CPNRE EXAM / NEWEST CPNRE EXAM 2026/2027 COMPLETE
ACCURATE EXAM AND A NEW UPDATED STUDY GUIDE ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED SOLUTIONS) LATEST
UPDATED VERSION 2026 |GUARANTEED PASS A+ (BRAND NEW!)
FULL REVISED CPNRE EXAM
Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
Mr. Manne is experiencing bloody diarrhea. What diagnostic tests would
be ordered if colorectal cancer is suspected?
1. Upper GI series and electrolytes
2. Colposcopy and stool for occult blood
3. Colonoscopy and hemoglobin
4. Lower GI series and creatinine
Answer- 3. Colonoscopy and hemoglobin: Colonoscopy used to view
the rectum and lining for growths to diagnose rectal cancer and
hemoglobin should be monitored because of blood loss
For colon cancer upper GI series is unnecessary
Colposcopy is not required and neither is an occult stool test if stools are
obviously bloody
Creatinine is used to assess kidney function and is not relevant if
colorectal cancer is suspected
,Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
Mr. Manne has surgery for colorectal cancer with the formation of a
colostomy. While performing a dressing change, the PN notices that Mr.
Manne's stoma is swollen and bluish in color. What should the PN do
first?
1. Continue with the dressing change
2. Request that the surgeon be notified
3. Leave a message with the physician's office
4. Document these findings and report at change of shift
Answer- 4. Document these findings and report at change of shift:
Change in Color (Ischemia/Necrosis): Caused by an inadequate blood
supply to the stoma. Sometimes a stoma will "pink up" as swelling
decreases. If the stoma continues to darken--turns dusky blue, dark
brown or black, you should report this to your physician immediately.
Normal: Red or pink, moist appearance. Slight bleeding is normal with
cleansing. Swelling should decrease over a period of 6-8 weeks after
surgery. Movement of the stoma is normal, and it may move in and out
with changes in your position.
Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
,MR. Manne tells the PN that his father died at the age of 50 from colon
cancer and states "I am going to end up like my father." How should the
PN respond to Mr. Manne?
1. "You are not your father. You were diagnosed early."
2. "You think you are going to die, don't you?"
3. "You seem upset. Tell me what the physician has told you"
4. "Let's discuss getting you home. That will cheer you up, don't you
think?"
Answer- 3. "You seem upset. Tell me what the physician has told you”:
open ended questions help to express the pt.’s feelings
False reassurance doesn't help genetic inclination
Leading questions don't acknowledge the pt.’s true feelings
Avoiding the topic is not helpful
Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
While receiving discharge teaching, Mr. Manne asks the PN what to
expect in the descending colostomy pouch on a regular basis. What
should the PN respond?
1. Liquid stool
2. Semi-formed stool
3. Solid stool
4. No stool
, Answer- 3. Solid stool - Descending colostomy because stool is formed
out of sigmoid ostomy (ostomy on lower left side of abdomen)
Liquid stool - Ascending colostomy
Semi-formed stool - Transverse colostomy
Mr. Rao, 45 years old, has been admitted following an open
cholecystectomy. He has a nasogastric (NG) tube in place connected to
suction and an IV.
In the past 2 hours, Mr. Rao's NG output totals 1500mL. After assessing
his vital signs, what should the practical nurse do first?
1. Assess the client's pain
2. Ask a colleague to assess the NG output
3. Continue to monitor the NG output
4. Ensure that the physician is notified
Answer- 4. Ensure that the physician is notified: Urinating at a rate of
750mL/h is suggestive of hypervolemia
cholecystectomy - is a surgical procedure to remove your gallbladder
750 and 2500 ml of urine in a 24-hour period
Average rate of approximately 25 to 30 ml/hr.
ACCURATE EXAM AND A NEW UPDATED STUDY GUIDE ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED SOLUTIONS) LATEST
UPDATED VERSION 2026 |GUARANTEED PASS A+ (BRAND NEW!)
FULL REVISED CPNRE EXAM
Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
Mr. Manne is experiencing bloody diarrhea. What diagnostic tests would
be ordered if colorectal cancer is suspected?
1. Upper GI series and electrolytes
2. Colposcopy and stool for occult blood
3. Colonoscopy and hemoglobin
4. Lower GI series and creatinine
Answer- 3. Colonoscopy and hemoglobin: Colonoscopy used to view
the rectum and lining for growths to diagnose rectal cancer and
hemoglobin should be monitored because of blood loss
For colon cancer upper GI series is unnecessary
Colposcopy is not required and neither is an occult stool test if stools are
obviously bloody
Creatinine is used to assess kidney function and is not relevant if
colorectal cancer is suspected
,Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
Mr. Manne has surgery for colorectal cancer with the formation of a
colostomy. While performing a dressing change, the PN notices that Mr.
Manne's stoma is swollen and bluish in color. What should the PN do
first?
1. Continue with the dressing change
2. Request that the surgeon be notified
3. Leave a message with the physician's office
4. Document these findings and report at change of shift
Answer- 4. Document these findings and report at change of shift:
Change in Color (Ischemia/Necrosis): Caused by an inadequate blood
supply to the stoma. Sometimes a stoma will "pink up" as swelling
decreases. If the stoma continues to darken--turns dusky blue, dark
brown or black, you should report this to your physician immediately.
Normal: Red or pink, moist appearance. Slight bleeding is normal with
cleansing. Swelling should decrease over a period of 6-8 weeks after
surgery. Movement of the stoma is normal, and it may move in and out
with changes in your position.
Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
,MR. Manne tells the PN that his father died at the age of 50 from colon
cancer and states "I am going to end up like my father." How should the
PN respond to Mr. Manne?
1. "You are not your father. You were diagnosed early."
2. "You think you are going to die, don't you?"
3. "You seem upset. Tell me what the physician has told you"
4. "Let's discuss getting you home. That will cheer you up, don't you
think?"
Answer- 3. "You seem upset. Tell me what the physician has told you”:
open ended questions help to express the pt.’s feelings
False reassurance doesn't help genetic inclination
Leading questions don't acknowledge the pt.’s true feelings
Avoiding the topic is not helpful
Mr. Manne, 45 years old, is admitted with weight loss not yet diagnosed.
He reports a loss of appetite and a general feeling of fatigue.
While receiving discharge teaching, Mr. Manne asks the PN what to
expect in the descending colostomy pouch on a regular basis. What
should the PN respond?
1. Liquid stool
2. Semi-formed stool
3. Solid stool
4. No stool
, Answer- 3. Solid stool - Descending colostomy because stool is formed
out of sigmoid ostomy (ostomy on lower left side of abdomen)
Liquid stool - Ascending colostomy
Semi-formed stool - Transverse colostomy
Mr. Rao, 45 years old, has been admitted following an open
cholecystectomy. He has a nasogastric (NG) tube in place connected to
suction and an IV.
In the past 2 hours, Mr. Rao's NG output totals 1500mL. After assessing
his vital signs, what should the practical nurse do first?
1. Assess the client's pain
2. Ask a colleague to assess the NG output
3. Continue to monitor the NG output
4. Ensure that the physician is notified
Answer- 4. Ensure that the physician is notified: Urinating at a rate of
750mL/h is suggestive of hypervolemia
cholecystectomy - is a surgical procedure to remove your gallbladder
750 and 2500 ml of urine in a 24-hour period
Average rate of approximately 25 to 30 ml/hr.
