Canadian PN Exam – Medical-Surgical Nursing Final Exam Prep (2025) | Comprehensive Practice Questions & Answers

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CANADIAN PN EXAM 2025|ORIGINAL
500+QUESTIONS AND ANSWERS WITH
RATIONALES|A+GRADE|BRAND NEW
CANADIAN PN EXAM

A nurse educator has revised the hospital's orientation program in a
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nticipation of the hospital orientating many new graduate practical n
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urses within the next 3 months. The nurse educator decides to use sa
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mple client health records to highlight areas of professional practice.
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He conducts his first education session with the new graduates.
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Questions 1-5 refer to this case.
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During the documentation session, one of the new practical nurses as
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ks what abbreviations can be used within the client's health record.
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What abbreviations should the practical nurse use?
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1. Abbreviations learned in nursing school
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2. Abbreviations that have been approved by the Canadian Nurses As
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sociation
3. Abbreviations that have been approved by the hospital
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4. Abbreviations that are in common use on specific units within the
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hospital - V

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..........ANSWER.......3. Abbreviations that have been approved by the h
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ospital


Which of the following statements is the most accurate information
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with regardIto
enclient
lille landsby
V
ved havet boede en gammel fisker ved navn
consent?V V V
Lars. Han havde en lille båd og fiskede hver dag, men de
sidste år havde nettet været tomt. En tåget morgen så han en
sølvfarvet fisk i vandet. Fisken talte til ham: „Jeg er havets
prinsesse. Hvis du sætter mig fri, vil jeg give dig tre ønsker.”
1.VPracticalVnurses VareVresponsibleVforVensuringVthatVclientsVsignVallVco
Lars tænkte sig om og sagde: „Jeg ønsker, at alle fiskere i
nsentVformslandsbyen
VonVtheVhealth
får heldVrecord.
med fiskeriet igen. Jeg ønsker, at børnene
aldrig sulter. Og jeg ønsker ikke mere for mig selv.” Fisken
2.VTheVhealthcare
svømmede Vprovider
væk, menVproposing
næste dagVthe procedure
var Vhavet VrequiringVwritte
fuldt af fisk.
nVconsentVisLandsbyen blev rig og glad. Lars fortsatte med at fiske, men
VtheVpersonVwhoVmustVensureVthatVwrittenVclientVconsentVi
han delte altid sin fangst med de fattige. Hvert år på den
sVobtained. tågede morgen kom en lille sølvfisk op til overfladen og
blinkede til ham. Folk sagde, at det var prinsessen, der takkede
3.VVerbalVconsent
ham. LarsVfor VanVgammel,
blev operative men Vprocedure
han smiledeVis Vacceptable,
altid, når han så VandVsigne
havet – for han vidste, at godhed altid vender tilbage. (202 ord)
dVconsentsVare VnotValwaysVnecessary.
4. Deutsch (German)
In einem kleinen Dorf am Rande des Schwarzwaldes lebte eine
4.VWhenVaVclient
jungeVis VadmittedVtoVtheVhospital,VtheVclientVsignsVaVwrittenV
Bäckerin namens Hanna. Sie backte das beste Brot weit
consentVthatVcoversVallVtreatments.
und breit, doch eines WintersV-kam niemand mehr in ihre
Bäckerei. Der Schnee lag hoch, und die Menschen hatten
V..........ANSWER.......2.VTheVhealthcareVproviderVproposingVtheVprocedur
Angst, das Haus zu verlassen. Eines Abends klopfte es leise
eVrequiringVwritten
an der Tür. Vconsent
DraußenVis Vtheein
stand Vperson VwhoVmust
alter Wanderer mit VensureVthatVwritt
eisbedecktem Bart. Hanna ließ ihn herein, gab ihm warmes
enVclientVconsent
Brot undVisVobtained.
heißen Tee. Der Wanderer aß schweigend, dann
sagte er: „Du hast mir geholfen, als niemand sonst es tat. Nun
werde ich dir helfen.“ Er nahm ein kleines goldenes Samenkorn
aus seiner Tasche und steckte es in Hannas Teig. Am nächsten
InVtheVsample Vclient'sVhealthVrecord,VtheVnewVgraduateVpracticalVnurse
Morgen duftete das ganze Dorf nach frischem Brot. Der
Schnee
sVdiscoverVthatVaVnurse schmolz, die Wege wurden frei, und die Menschen
VhasVwrittenV"VerbalVOrder,Vacetaminophen V(T

kamen wieder. Hannas Brot war nun magisch – wer es aß,
ylenol),V325fühlte
Vmg,VPO,Vprn,VforVpain."VThereVisVnoVevidenceVthatVthisVwasV
sich warm und glücklich. V
an emergency situation. Which of the following describes best practic
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e in relation to verbal medication orders?
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1. Verbal orders are to be avoided, except in an emergency situation.
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2. Practical nurses should follow the same practice for verbal orders
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as for telephone orders.
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3. Verbal orders should never be accepted, including in emergency sit
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uations.
4. Only registered nurses may receive verbal orders for medications f
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rom a physician. -
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..........ANSWER.......1. Verbal orders are to be avoided, except in an em
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ergency situation. V




The new graduate practical nurses review a variety of orders on the s
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ample health records. Which of the following is a correct medication
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order?


1. Acetaminophen 325 mg PO for pain
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2. Acetaminophen 325-650 mg PO for pain q4-6h prn
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3. Acetaminophen 325-650 mg PO for pain as needed
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4. Acetaminophen 325 or 650 mg q4-6h prn -
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..........ANSWER.......2. Acetaminophen 325-650 mg PO for pain q4-
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6h prn V




(The dose is accurate, the route is identified, the frequency is identifi
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ed, and the qualifier is identified).
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During the orientation, the nurse educator explains that the hospital
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uses evidence- V

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informed practice to guide clinical decision making. Which of the foll
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owing statements best describes evidence-informed practice?
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1. An opportunity to obtain funding from the government
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2. An opportunity to transfer research findings into practice
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3. A chance for professionals to trial untested research findings
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4. A way to promote enhanced assessment skills -
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..........ANSWER.......2. An opportunity to transfer research findings into
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practice
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Case 2 V




A manager of home care nurses has noticed over the past 3 months a
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lack of clarity about the roles of the team members, poor team moral
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e, increasing negative communication, and team conflict. The manage
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r decides to support her staff by providing an education session.
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Questions 6-9 refer to this case. V V V V V




One of the new team members is a nurse practitioner (NP). How shou
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ld the manager describe the level of education for the NP?
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1. A nurse who has specialty certification from the Canadian Nurses A
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ssociation
2. A nurse who has taken a special interest course in a unique field
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