NSE 111 – Foundations of Nursing Practice Mega Practice Exam tips — Weeks 1–5 112 possible Questions (MCQ & SATA) + correct answers provided on last page University of Toronto

NSE 111 – Foundations of Nursing Practice Mega Practice Exam tips — Weeks 1–5 112 possible Questions (MCQ & SATA) + correct answers provided on last page University of Toronto Exam — 112 Questions (MCQ & SATA) — Weeks 1–5 Instructions: For MCQ choose ONE best answer. For SATA select ALL that apply. Week 1 – CJM, DIPPS, CNO, Person-Centred Care 1. Which step of the Clinical Judgment Model is demonstrated when the nurse compares the client’s new vital signs to baseline and determines whether they are clinically significant? a. Recognize cues b. Analyze cues c. Generate solutions d. Take action 2. A nurse recognized a deteriorating respiratory status, elevated HOB, applied oxygen per protocol, and called the provider. Which CJM steps are explicitly demonstrated? a. Recognize cues only b. Generate solutions and take action c. Evaluate outcomes only d. Prioritize hypotheses only 3. Which statement best reflects person-centred care? a. The nurse decides the plan of care based on clinical expertise alone b. The care plan is created with the client’s goals, preferences, and values integrated c. The organization’s routine replaces the client’s cultural needs d. Family wishes supersede client autonomy 4. Which two DIPPS principles are applied when the nurse draws the curtain for toileting and ensures the call bell is within reach before leaving? (Select two) a. Privacy b. Dignity c. Independence d. Safety e. Preference 5. The primary mandate of the College of Nurses of Ontario (CNO) is to: a. Negotiate nursing salaries b. Regulate nursing to protect the public c. Accredit nursing schools d. Provide union representation 6. Which actions align with the CNO Code of Conduct in response to a client’s request for spiritual practices (e.g., incense, prayer)? (Select two) a. Advocate for including the practices within safety policies b. Dismiss the request as not part of routine care c. Report culturally disrespectful comments by colleagues through appropriate channels d. Tell the client practices cannot be accommodated in hospitals e. Proceed as usual to avoid conflict 7. A student nurse documents: “Client refused bath; I told them they had to comply.” Which Code of Conduct principle is most violated? a. Respect people b. Act with integrity c. Promote client well-being d. Maintain public confidence 8. Which best describes the purpose of evaluating outcomes in the CJM? a. To generate a differential diagnosis b. To measure whether interventions achieved desired results and inform next steps c. To collect additional cues only d. To replace client preferences with clinical protocols 9. A client requests a later bath time to align with personal routine. The nurse agrees after safety check. Which DIPPS elements are most demonstrated? (Select two) a. Dignity b. Independence c. Preference d. Privacy e. Safety 10. Which is the best example of **Recognize cues** in the CJM? a. Comparing data to baseline b. Clustering findings to a hypothesis c. Noting new confusion and fever on morning assessment d. Choosing between two interventions 11. Which boundary action is appropriate per CNO standards? a. Accepting expensive gifts to maintain rapport b. Documenting care late to save time c. Maintaining professional boundaries and declining inappropriate gifts d. Posting client details in a private social media group for advice 12. During teaching, the nurse asks the client to explain back the plan using their own words. This best represents: a. Independence b. Preference c. Evaluate outcomes d. Health literacy support 13. Which actions demonstrate **Dignity**? (Select all that apply) a. Using preferred pronouns b. Leaving the door open to work faster c. Covering the client between care steps d. Discussing sensitive topics quietly and respectfully e. Taking photos for learning without consent 14. Which step of the CJM occurs **before** prioritizing hypotheses? a. Evaluate outcomes b. Analyze cues c. Generate solutions d. Take action 15. A nurse selects the safest intervention after weighing risks and benefits. Which CJM step is this? a. Prioritize hypotheses b. Generate solutions c. Take action d. Recognize cues 16. Which action most supports client **Independence**? a. Doing all ADLs for speed b. Setting up supplies and cueing the client to perform what they can c. Refusing adaptive equipment to avoid confusion d. Withholding explanations to prevent questions 17. A client refuses a bed bath; family insists. Best first response? a. Proceed because family consented b. Explore the client’s reasons and offer alternatives c. Tell the family refusal is unacceptable d. Discharge the client for non-compliance 18. Which two actions most align with **Maintain public confidence** in the Code? (Select two) a. Posting anonymized client photos online without consent b. Speaking to media about a client case c. Following policies and documenting objectively d. Maintaining professional conduct on and off duty e. Sharing login credentials with a teammate 19. Which is the best example of **Prioritize hypotheses**? a. Identifying sepsis as the most urgent possibility in a febrile tachycardic client b. Teaching incentive spirometry c. Asking about pain history d. Documenting lab values 20. A nurse plans care collaboratively with the client and interprofessional team. This primarily reflects: a. Independence b. Person-centred care c. Surgical asepsis d. Contracture prevention 21. Which actions demonstrate **Privacy**? (Select two) a. Closing curtains and doors during personal care b. Announcing before entering the room c. Sharing client details at the nursing station loudly d. Discussing care in a crowded elevator e. Leaving identification armband off 22. Which action best reflects **Accountability** per the Code? a. Charting by exception hours later b. Practising skills beyond scope when short-staffed c. Seeking supervision when unfamiliar with a procedure d. Ignoring an error to avoid conflict Week 2 – Infection Prevention & Control (IPAC) 23. Hand hygiene primarily interrupts which link in the chain of infection? a. Reservoir