Canadian Fundamentals of Nursing Potter and Perry Practice Set 1 |
120 Questions with Answers and Rationales
1 An adult client is after several episodes of nausea. A client has reduced
intake, dry mucous membranes, and dizziness; no cause has yet been
established. Which action is most appropriate?
A. Use one isolated measurement as the entire assessment.
B. Diagnose the cause from dry mouth alone.
C. Ignore dizziness.
D. Assess vital signs, intake and output, relevant history, and fluid status, then
communicate concerns and follow the care plan.
Your answer __________
2 An adult client is after perineal care. The nurse removes gloves after a care
task and is about to begin a clean task. Which action is most appropriate?
A. Wait until the end of the shift to clean hands.
B. Perform hand hygiene and use a new pair of gloves if the next task requires them.
C. Wipe the gloves on the sheet.
D. Skip hand hygiene because the gloves were intact.
Your answer __________
3 An adult client is during meal planning. A client says a proposed approach
conflicts with an important personal or cultural preference. Which action is
most appropriate?
A. Ask a roommate to decide.
B. Dismiss the preference without discussion.
C. Ask what matters to the client and collaboratively plan clinically appropriate care.
D. Insist staff convenience is the only priority.
Your answer __________
4 An adult client is needing wound dressings. A client understands the
prescribed plan but says the required supplies are unaffordable. Which action
is most appropriate?
A. Repeat the same instructions only.
B. Assume understanding guarantees access.
C. Ignore affordability.
Canadian Fundamentals of Nursing • Practice Set 1 • 1
,D. Assess the barrier and collaborate with the client and team to identify accessible
resources or alternatives.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 1 • 2
,Questions 5 to 8
5 An adult client is following joint replacement. After a prescribed opioid, the
client is difficult to arouse and has shallow respirations. Which action is most
appropriate?
A. Wait until the analgesic wears off.
B. Assess airway and breathing, call for urgent help, and follow the opioid
emergency protocol.
C. Document that the client is sleeping comfortably.
D. Give oral fluids to a poorly responsive client.
Your answer __________
6 An adult client is before sterile wound care. Before a sterile procedure, the
nurse notices that a supply package is wet and torn. Which action is most
appropriate?
A. Open it farther from the client to restore sterility.
B. Replace the package with an intact dry sterile supply.
C. Cover the torn area with ordinary tape.
D. Use the item because it looks clean.
Your answer __________
7 An adult client is after a neurological illness. A dependent client cannot
brush independently and has dry oral mucosa; swallowing precautions are
prescribed. Which action is most appropriate?
A. Use rough scrubbing despite fragile mucosa.
B. Pour a large amount of water into the mouth.
C. Assume dentures need no cleaning.
D. Assess the mouth and provide assisted oral care using techniques consistent with
the swallowing plan.
Your answer __________
8 An adult client is after a change in environment. A confused client
repeatedly attempts to remove tubing; the cause of the behaviour has not
been assessed. Which action is most appropriate?
A. Give an unprescribed sedative.
Canadian Fundamentals of Nursing • Practice Set 1 • 3
, B. Assess possible causes and use appropriate supervision and less restrictive
strategies before considering restraints under local requirements.
C. Tie the tubing to the wrist.
D. Ignore distress.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 1 • 4
120 Questions with Answers and Rationales
1 An adult client is after several episodes of nausea. A client has reduced
intake, dry mucous membranes, and dizziness; no cause has yet been
established. Which action is most appropriate?
A. Use one isolated measurement as the entire assessment.
B. Diagnose the cause from dry mouth alone.
C. Ignore dizziness.
D. Assess vital signs, intake and output, relevant history, and fluid status, then
communicate concerns and follow the care plan.
Your answer __________
2 An adult client is after perineal care. The nurse removes gloves after a care
task and is about to begin a clean task. Which action is most appropriate?
A. Wait until the end of the shift to clean hands.
B. Perform hand hygiene and use a new pair of gloves if the next task requires them.
C. Wipe the gloves on the sheet.
D. Skip hand hygiene because the gloves were intact.
Your answer __________
3 An adult client is during meal planning. A client says a proposed approach
conflicts with an important personal or cultural preference. Which action is
most appropriate?
A. Ask a roommate to decide.
B. Dismiss the preference without discussion.
C. Ask what matters to the client and collaboratively plan clinically appropriate care.
D. Insist staff convenience is the only priority.
Your answer __________
4 An adult client is needing wound dressings. A client understands the
prescribed plan but says the required supplies are unaffordable. Which action
is most appropriate?
A. Repeat the same instructions only.
B. Assume understanding guarantees access.
C. Ignore affordability.
Canadian Fundamentals of Nursing • Practice Set 1 • 1
,D. Assess the barrier and collaborate with the client and team to identify accessible
resources or alternatives.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 1 • 2
,Questions 5 to 8
5 An adult client is following joint replacement. After a prescribed opioid, the
client is difficult to arouse and has shallow respirations. Which action is most
appropriate?
A. Wait until the analgesic wears off.
B. Assess airway and breathing, call for urgent help, and follow the opioid
emergency protocol.
C. Document that the client is sleeping comfortably.
D. Give oral fluids to a poorly responsive client.
Your answer __________
6 An adult client is before sterile wound care. Before a sterile procedure, the
nurse notices that a supply package is wet and torn. Which action is most
appropriate?
A. Open it farther from the client to restore sterility.
B. Replace the package with an intact dry sterile supply.
C. Cover the torn area with ordinary tape.
D. Use the item because it looks clean.
Your answer __________
7 An adult client is after a neurological illness. A dependent client cannot
brush independently and has dry oral mucosa; swallowing precautions are
prescribed. Which action is most appropriate?
A. Use rough scrubbing despite fragile mucosa.
B. Pour a large amount of water into the mouth.
C. Assume dentures need no cleaning.
D. Assess the mouth and provide assisted oral care using techniques consistent with
the swallowing plan.
Your answer __________
8 An adult client is after a change in environment. A confused client
repeatedly attempts to remove tubing; the cause of the behaviour has not
been assessed. Which action is most appropriate?
A. Give an unprescribed sedative.
Canadian Fundamentals of Nursing • Practice Set 1 • 3
, B. Assess possible causes and use appropriate supervision and less restrictive
strategies before considering restraints under local requirements.
C. Tie the tubing to the wrist.
D. Ignore distress.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 1 • 4
