2 | 120 Questions with Answers and Rationales
1 An adult client is after a recent medication change. The client becomes dizzy
and unsteady while standing for a transfer. Which action is most appropriate?
A. Encourage faster walking.
B. Assist the client to a safe seated or lying position and assess symptoms and vital
signs.
C. Ask the client to hold onto a rolling bedside table.
D. Complete the transfer despite dizziness.
Your answer __________
2 An adult client is after a transfer to the ward. A blood pressure reading is
unexpectedly different from the client’s baseline, without obvious distress.
Which action is most appropriate?
A. Give an unprescribed medication.
B. Recheck with appropriate cuff size and positioning, assess the client, and respond
to confirmed findings.
C. Document a guessed baseline value.
D. Use the room number to judge the expected blood pressure.
Your answer __________
3 An adult client is before the first postoperative dose. The prescribed
medication dose is ambiguous and cannot be safely determined from the
order. Which action is most appropriate?
A. Clarify the dose with an authorized prescriber before administration.
B. Give the usual dose without confirming it.
C. Ask a family member to interpret the order.
D. Give half of the presumed dose.
Your answer __________
4 An adult client is during recovery from a neurological illness. A client
cannot swallow a prescribed extended release tablet. Which action is most
appropriate?
A. Dissolve it without verification.
B. Split it repeatedly without confirming suitability.
Canadian Fundamentals of Nursing • Practice Set 2 • 1
,C. Consult the pharmacist or prescriber about a suitable formulation or alternative.
D. Skip the concern because the dose is small.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 2 • 2
,Questions 5 to 8
5 An adult client is reviewing wound care instructions. A client has limited
proficiency in the language used for a complex teaching discussion. Which
action is most appropriate?
A. Obtain only a signature.
B. Speak louder without changing communication support.
C. Use a qualified interpreter and check understanding in an accessible way.
D. Skip the teaching entirely.
Your answer __________
6 An adult client is during hygiene planning. A client says a proposed
approach conflicts with an important personal or cultural preference. Which
action is most appropriate?
A. Dismiss the preference without discussion.
B. Ask a roommate to decide.
C. Ask what matters to the client and collaboratively plan clinically appropriate care.
D. Insist staff convenience is the only priority.
Your answer __________
7 An adult client is during an inpatient safety check. An alert client receiving
supplemental oxygen is about to use a flame near the tubing. Which action is
most appropriate?
A. Increase oxygen flow near the flame.
B. Leave the client unsupervised with the flame.
C. Move tubing slightly without addressing the flame.
D. Prevent the flame exposure and explain oxygen related fire precautions.
Your answer __________
8 An adult client is before an invasive diagnostic test. Before signing
procedure consent, a capable client asks about important risks that have not
been explained. Which action is most appropriate?
A. Say every procedure is risk free.
B. Pause the process and contact the clinician responsible for the procedure
explanation.
Canadian Fundamentals of Nursing • Practice Set 2 • 3
, C. Dismiss the questions as unimportant.
D. Sign on the client’s behalf without authority.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 2 • 4