DOS II FINAL EXAM NEWEST 2026
ACTUAL EXAM TEST BANK| DOS II FINAL
EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
This test bank is based on the most recent DOS II (Diploma of Nursing - Semester
II) examination materials. The content aligns with the College of Nurses of Ontario
(CNO) standards and Canadian nursing regulations. Each question includes the
verified correct ,,answer,,, and a detailed explanation.
SECTION 1: AUTHORIZING MECHANISMS & CONTROLLED ACTS
Question 1
What are the three types of authorizing mechanisms?
A) Medical directives, MD orders, NP orders
B) Standing orders, medical directives, delegation
C) MD orders, NP orders, directives
D) Order, initiation, delegation
Correct ,,answer,,,: D
*Explanation: The three types of authorizing mechanisms under CNO guidelines
are: 1) Order - specific direction for a client, 2) Initiation - nurse independently
,decides to perform a procedure, and 3) Delegation - transferring authority to
perform a controlled act to an unauthorized person .*
Question 2
When initiating a controlled act, an RN or RPN must complete steps in the correct
order. Place the following in the proper sequence per the CNO document
Authorizing Mechanisms:
1. Assess the client and identify the problem
2. Anticipate the management of potential outcomes
3. Decide on a course of action
4. Accept accountability
5. Weigh the risks and benefits of each option
6. Consider all available options to address the problem
A) 1,2,3,4,5,6
B) 1,6,5,3,2,4
C) 6,1,5,3,2,4
D) 1,5,6,3,2,4
Correct ,,answer,,,: B
*Explanation: The correct sequence is: Assess the client (1), Consider all options
(6), Weigh risks/benefits (5), Decide on action (3), Anticipate outcomes (2),
Accept accountability (4) .*
Question 3
Match each scenario to the correct authorizing mechanism:
• The nurse provides immunizations to a primary school class of 40 patients
• The nurse provides her patient with 500 mg of Tylenol for headache
• The nurse goes through a formal process to allow a family member to
provide wound care
• The nurse independently decides to insert an I/O catheter for urinary
retention
A) Order, Delegation, Initiation, Medical directive
B) Medical directive, Order, Delegation, Initiation
,C) Initiation, Medical directive, Order, Delegation
D) Delegation, Initiation, Medical directive, Order
Correct ,,answer,,,: B
Explanation: Mass immunizations use a Medical directive; PRN Tylenol follows an
Order; transferring wound care to family requires Delegation; independent
catheter insertion is Initiation .
Question 4
A patient needs emergent surgery and requires intravenous access. The RPN starts
the patient's IV. What does the RPN need to do this legally?
A) Nothing, she is able to initiate this procedure
B) An order
C) A medical directive
D) Permission from the CNO
Correct ,,answer,,,: B
Explanation: IV initiation is a controlled act requiring an order. RPNs cannot
independently initiate IV access without an order from an authorized prescriber .
Question 5
Which Controlled Acts are authorized to nurses? (Select all that apply)
1. Performing allergy testing
2. Dispensing a drug
3. Treating by means of psychotherapy technique
4. Putting a hand, instrument, or finger beyond a natural or artificial opening of
the body
5. Managing labour or conducting a delivery
6. Performing a prescribed procedure below the dermis or mucous membrane
7. Administering a substance by inhalation or injection
A) 1,2,3,4,5
B) 2,3,4,6,7
, C) 1,3,5,6,7
D) 2,4,5,6,7
Correct ,,answer,,,: B
Explanation: Nurses are authorized to: Dispense drugs, perform psychotherapy
techniques, perform procedures beyond body openings, perform below-dermis
procedures, and administer substances by inhalation/injection .
Question 6
An RPN orders another RPN colleague to insert a urinary catheter for a newly
admitted patient. How should the second RPN respond?
A) Confirm RPN order with MD before proceeding
B) Accept the order and proceed with the intervention
C) Consult with an RN before proceeding
D) Decline to accept the order
Correct ,,answer,,,: D
Explanation: RPNs cannot issue orders to other RPNs. Only authorized providers
(physicians, NPs, or RNs with specific authority) can order controlled acts .
Question 7
Shannon (RN) is precepting Mei, a nursing student. A client requires urinary
catheterization. Shannon introduces Mei, obtains consent, and supervises Mei as
she inserts the catheter. Was this appropriate?
A) True
B) False
Correct ,,answer,,,: True
Explanation: RNs may delegate controlled acts to students under supervision. The
RN maintains accountability and must provide appropriate supervision .
ACTUAL EXAM TEST BANK| DOS II FINAL
EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
This test bank is based on the most recent DOS II (Diploma of Nursing - Semester
II) examination materials. The content aligns with the College of Nurses of Ontario
(CNO) standards and Canadian nursing regulations. Each question includes the
verified correct ,,answer,,, and a detailed explanation.
SECTION 1: AUTHORIZING MECHANISMS & CONTROLLED ACTS
Question 1
What are the three types of authorizing mechanisms?
A) Medical directives, MD orders, NP orders
B) Standing orders, medical directives, delegation
C) MD orders, NP orders, directives
D) Order, initiation, delegation
Correct ,,answer,,,: D
*Explanation: The three types of authorizing mechanisms under CNO guidelines
are: 1) Order - specific direction for a client, 2) Initiation - nurse independently
,decides to perform a procedure, and 3) Delegation - transferring authority to
perform a controlled act to an unauthorized person .*
Question 2
When initiating a controlled act, an RN or RPN must complete steps in the correct
order. Place the following in the proper sequence per the CNO document
Authorizing Mechanisms:
1. Assess the client and identify the problem
2. Anticipate the management of potential outcomes
3. Decide on a course of action
4. Accept accountability
5. Weigh the risks and benefits of each option
6. Consider all available options to address the problem
A) 1,2,3,4,5,6
B) 1,6,5,3,2,4
C) 6,1,5,3,2,4
D) 1,5,6,3,2,4
Correct ,,answer,,,: B
*Explanation: The correct sequence is: Assess the client (1), Consider all options
(6), Weigh risks/benefits (5), Decide on action (3), Anticipate outcomes (2),
Accept accountability (4) .*
Question 3
Match each scenario to the correct authorizing mechanism:
• The nurse provides immunizations to a primary school class of 40 patients
• The nurse provides her patient with 500 mg of Tylenol for headache
• The nurse goes through a formal process to allow a family member to
provide wound care
• The nurse independently decides to insert an I/O catheter for urinary
retention
A) Order, Delegation, Initiation, Medical directive
B) Medical directive, Order, Delegation, Initiation
,C) Initiation, Medical directive, Order, Delegation
D) Delegation, Initiation, Medical directive, Order
Correct ,,answer,,,: B
Explanation: Mass immunizations use a Medical directive; PRN Tylenol follows an
Order; transferring wound care to family requires Delegation; independent
catheter insertion is Initiation .
Question 4
A patient needs emergent surgery and requires intravenous access. The RPN starts
the patient's IV. What does the RPN need to do this legally?
A) Nothing, she is able to initiate this procedure
B) An order
C) A medical directive
D) Permission from the CNO
Correct ,,answer,,,: B
Explanation: IV initiation is a controlled act requiring an order. RPNs cannot
independently initiate IV access without an order from an authorized prescriber .
Question 5
Which Controlled Acts are authorized to nurses? (Select all that apply)
1. Performing allergy testing
2. Dispensing a drug
3. Treating by means of psychotherapy technique
4. Putting a hand, instrument, or finger beyond a natural or artificial opening of
the body
5. Managing labour or conducting a delivery
6. Performing a prescribed procedure below the dermis or mucous membrane
7. Administering a substance by inhalation or injection
A) 1,2,3,4,5
B) 2,3,4,6,7
, C) 1,3,5,6,7
D) 2,4,5,6,7
Correct ,,answer,,,: B
Explanation: Nurses are authorized to: Dispense drugs, perform psychotherapy
techniques, perform procedures beyond body openings, perform below-dermis
procedures, and administer substances by inhalation/injection .
Question 6
An RPN orders another RPN colleague to insert a urinary catheter for a newly
admitted patient. How should the second RPN respond?
A) Confirm RPN order with MD before proceeding
B) Accept the order and proceed with the intervention
C) Consult with an RN before proceeding
D) Decline to accept the order
Correct ,,answer,,,: D
Explanation: RPNs cannot issue orders to other RPNs. Only authorized providers
(physicians, NPs, or RNs with specific authority) can order controlled acts .
Question 7
Shannon (RN) is precepting Mei, a nursing student. A client requires urinary
catheterization. Shannon introduces Mei, obtains consent, and supervises Mei as
she inserts the catheter. Was this appropriate?
A) True
B) False
Correct ,,answer,,,: True
Explanation: RNs may delegate controlled acts to students under supervision. The
RN maintains accountability and must provide appropriate supervision .
