates understanding of three-point gait crutch walking?

Progresses to foot touchdown and weight bearing of affected leg.

What should the nurse assess during nasopharyngeal suctioning?

Observe the client's skin and mucous membranes.

What action should the nurse take when administering an intradermal injection?

Ensure bevel of the needle is pointing up.

What indicates a UAP needs additional teaching when feeding a client post-CVA at risk for aspiration?

Raises the head of the bed to 60 degrees.

What action should the nurse implement for a postoperative client on 2 L/min nasal cannula with O2 sat 89%?

Verify placement of pulse oximeter.

What actions should the nurse suggest to an older adult who awakens frequently at night?

Establish a regular bedtime/wake time; avoid caffeinated beverages late in the day.

What should the nurse do first when noticing a male client grimacing during transfer?

Ask the client what is making him grimace.

What indicates understanding of standard precautions when teaching syringes/needles for home meds?

Washes hands before handling the needle and syringe.

What interventions should be included for a paraplegic client with foul-smelling drainage from a sacral ulcer suspected of MRSA?

Monitor WBC; send drainage for culture/sensitivity; institute contact precautions.

What is the best first response for a client post-CVA with right arm paralysis struggling to dress?

Dressing must be a frustrating experience for you.

What should the nurse do when systolic BP by palpation shows radial pulse no longer palpable at 90 mm Hg?

Inflate cuff to 120 mm Hg.

When should the nurse use SBAR format?

Reporting a change in a client's condition to the healthcare provider.

What should the nurse instruct a UAP who requests a change in assignment for droplet precautions meningitis?

Instruct UAP that a standard face mask is sufficient.

What action should the nurse take when a client with an advance directive and healthcare POA vomits while receiving enteral nutrition via NG tube?

Perform oropharyngeal suctioning.

What intervention should the nurse implement for a client with chronic fecal incontinence when establishing bowel training?

Assist to bedside commode 30 minutes after meals.

What is the most important information to obtain when assuming care of a client with a UTI who had an indwelling catheter?

When the client voided following catheter removal.

What action should the nurse take when reviewing lab results showing blood glucose at 104 mg/dL?

No action needed; document/continue monitoring.

What should the nurse do when reviewing orders that include VS q4h, regular diet, cefazolin IV, metformin PO, and POC glucose q4h?

Clarify orders if needed—do NOT make the client NPO independently.

What intervention should the nurse implement first for a confused older adult who has trouble sleeping and wanders at night?

Provide a back rub at bedtime.

What instruction should the nurse include when teaching LMWH self-injection?

Inject abdominal area at least 2 inches from the umbilicus.

What constitutes a tort when administering an emergency sedative injection to an agitated client?

Placing a client in restraints without a healthcare provider order.

What action should the nurse take when seeing printed EMR copies left unattended?

Communicate the colleague's activities to the unit charge nurse.

What should the nurse do with the remainder of a Lorazepam IV dose after drawing it?

Ask another nurse to witness the medication being discarded.

What is the best initial nursing action for a client post total knee replacement who can't sleep due to severe incisional pain?

Instruct client in use of prescribed PCA pump.

What should the nurse do if a client gags during NGT insertion?

Give the client a few sips of water to drink.

What should the nurse do next if a new O2 order is for 3 L NC to keep sat 90-100% and the O2 sat is 85%?

Securely place prongs of cannula in the nostrils.

How many mL daily should a client take if prescribed cefixime 200 mg PO BID from a bottle of 100 mg/5 mL?

20 mL.

What is the best way to enter a 0900 occurrence that wasn't documented after daily charting at 1400?

Enter after 1400 notes and identify as 'late entry.'

NGN Bowtie:

Client has repeated large, loose stools. Vital signs: T 98.7°F, HR 73, BP 144/82. Order/plan includes placing the client on contact precautions. Select the most likely condition, 2 actions, and 2 parameters to monitor.

Condition:

Secretory diarrhea.

Actions:

Collect stool sample for testing/culture;

Make the client NPO.

Monitor:

Heart rate;

Serum potassium.

NGN SATA: A client is admitted for presumed pneumonia and takes insulin glargine 12 units AM and 10 units PM. The covering nurse gave the PM insulin dose but forgot to enter it in the electronic health record (EHR). The primary nurse later gave another dose because they were unaware it was already given. Which medication error prevention techniques would have helped avoid this error? (Select all that apply.)

A) Involve and educate clients in medication administration;

C) Document all medication in the electronic record as soon as it is given.

Rationale: The error was duplicate dosing caused by lack of real-time documentation/communication; patient involvement adds an extra safety check. Two identifiers prevent wrong-patient errors, not duplicate dosing to the same patient.