WGU D445 NURS 3118 Intermediate Nursing Skills OA READINESS EXAM GUIDE Q & S 2026/2027

D445 NURS 3118
Intermediate Nursing Skills
OA READINESS EXAM GUIDE
Q & S
©2026/2027
1. Multiple Choice: Which of the following is a critical step in the
management of a patient with a suspected stroke?
 A) Immediate administration of oral anticoagulants
 B) Assessment for thrombolytic therapy eligibility
 C) Placement in a supine position
 D) Administration of high-flow oxygen
 Correct Answer: B) Assessment for thrombolytic therapy
eligibility
 Rationale: Rapid assessment for thrombolytic therapy is crucial
in the management of a stroke to determine if the patient is a
candidate for this treatment, which can significantly improve
outcomes if administered within the appropriate time frame.
2. Fill-in-the-Blank: The most common early sign of a pressure
ulcer in an immobilized patient is ________.
 Correct Answer: Non-blanchable erythema
 Rationale: Non-blanchable erythema indicates persistent
redness and is often the first sign of skin damage that may
progress to a pressure ulcer if not addressed promptly.
3. True/False: Hyperglycemia is less detrimental to wound
healing than hypoglycemia.
 Correct Answer: False
 Rationale: Both hyperglycemia and hypoglycemia can impair
wound healing. However, hyperglycemia can lead to increased
infections and delayed wound healing due to its effects on the
immune system and blood flow.
4. Multiple Response: Select all that apply. Which of the
following are essential components of a fall prevention protocol
©2026/2027
in a healthcare setting?
 A) Regularly scheduled toileting rounds
 B) Use of high-top shoes for all patients
 C) Bed alarms for high-risk patients
 D) Adequate lighting in patient rooms
  : A) Regularly scheduled toileting rounds, C)