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CASAL 1 WGU Fundamentals: Questions & A+ Answers
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CASAL 1 WGU Fundamentals: Questions & A+ Answers
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CASAL 1 WGU Fundamentals: Questions & A+ AnswersThe nurse encourages a patient with a history of heart failure to reduce
energy expenditure by alternating activity and rest. Which nursing process
phase is this?
A. Diagnosis
B. Planning
C. Implementation
D. Evaluation Right Ans - C
The nurse on the med-surg unit is interested in implementing evidence-based
practice. The nurse knows when evidence-based practice is utilized:
A. National health agencies create clinical practice guidelines that must be
used
B. Findings from randomized trials are used to plan care
C. Clinical decision-making and nursing judgement are used to find which
evidence works for each specific situation in clinical procedure
D. Nursing interventions are statistically analyzed by a nurse in relation to
patient outcomes to discover evidence for appropriate patient interventions
Right Ans - C
New nurses in orientation are learning about complaints of incident reports.
Which of the following incidents would require an incident report be filed?
A. Medications given 30 minutes early
B. Patient belongings lose when transferred
C. Frayed electrical wires on an IV pump
D. Medication order missing route of administration Right Ans - B
A nurse enters a patients room to deliver medications that are due and
discovers the patient is in the bathroom. Which of the following actions by the
nurse is appropriate?
A. Place the medication on the bedside table
B. Place the medication on the bedside and tell patient not to forget to take
them
C. Ask the patient to call when out bathroom then give meds
,D. Ask the patient to call when out of bathroom and leave meds on the bedside
table Right Ans - C
The nurse is preparing to perform a focused assessment of the patients
abdomen. Which of the following choices is correct order in which the focused
assessment is performed?
A. Palpation, Auscultation, Inspection, Percussion
B. Inspection, Palpation, Percussion, Auscultation
C. Percussion, Palpation, Inspection, Auscultation
D. Inspection, Auscultation, Percussion, Palpation Right Ans - D
A patient is in the clinic with complaints of "not feeling well." The nurse knows
the patient's primary defense against infection is:
A. Fever
B. Intact skin
C. Inflammation
D. Lethargy Right Ans - B
The nurse on the medical unit is caring for a patient who does not speak
English, and the nurse does not understand the patient's language. Which of
the following is most appropriate for the nurse to do when speaking with the
patient?
A. Have the patient's wife translate
B. Speak using medical terminology to avoid misunderstanding
C. Keep in mind translation is more important than nonverbal
D. Have a certified medical interpreter translate Right Ans - D
The nurse is completing the preoperative checklist for a patient scheduled for
surgery. In reviewing the chart, the nurse finds the consent has not been
signed by the patient. When the patient starts asking questions regarding the
surgery, what is the next action the nurse should take?
A. Have the patient sign the form
B. Tell the patient all questions will be answered by surgeon before
administration of anesthetic
C. Contact the surgeon to inform them the patient has questions
,D. Answer all the patient's questions Right Ans - C
The nurse is caring for a patient who had an endoscopic total hysterectomy
and is now experiencing urinary retention. The nurse is prepearing to contact
the healthcare provider using SBAR. Which of the following questions is a part
of SBAR communication?
A. Could you tell me what I need to do?
B. What do you need to know about the patient?
C. I believe the patient needs a urinary catheter?
D. Why do you think the patient is unable to urinate? Right Ans - C
A patient is recovering from a total abdominal hysterectomy. When assessed
by the nurses eight hours after the procedure, which of the following would
the nurse identify as an early sign of shock?
A. Restlessness
B. Warm, dry skin that is pale
C. Heart rate of 115 bpm
D. Urine output 50 mL/hr Right Ans - A
A patient is admitted to the emergency room complaining of shortness of
breath. The nurse knows the patient will be evaluated for hypoxia and
anticipates the healthcare provider ordering which test?
A. Complete blood count
B. Sputum culture
C. Hemoglobin
D. Arterial blood gas Right Ans - D
Emergency medical services brings an unconscious adult to the emergency
room. When the nurse performs a rapid assessment, the location to check the
pulse is:
A. Radial
B. Brachial
C. Femoral
D. Carotid Right Ans - D
, A patient is admitted to the med-surg unit with MRSA of a wound. The nurse
initiates contact precautions, which includes use of which of the following?
A. Clean gown and gloves
B. N-95 mask
C. Biohazard bin placed in room
D. Negative airflow room Right Ans - A
A patient in the med-surg unit tells the nurse they haven't had a bowel
movement in two days. What is the first intervention the nurse should
implement?
A. Review the patient's med record to determine normal bowel movement
B. Offer prune juice with every meal
C. Call the healthcare provider
D. Increase the patients oral fluid intake Right Ans - A
A 40-year old patient in the clinic tells the nurse they have frequent
constipation. The patient has taken steps to remedy the constipation but
would like to prevent it with a bowel-training program. Which of the following
is of greatest concern to the nurse?
A. The patient does not eat any fruit or vegetables
B. The patient drinks 2 liters of water daily
C. The patient exercises 3-4 days a week
D. The patient's house recently tested positive for lead Right Ans - D
A patient appears anxious about an upcoming procedure. Which of the
following responses by the nurse will reduce the patient's anxiety?
A. Don't worry. It will be fine.
B. Read the pamphlet about the procedure and let me know if have any
questions.
C. I will turn on some music for you
D. Would you like to talk about what is bothering you? Right Ans - D
A patient is admitted to the cardiac unit after myocardial infarction. The
patient tells the nurse they don't want their spouse to know what happened.
What is the best response by the nurse?
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