|120 Questions with Answers and Rationales 2026/2027
Questions 1 to 4
1 An adult client is before giving a newly prescribed medication. 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. Ask a family member to interpret the order.
C. Give the usual dose without confirming it.
D. Give half of the presumed dose.
Your answer __________
2 An adult client is during recovery from an injury. An alert client reports severe
pain but appears calm and is smiling. Which action is most appropriate?
A. Assess the client reported pain and provide appropriate individualized care.
B. Tell the client the rating is incorrect.
C. Conclude severe pain is impossible.
D. Wait for crying before assessing.
Your answer __________
3 An adult client is after a painful bedside procedure. 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. Give oral fluids to a poorly responsive client.
C. Document that the client is sleeping comfortably.
D. Assess airway and breathing, call for urgent help, and follow the opioid
emergency protocol.
Your answer __________
4 An adult client is during evening care. A confused client repeatedly attempts to
remove tubing; the cause of the behaviour has not been assessed. Which action is
most appropriate?
A. Assess possible causes and use appropriate supervision and less restrictive
strategies before considering restraints under local requirements.
Canadian Fundamentals of Nursing • Practice Set 6 • 1
,B. Tie the tubing to the wrist.
C. Ignore distress.
D. Give an unprescribed sedative.
Your answer __________
Questions 5 to 8
5 An adult client is after difficulty completing hygiene. A dependent client cannot
brush independently and has dry oral mucosa; swallowing precautions are
prescribed. Which action is most appropriate?
A. Assume dentures need no cleaning.
B. Use rough scrubbing despite fragile mucosa.
C. Pour a large amount of water into the mouth.
D. Assess the mouth and provide assisted oral care using techniques consistent with
the swallowing plan.
Your answer __________
6 An adult client is during a nutrition support plan. The care plan contains only the
statement that the client will improve, without an observable target or deadline.
Which action is most appropriate?
A. List only the nurse’s tasks.
B. Choose a target without involving the client when involvement is possible.
C. Collaborate on a specific observable patient outcome with an appropriate
timeframe.
D. Promise an outcome unrelated to the assessment.
Your answer __________
7 An adult client is while organizing stable client mobility. A care task is proposed
for an unregulated care provider, but competence and organizational permission
have not been verified. Which action is most appropriate?
A. Treat assignment and controlled act delegation as identical.
B. Ignore an unstable client condition.
C. Check the task, client stability, worker competence, policy, and applicable
provincial requirements before assigning it.
D. Assign without instructions.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 6 • 2
,8 An adult client is during rehabilitation after a hip injury. The client becomes dizzy
and unsteady while standing for a transfer. Which action is most appropriate?
A. Ask the client to hold onto a rolling bedside table.
B. Encourage faster walking.
C. Assist the client to a safe seated or lying position and assess symptoms and vital
signs.
D. Complete the transfer despite dizziness.
Your answer __________
Questions 9 to 12
9 An adult client is during care on a medical ward. During an infusion, the client
reports burning and the peripheral IV site becomes swollen. Which action is most
appropriate?
A. Massage the site forcefully.
B. Flush the line vigorously before assessing it.
C. Stop the infusion and assess the site; follow the solution specific infiltration or
extravasation protocol.
D. Ignore discomfort until the bag is empty.
Your answer __________
10 An adult client is discussing mobility precautions. A client has limited
proficiency in the language used for a complex teaching discussion. Which action is
most appropriate?
A. Use a qualified interpreter and check understanding in an accessible way.
B. Obtain only a signature.
C. Speak louder without changing communication support.
D. Skip the teaching entirely.
Your answer __________
11 An adult client is while opening supplies for a sterile field. Before a sterile
procedure, the nurse notices that a supply package is wet and torn. Which action is
most appropriate?
A. Use the item because it looks clean.
B. Cover the torn area with ordinary tape.
C. Open it farther from the client to restore sterility.
D. Replace the package with an intact dry sterile supply.
Canadian Fundamentals of Nursing • Practice Set 6 • 3
, Your answer __________
12 An adult client is during planning for rehabilitation. A client says that the
upcoming care plan is frightening and begins to cry. Which action is most
appropriate?
A. Change the subject immediately.
B. Say other clients have worse problems.
C. Acknowledge the distress and invite the client to explain the main concern.
D. Tell the client not to cry.
Your answer __________
Questions 13 to 16
13 An adult client is before handling a contaminated dressing. Before a care task,
the nurse anticipates possible contact with blood or body fluids but the client has no
known infection. Which action is most appropriate?
A. Use gloves as a substitute for hand hygiene.
B. Perform a point of care risk assessment and use Routine Practices with exposure
appropriate PPE.
C. Wait for laboratory confirmation before considering exposure.
D. Choose PPE solely from the room number.
Your answer __________
14 An adult client is during pressure injury prevention review. A nurse finds a
social media claim recommending a new care technique, but its evidence and safety
are uncertain. Which action is most appropriate?
A. Experiment without discussing risks.
B. Ignore all established guidance.
C. Treat one promotional testimonial as conclusive proof.
D. Review credible evidence and relevant policy and consult appropriate clinical
resources before changing care.
Your answer __________
15 An adult client is during a dose discrepancy review. The nurse discovers that a
client has received a medication dose different from the verified order. Which action
is most appropriate?
A. Assess the client, initiate necessary safety care, notify appropriate clinicians, and
follow the reporting process.
Canadian Fundamentals of Nursing • Practice Set 6 • 4