120 Questions with Answers and Rationales 2026/2027
Questions 1 to 4
1 An adult client is during an evening medication round. The medication record and
the client identification band do not agree. Which action is most appropriate?
A. Assume the record must be correct.
B. Stop and resolve the identity discrepancy using approved identification
procedures.
C. Administer first and investigate later.
D. Use the room number as the only identifier.
Your answer __________
2 An adult client is during a transfer between units. A confused client repeatedly
attempts to remove tubing; the cause of the behaviour has not been assessed. Which
action is most appropriate?
A. Ignore distress.
B. Give an unprescribed sedative.
C. Tie the tubing to the wrist.
D. Assess possible causes and use appropriate supervision and less restrictive
strategies before considering restraints under local requirements.
Your answer __________
3 An adult client is with reduced ability to manage self care. A dependent client
cannot brush independently and has dry oral mucosa; swallowing precautions are
prescribed. Which action is most appropriate?
A. Pour a large amount of water into the mouth.
B. Assume dentures need no cleaning.
C. Assess the mouth and provide assisted oral care using techniques consistent with
the swallowing plan.
D. Use rough scrubbing despite fragile mucosa.
Your answer __________
4 An adult client is during a community nursing review. An alert client receiving
supplemental oxygen is about to use a flame near the tubing. Which action is most
appropriate?
A. Move tubing slightly without addressing the flame.
Canadian Fundamentals of Nursing • Practice Set 7 • 1
,B. Leave the client unsupervised with the flame.
C. Prevent the flame exposure and explain oxygen related fire precautions.
D. Increase oxygen flow near the flame.
Your answer __________
Questions 5 to 8
5 An adult client is declining a proposed education session. A capable client declines
a proposed nursing intervention after receiving an explanation. Which action is
most appropriate?
A. Explore the concern, respect the decision, discuss alternatives, and document and
communicate appropriately.
B. Document agreement that was not given.
C. Perform the intervention secretly.
D. Ask a visitor to overrule the capable client.
Your answer __________
6 An adult client is needing help with a follow up appointment. 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. Assess the barrier and collaborate with the client and team to identify accessible
resources or alternatives.
D. Ignore affordability.
Your answer __________
7 An adult client is after cleaning a used bedside device. The nurse removes gloves
after a care task and is about to begin a clean task. Which action is most
appropriate?
A. Skip hand hygiene because the gloves were intact.
B. Wipe the gloves on the sheet.
C. Perform hand hygiene and use a new pair of gloves if the next task requires them.
D. Wait until the end of the shift to clean hands.
Your answer __________
Canadian Fundamentals of Nursing • Practice Set 7 • 2
,8 An adult client is after reporting a new local discomfort. During an infusion, the
client reports burning and the peripheral IV site becomes swollen. Which action is
most appropriate?
A. Flush the line vigorously before assessing it.
B. Massage the site forcefully.
C. Ignore discomfort until the bag is empty.
D. Stop the infusion and assess the site; follow the solution specific infiltration or
extravasation protocol.
Your answer __________
Questions 9 to 12
9 An adult client is during a preprocedure equipment check. Before a sterile
procedure, the nurse notices that a supply package is wet and torn. Which action is
most appropriate?
A. Cover the torn area with ordinary tape.
B. Open it farther from the client to restore sterility.
C. Replace the package with an intact dry sterile supply.
D. Use the item because it looks clean.
Your answer __________
10 An adult client is during supervised rehabilitation feeding. During oral feeding,
the client coughs repeatedly and develops a wet voice. Which action is most
appropriate?
A. Continue the same feeding plan without assessment.
B. Stop feeding, assess breathing and swallowing concerns, and obtain appropriate
assistance.
C. Increase the bite size.
D. Ask the client to eat faster.
Your answer __________
11 An adult client is during an acute pain admission. After a prescribed opioid, the
client is difficult to arouse and has shallow respirations. Which action is most
appropriate?
A. Give oral fluids to a poorly responsive client.
B. Assess airway and breathing, call for urgent help, and follow the opioid
emergency protocol.
Canadian Fundamentals of Nursing • Practice Set 7 • 3
, C. Document that the client is sleeping comfortably.
D. Wait until the analgesic wears off.
Your answer __________
12 An adult client is during a bedside conversation. A client suddenly develops new
unilateral weakness and slurred speech. Which action is most appropriate?
A. Assess promptly, activate the emergency response, and communicate the last
known well time if available.
B. Offer a meal before assessing.
C. Ask the client to sleep it off.
D. Assume the change is normal ageing.
Your answer __________
Questions 13 to 16
13 An adult client is during nutritional care planning. 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. Treat one promotional testimonial as conclusive proof.
B. Ignore all established guidance.
C. Experiment without discussing risks.
D. Review credible evidence and relevant policy and consult appropriate clinical
resources before changing care.
Your answer __________
14 An adult client is at the start of a family discussion. A visitor asks to see a client’s
health record, but authorization has not been established. Which action is most
appropriate?
A. Verify the client’s consent and the visitor’s authorization before sharing
information.
B. Share the password with the visitor.
C. Leave the record open to public view.
D. Discuss identifiable details in the elevator.
Your answer __________
15 An adult client is during a stable observation period. A clinically stable client
reports poor sleep because of avoidable nighttime noise and frequent nonurgent
interruptions. Which action is most appropriate?
Canadian Fundamentals of Nursing • Practice Set 7 • 4