INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
NUR231 — Comprehensive Final Practice Exam 2026–2027
NUR 231 | Concepts of Nursing: The Childbearing/Child Caring Family
Institution / scope: Galen College of Nursing
Contents: 150 independently authored educational practice questions with one keyed answer and a rationale per question;
quick answer key at the end.
Original practice questions
Worked Medication Calculations
1. A fictional prescription specifies 250 mg orally; each tablet is 100 mg and is scored when a half-tablet is required.
How many tablets provide the ordered amount?
A. 25 tablet(s)
B. 2.5 tablet(s)
C. 5 tablet(s)
D. 1.25 tablet(s)
Correct Answer: B — 2.5 tablet(s)
Rationale: Calculation: 250.0 mg ÷ 100 mg/tablet = 2.5 tablet(s). Use scored tablets only if product policy permits
splitting.
2. A fictional weight-based order specifies 2 mg/kg per dose for a 30-kg patient. What is the prescribed number of
milligrams per dose?
A. 120 mg
B. 60 mg
C. 600 mg
D. 30 mg
Correct Answer: B — 60 mg
Rationale: Weight-based calculation: 2 mg/kg × 30 kg = 60 mg per dose. Verify clinically appropriate maximum doses
before any real use.
3. A fictional weight-based order specifies 6 mg/kg per dose for a 20-kg patient. What is the prescribed number of
milligrams per dose?
A. 1200 mg
B. 240 mg
C. 120 mg
D. 60 mg
Correct Answer: C — 120 mg
Rationale: Weight-based calculation: 6 mg/kg × 20 kg = 120 mg per dose. Verify clinically appropriate maximum
doses before any real use.
4. A training-only oral-liquid order is 120 mg. The bottle contains 125 mg per 5 mL. What volume supplies the ordered
dose?
A. 4.8 mL
B. 2.4 mL
NUR231 | Original educational practice • 1
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
C. 48 mL
D. 9.6 mL
Correct Answer: A — 4.8 mL
Rationale: Concentration method: (120 mg × 5 mL)/(125 mg) = 4.8 mL.
5. A training-only oral-liquid order is 120 mg. The bottle contains 50 mg per 2 mL. What volume supplies the ordered
dose?
A. 48 mL
B. 2.4 mL
C. 4.8 mL
D. 9.6 mL
Correct Answer: C — 4.8 mL
Rationale: Concentration method: (120 mg × 2 mL)/(50 mg) = 4.8 mL.
6. For a supervised nursing calculation exercise, 180 mL is prescribed to infuse evenly over 6 hours. What is the
pump rate?
A. 60 mL/hour
B. 30 mL/hour
C. 15 mL/hour
D. 300 mL/hour
Correct Answer: B — 30 mL/hour
Rationale: Pump rate = total volume/time = 180/6 = 30 mL/hour. Confirm the device, line and authorized order
clinically.
Family
7. How should a nurse approach caregivers who have different beliefs about childhood treatment?
A. Assume one caregiver's views represent the family
B. Dismiss beliefs without discussion
C. Assess values respectfully and use shared decision-making with clear safety information
D. Provide identical teaching regardless of literacy and language needs
Correct Answer: C — Assess values respectfully and use shared decision-making with clear safety information
Rationale: Family-centred care uses respectful inquiry, culturally responsive communication, and shared planning.
8. What is the most useful way to evaluate caregiver understanding of discharge instructions?
A. Provide a large packet with no discussion
B. Assume understanding if the caregiver nods
C. Ask only whether the caregiver understands
D. Ask the caregiver to explain or demonstrate instructions in their own words
Correct Answer: D — Ask the caregiver to explain or demonstrate instructions in their own words
Rationale: Teach-back and demonstration reveal misunderstandings and permit clarification.
9. A caregiver reports difficulty attending appointments because of transportation. What is the most appropriate
next step?
A. Assess the barrier collaboratively and connect the family with available supports
NUR231 | Original educational practice • 2
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
B. Tell the caregiver attendance is solely their responsibility
C. Record the caregiver as noncompliant without discussion
D. Cancel follow-up without an alternative plan
Correct Answer: A — Assess the barrier collaboratively and connect the family with available supports
Rationale: Family-centred care assesses social circumstances without blame and collaborates on an achievable
plan.
10. A client planning pregnancy reports taking several prescription and herbal products. What should the nurse do
first?
A. Advise stopping every prescribed medication immediately
B. Delay the review until labour
C. Encourage a comprehensive medication and supplement review with the prescriber
D. Confirm all herbal products are safe because they are natural
Correct Answer: C — Encourage a comprehensive medication and supplement review with the prescriber
Rationale: Preconception medication review balances fetal risk and risks from untreated maternal conditions;
abrupt discontinuation can be harmful.
11. A client who may become pregnant asks about routine rubella immunity review. What is the appropriate advice?
A. Use antibiotics to create immunity
B. Administer live rubella vaccine during any trimester routinely
C. Ignore immunity if the client feels healthy
D. Review immunization status before pregnancy and consult a provider about needed vaccination
Correct Answer: D — Review immunization status before pregnancy and consult a provider about needed
vaccination
Rationale: Rubella immunity is ideally assessed before pregnancy because live-attenuated vaccination is generally
avoided during pregnancy.
12. A labouring patient declines a vaginal examination. What is the best response?
A. Threaten to withhold all pain relief
B. Respect refusal, explain the indication and alternatives, and inform the team
C. Proceed because labour examinations are routine
D. Document consent that was not obtained
Correct Answer: B — Respect refusal, explain the indication and alternatives, and inform the team
Rationale: Informed consent applies to obstetric examinations; refusal should be respected and clinically managed.
13. A mother requests formula-feeding advice. What is the best nursing response?
A. Tell the parent formula does not require safe handling
B. Refuse guidance because breastfeeding is preferred
C. Provide respectful, evidence-based preparation and feeding education without judgment
D. State all feeding choices have identical preparation requirements
Correct Answer: C — Provide respectful, evidence-based preparation and feeding education without judgment
Rationale: Family-centred care supports informed feeding decisions and safe formula preparation when used.
NUR231 | Original educational practice • 3
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
14. A parent refuses an optional nonurgent procedure after receiving an explanation. What should the practical nurse
do?
A. Proceed because the procedure is routine
B. Document that consent was obtained
C. Respect the decision, assess understanding, and notify the appropriate clinician
D. Threaten loss of other services
Correct Answer: C — Respect the decision, assess understanding, and notify the appropriate clinician
Rationale: Informed consent requires an authorized voluntary decision; the nurse should document accurately and
communicate care concerns.
15. A person planning pregnancy asks how much folic acid is routinely recommended in Canada. Which advice is
most appropriate for someone without identified high-risk factors?
A. Avoid folic acid unless anemia develops
B. Begin 4 milligrams daily without consulting a clinician
C. Take folic acid only after the first trimester
D. Take a daily multivitamin containing 400 micrograms of folic acid
Correct Answer: D — Take a daily multivitamin containing 400 micrograms of folic acid
Rationale: Public Health Agency of Canada recommends a multivitamin with 400 mcg of folic acid for people who
could become pregnant; higher doses require individualized professional advice.
16. A previously healthy eight-month-old has typical bronchiolitis. Which care approach is most consistent with
Canadian Paediatric Society guidance?
A. Administer corticosteroids routinely
B. Give salbutamol routinely to every infant
C. Order chest radiographs for every uncomplicated case
D. Support hydration and breathing while observing for worsening distress
Correct Answer: D — Support hydration and breathing while observing for worsening distress
Rationale: Typical bronchiolitis is generally managed with supportive care; routine bronchodilators, steroids and
imaging have not shown benefit.
17. A teen discloses bullying and feels unsafe at school. What is the nursing priority?
A. Tell the teen it is unrelated to health
B. Ignore it because the teen has no physical injury
C. Assess immediate safety, psychosocial impact, and support resources
D. Share the disclosure publicly with peers
Correct Answer: C — Assess immediate safety, psychosocial impact, and support resources
Rationale: Bullying can affect physical and mental health; assessment and coordinated support are important.
18. A toddler has sudden choking, cannot vocalize and turns blue. What is the priority?
A. Initiate age-appropriate choking emergency response and summon help
B. Perform a blind finger sweep
C. Offer water to push the object down
D. Wait silently for spontaneous improvement
Correct Answer: A — Initiate age-appropriate choking emergency response and summon help
NUR231 | Original educational practice • 4
NUR231 — Comprehensive Final Practice Exam 2026–2027
NUR 231 | Concepts of Nursing: The Childbearing/Child Caring Family
Institution / scope: Galen College of Nursing
Contents: 150 independently authored educational practice questions with one keyed answer and a rationale per question;
quick answer key at the end.
Original practice questions
Worked Medication Calculations
1. A fictional prescription specifies 250 mg orally; each tablet is 100 mg and is scored when a half-tablet is required.
How many tablets provide the ordered amount?
A. 25 tablet(s)
B. 2.5 tablet(s)
C. 5 tablet(s)
D. 1.25 tablet(s)
Correct Answer: B — 2.5 tablet(s)
Rationale: Calculation: 250.0 mg ÷ 100 mg/tablet = 2.5 tablet(s). Use scored tablets only if product policy permits
splitting.
2. A fictional weight-based order specifies 2 mg/kg per dose for a 30-kg patient. What is the prescribed number of
milligrams per dose?
A. 120 mg
B. 60 mg
C. 600 mg
D. 30 mg
Correct Answer: B — 60 mg
Rationale: Weight-based calculation: 2 mg/kg × 30 kg = 60 mg per dose. Verify clinically appropriate maximum doses
before any real use.
3. A fictional weight-based order specifies 6 mg/kg per dose for a 20-kg patient. What is the prescribed number of
milligrams per dose?
A. 1200 mg
B. 240 mg
C. 120 mg
D. 60 mg
Correct Answer: C — 120 mg
Rationale: Weight-based calculation: 6 mg/kg × 20 kg = 120 mg per dose. Verify clinically appropriate maximum
doses before any real use.
4. A training-only oral-liquid order is 120 mg. The bottle contains 125 mg per 5 mL. What volume supplies the ordered
dose?
A. 4.8 mL
B. 2.4 mL
NUR231 | Original educational practice • 1
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
C. 48 mL
D. 9.6 mL
Correct Answer: A — 4.8 mL
Rationale: Concentration method: (120 mg × 5 mL)/(125 mg) = 4.8 mL.
5. A training-only oral-liquid order is 120 mg. The bottle contains 50 mg per 2 mL. What volume supplies the ordered
dose?
A. 48 mL
B. 2.4 mL
C. 4.8 mL
D. 9.6 mL
Correct Answer: C — 4.8 mL
Rationale: Concentration method: (120 mg × 2 mL)/(50 mg) = 4.8 mL.
6. For a supervised nursing calculation exercise, 180 mL is prescribed to infuse evenly over 6 hours. What is the
pump rate?
A. 60 mL/hour
B. 30 mL/hour
C. 15 mL/hour
D. 300 mL/hour
Correct Answer: B — 30 mL/hour
Rationale: Pump rate = total volume/time = 180/6 = 30 mL/hour. Confirm the device, line and authorized order
clinically.
Family
7. How should a nurse approach caregivers who have different beliefs about childhood treatment?
A. Assume one caregiver's views represent the family
B. Dismiss beliefs without discussion
C. Assess values respectfully and use shared decision-making with clear safety information
D. Provide identical teaching regardless of literacy and language needs
Correct Answer: C — Assess values respectfully and use shared decision-making with clear safety information
Rationale: Family-centred care uses respectful inquiry, culturally responsive communication, and shared planning.
8. What is the most useful way to evaluate caregiver understanding of discharge instructions?
A. Provide a large packet with no discussion
B. Assume understanding if the caregiver nods
C. Ask only whether the caregiver understands
D. Ask the caregiver to explain or demonstrate instructions in their own words
Correct Answer: D — Ask the caregiver to explain or demonstrate instructions in their own words
Rationale: Teach-back and demonstration reveal misunderstandings and permit clarification.
9. A caregiver reports difficulty attending appointments because of transportation. What is the most appropriate
next step?
A. Assess the barrier collaboratively and connect the family with available supports
NUR231 | Original educational practice • 2
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
B. Tell the caregiver attendance is solely their responsibility
C. Record the caregiver as noncompliant without discussion
D. Cancel follow-up without an alternative plan
Correct Answer: A — Assess the barrier collaboratively and connect the family with available supports
Rationale: Family-centred care assesses social circumstances without blame and collaborates on an achievable
plan.
10. A client planning pregnancy reports taking several prescription and herbal products. What should the nurse do
first?
A. Advise stopping every prescribed medication immediately
B. Delay the review until labour
C. Encourage a comprehensive medication and supplement review with the prescriber
D. Confirm all herbal products are safe because they are natural
Correct Answer: C — Encourage a comprehensive medication and supplement review with the prescriber
Rationale: Preconception medication review balances fetal risk and risks from untreated maternal conditions;
abrupt discontinuation can be harmful.
11. A client who may become pregnant asks about routine rubella immunity review. What is the appropriate advice?
A. Use antibiotics to create immunity
B. Administer live rubella vaccine during any trimester routinely
C. Ignore immunity if the client feels healthy
D. Review immunization status before pregnancy and consult a provider about needed vaccination
Correct Answer: D — Review immunization status before pregnancy and consult a provider about needed
vaccination
Rationale: Rubella immunity is ideally assessed before pregnancy because live-attenuated vaccination is generally
avoided during pregnancy.
12. A labouring patient declines a vaginal examination. What is the best response?
A. Threaten to withhold all pain relief
B. Respect refusal, explain the indication and alternatives, and inform the team
C. Proceed because labour examinations are routine
D. Document consent that was not obtained
Correct Answer: B — Respect refusal, explain the indication and alternatives, and inform the team
Rationale: Informed consent applies to obstetric examinations; refusal should be respected and clinically managed.
13. A mother requests formula-feeding advice. What is the best nursing response?
A. Tell the parent formula does not require safe handling
B. Refuse guidance because breastfeeding is preferred
C. Provide respectful, evidence-based preparation and feeding education without judgment
D. State all feeding choices have identical preparation requirements
Correct Answer: C — Provide respectful, evidence-based preparation and feeding education without judgment
Rationale: Family-centred care supports informed feeding decisions and safe formula preparation when used.
NUR231 | Original educational practice • 3
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
14. A parent refuses an optional nonurgent procedure after receiving an explanation. What should the practical nurse
do?
A. Proceed because the procedure is routine
B. Document that consent was obtained
C. Respect the decision, assess understanding, and notify the appropriate clinician
D. Threaten loss of other services
Correct Answer: C — Respect the decision, assess understanding, and notify the appropriate clinician
Rationale: Informed consent requires an authorized voluntary decision; the nurse should document accurately and
communicate care concerns.
15. A person planning pregnancy asks how much folic acid is routinely recommended in Canada. Which advice is
most appropriate for someone without identified high-risk factors?
A. Avoid folic acid unless anemia develops
B. Begin 4 milligrams daily without consulting a clinician
C. Take folic acid only after the first trimester
D. Take a daily multivitamin containing 400 micrograms of folic acid
Correct Answer: D — Take a daily multivitamin containing 400 micrograms of folic acid
Rationale: Public Health Agency of Canada recommends a multivitamin with 400 mcg of folic acid for people who
could become pregnant; higher doses require individualized professional advice.
16. A previously healthy eight-month-old has typical bronchiolitis. Which care approach is most consistent with
Canadian Paediatric Society guidance?
A. Administer corticosteroids routinely
B. Give salbutamol routinely to every infant
C. Order chest radiographs for every uncomplicated case
D. Support hydration and breathing while observing for worsening distress
Correct Answer: D — Support hydration and breathing while observing for worsening distress
Rationale: Typical bronchiolitis is generally managed with supportive care; routine bronchodilators, steroids and
imaging have not shown benefit.
17. A teen discloses bullying and feels unsafe at school. What is the nursing priority?
A. Tell the teen it is unrelated to health
B. Ignore it because the teen has no physical injury
C. Assess immediate safety, psychosocial impact, and support resources
D. Share the disclosure publicly with peers
Correct Answer: C — Assess immediate safety, psychosocial impact, and support resources
Rationale: Bullying can affect physical and mental health; assessment and coordinated support are important.
18. A toddler has sudden choking, cannot vocalize and turns blue. What is the priority?
A. Initiate age-appropriate choking emergency response and summon help
B. Perform a blind finger sweep
C. Offer water to push the object down
D. Wait silently for spontaneous improvement
Correct Answer: A — Initiate age-appropriate choking emergency response and summon help
NUR231 | Original educational practice • 4
