1|Page
NSE 111: MIDTERM REVIEW RYERSON
UNIVERSITY | QUESTION 1-100 AND
ANSWERS UPDATED 2026/2027 |
DETAILED RATIONALES – PRACTICE
FOR A+ PERFORMANCE | INSTANT
STUDY GUIDE
Important note: The exact course title and official learning objectives for NSE 111 at Toronto
Metropolitan University (formerly Ryerson University) have not been established from the exam
name alone. The practice questions should be aligned with your actual course materials rather
than presented as officially verified exam questions. Share your course outline or midterm topics
if you want precise alignment.
2. INTRODUCTION
NSE 111: Foundations for Nursing Practice is an introductory nursing course in the Toronto
Metropolitan University Collaborative Nursing Degree Program. It prepares nursing students to
perform essential nursing skills safely, apply infection prevention and control principles, support
activities of daily living, and provide person-centred care in clinical and simulated healthcare
settings. The course integrates practical skills with clinical reasoning, professional responsibility,
and the nursing process.
Toronto Metropolitan University (TMU)
+1
This practice question bank is designed for first-year nursing students preparing for their NSE
111 midterm review. It emphasizes scenario-based multiple-choice questions that require clinical
judgment rather than simple memorization. The main practice areas include infection prevention,
standard precautions, hand hygiene, personal protective equipment, safe patient handling,
mobility, positioning, fall prevention, bed making, and the principles of hygienic care.
Each question includes four answer choices, one best answer, and a rationale explaining why the
correct response is appropriate and why the alternatives are less appropriate. Use the questions to
identify knowledge gaps, strengthen clinical decision-making, and prepare for practical
applications of nursing theory. These are original study questions, not an official university
examination or verified exam key. Performance depends on your preparation, course materials,
and demonstrated competence.
,2|Page
3. CONTENT AREA OVERVIEW
The following overview uses the published course description and the topic sequence reported in
a Fall 2025 NSE 111 syllabus. Exact midterm coverage and grading weights may vary by
instructor.
Toronto Metropolitan University (TMU)
+1
NSE 111 — Midterm Content Blueprint
Practice allocation for this question bank; not official university exam weights.
Content area Questions Key topics Weight
Person-centred care and Consent, dignity, privacy, assessment,
1–10 10%
foundational practice communication
Hand hygiene, PPE, standard precautions,
Infection prevention and control 11–30 20%
isolation, sharps
Mobility, positioning and Pressure injury prevention, alignment,
31–50 20%
immobility ROM, complications
Transfers, ambulation and safe Gait belts, assistive devices, falls,
51–70 20%
handling mechanical lifts
Hygiene, bed making and Occupied beds, personal care, oral
71–85 15%
environment hygiene, linen
Elimination, nutrition and Intake, aspiration prevention, toileting,
86–100 15%
integrated scenarios clinical judgment
4. QUESTIONS SECTION
Content area overview — quick reference
Question range • Key topics • Practice weight
1–10 — Person-centred care
10%
Consent, dignity, privacy, assessment and communication.
11–30 — Infection control
,3|Page
20%
Hand hygiene, PPE, precautions and safe disposal.
31–50 — Positioning and immobility
20%
Skin integrity, alignment, movement and complications.
51–70 — Transfers and ambulation
20%
Fall prevention, assistive devices and transfer safety.
71–85 — Hygiene and bed making
15%
Personal hygiene, linen handling and environmental safety.
86–100 — Integrated care
15%
Nutrition, elimination and application of safe nursing care.
QUESTIONS 1–100
Domain 1: Person-Centred Care and Foundational Nursing
Practice
Q1: A nurse is preparing to assist a client with bathing. The client says, “I would prefer to wash
my upper body myself, but I need help with my legs.” Which response best demonstrates person-
centred care?
A) Explain that completing the bath independently would take too long.
B) Encourage the client to wash the areas they can manage and assist with the areas they cannot
reach.
C) Complete the entire bath to ensure consistent hygiene.
, 4|Page
D) Ask a family member to perform the bath instead.
Rationale: B is correct because it supports autonomy, dignity, independence, and individualized
assistance. A prioritizes staff convenience over the client's preferences. C unnecessarily removes
the client's opportunity to participate. D transfers responsibility without first obtaining the client's
consent or determining whether family involvement is appropriate.
Q2: Before providing personal care, a nurse explains the procedure. The client then withdraws
consent and asks the nurse to leave. What is the most appropriate response?
A) Continue because the procedure is necessary for hygiene.
B) Ask another nurse to perform the procedure immediately.
C) Tell the client that refusing care will be documented as noncompliance.
D) Stop the procedure, clarify the client's concerns, and discuss acceptable alternatives.
Rationale: D is correct because consent is ongoing, and a capable client may refuse care. The
nurse should respect the decision, explore concerns without coercion, and explain relevant
consequences or alternatives. A disregards autonomy. B does not resolve the refusal and may be
coercive. C uses threatening language and fails to support informed decision-making.
Q3: A nurse enters a shared room to assist a client with dressing. Another client is awake in the
adjacent bed. Which action best protects privacy?
A) Speak quietly but leave the curtain open so staff can observe.
B) Ask the other client to close their eyes.
C) Close the privacy curtain, expose only the area being cared for, and discuss sensitive
information discreetly.
D) Move the client into the corridor to finish dressing more quickly.
Rationale: C is correct because it combines environmental privacy, appropriate draping, and
confidential communication. A does not adequately protect visual privacy. B improperly places
responsibility on the neighbouring client. D exposes the client to unnecessary public viewing and
does not create a private environment.
Q4: During a routine interaction, a client becomes visibly distressed and refuses assistance. The
client has no immediate signs of medical instability. What should the nurse do first?
A) Complete the task quickly before the client becomes more distressed.
B) Pause, acknowledge the distress, and ask the client what would help them feel comfortable.
NSE 111: MIDTERM REVIEW RYERSON
UNIVERSITY | QUESTION 1-100 AND
ANSWERS UPDATED 2026/2027 |
DETAILED RATIONALES – PRACTICE
FOR A+ PERFORMANCE | INSTANT
STUDY GUIDE
Important note: The exact course title and official learning objectives for NSE 111 at Toronto
Metropolitan University (formerly Ryerson University) have not been established from the exam
name alone. The practice questions should be aligned with your actual course materials rather
than presented as officially verified exam questions. Share your course outline or midterm topics
if you want precise alignment.
2. INTRODUCTION
NSE 111: Foundations for Nursing Practice is an introductory nursing course in the Toronto
Metropolitan University Collaborative Nursing Degree Program. It prepares nursing students to
perform essential nursing skills safely, apply infection prevention and control principles, support
activities of daily living, and provide person-centred care in clinical and simulated healthcare
settings. The course integrates practical skills with clinical reasoning, professional responsibility,
and the nursing process.
Toronto Metropolitan University (TMU)
+1
This practice question bank is designed for first-year nursing students preparing for their NSE
111 midterm review. It emphasizes scenario-based multiple-choice questions that require clinical
judgment rather than simple memorization. The main practice areas include infection prevention,
standard precautions, hand hygiene, personal protective equipment, safe patient handling,
mobility, positioning, fall prevention, bed making, and the principles of hygienic care.
Each question includes four answer choices, one best answer, and a rationale explaining why the
correct response is appropriate and why the alternatives are less appropriate. Use the questions to
identify knowledge gaps, strengthen clinical decision-making, and prepare for practical
applications of nursing theory. These are original study questions, not an official university
examination or verified exam key. Performance depends on your preparation, course materials,
and demonstrated competence.
,2|Page
3. CONTENT AREA OVERVIEW
The following overview uses the published course description and the topic sequence reported in
a Fall 2025 NSE 111 syllabus. Exact midterm coverage and grading weights may vary by
instructor.
Toronto Metropolitan University (TMU)
+1
NSE 111 — Midterm Content Blueprint
Practice allocation for this question bank; not official university exam weights.
Content area Questions Key topics Weight
Person-centred care and Consent, dignity, privacy, assessment,
1–10 10%
foundational practice communication
Hand hygiene, PPE, standard precautions,
Infection prevention and control 11–30 20%
isolation, sharps
Mobility, positioning and Pressure injury prevention, alignment,
31–50 20%
immobility ROM, complications
Transfers, ambulation and safe Gait belts, assistive devices, falls,
51–70 20%
handling mechanical lifts
Hygiene, bed making and Occupied beds, personal care, oral
71–85 15%
environment hygiene, linen
Elimination, nutrition and Intake, aspiration prevention, toileting,
86–100 15%
integrated scenarios clinical judgment
4. QUESTIONS SECTION
Content area overview — quick reference
Question range • Key topics • Practice weight
1–10 — Person-centred care
10%
Consent, dignity, privacy, assessment and communication.
11–30 — Infection control
,3|Page
20%
Hand hygiene, PPE, precautions and safe disposal.
31–50 — Positioning and immobility
20%
Skin integrity, alignment, movement and complications.
51–70 — Transfers and ambulation
20%
Fall prevention, assistive devices and transfer safety.
71–85 — Hygiene and bed making
15%
Personal hygiene, linen handling and environmental safety.
86–100 — Integrated care
15%
Nutrition, elimination and application of safe nursing care.
QUESTIONS 1–100
Domain 1: Person-Centred Care and Foundational Nursing
Practice
Q1: A nurse is preparing to assist a client with bathing. The client says, “I would prefer to wash
my upper body myself, but I need help with my legs.” Which response best demonstrates person-
centred care?
A) Explain that completing the bath independently would take too long.
B) Encourage the client to wash the areas they can manage and assist with the areas they cannot
reach.
C) Complete the entire bath to ensure consistent hygiene.
, 4|Page
D) Ask a family member to perform the bath instead.
Rationale: B is correct because it supports autonomy, dignity, independence, and individualized
assistance. A prioritizes staff convenience over the client's preferences. C unnecessarily removes
the client's opportunity to participate. D transfers responsibility without first obtaining the client's
consent or determining whether family involvement is appropriate.
Q2: Before providing personal care, a nurse explains the procedure. The client then withdraws
consent and asks the nurse to leave. What is the most appropriate response?
A) Continue because the procedure is necessary for hygiene.
B) Ask another nurse to perform the procedure immediately.
C) Tell the client that refusing care will be documented as noncompliance.
D) Stop the procedure, clarify the client's concerns, and discuss acceptable alternatives.
Rationale: D is correct because consent is ongoing, and a capable client may refuse care. The
nurse should respect the decision, explore concerns without coercion, and explain relevant
consequences or alternatives. A disregards autonomy. B does not resolve the refusal and may be
coercive. C uses threatening language and fails to support informed decision-making.
Q3: A nurse enters a shared room to assist a client with dressing. Another client is awake in the
adjacent bed. Which action best protects privacy?
A) Speak quietly but leave the curtain open so staff can observe.
B) Ask the other client to close their eyes.
C) Close the privacy curtain, expose only the area being cared for, and discuss sensitive
information discreetly.
D) Move the client into the corridor to finish dressing more quickly.
Rationale: C is correct because it combines environmental privacy, appropriate draping, and
confidential communication. A does not adequately protect visual privacy. B improperly places
responsibility on the neighbouring client. D exposes the client to unnecessary public viewing and
does not create a private environment.
Q4: During a routine interaction, a client becomes visibly distressed and refuses assistance. The
client has no immediate signs of medical instability. What should the nurse do first?
A) Complete the task quickly before the client becomes more distressed.
B) Pause, acknowledge the distress, and ask the client what would help them feel comfortable.
