Canadian PN Exam 2026 (Mosby's Comprehensive
Review) | All Questions and Correct Answers |
Verified Answers | Just Released
Mrs. Wasson complains that her nipples are sore. What should the practical nurse
suggest for care of the breasts?
1. Air the nipples as much as possible.
2. Use a lanolin-based cream after every feeding.
3. Use plastic-lined breast pads.
4. Begin nursing with the breast that is most painful. ---------CORRECT ANSWER-----
------------1. Air the nipples as much as possible.
Mrs. Wasson plans to express breast milk for use when she has a babysitter. She
asks the practical nurse how she should instruct the babysitter to warm the
bottle. What should be the practical nurse's response?
1. Place the bottle in a pot of water and heat slowly on top of the stove.
2. Place the bottle in a microwave oven and heat at a low temperature.
3. Place the bottle in a bowl of lukewarm water.
4. Warming is not necessary, as the bottle can be used directly from the
refrigerator. ---------CORRECT ANSWER-----------------3. Place the bottle in a bowl of
lukewarm water.
,Case 2
Edgar is a 14-year-old boy who was diagnosed with type 1 diabetes at age 4 years.
His blood sugar control has been poorly maintained for the past 2 months. It is
suspected that the lack of control is related to an adolescent growth spurt and
possible poor adherence to blood glucose monitoring, nutrition, and insulin
administration. Edgar has been admitted to a short-stay unit in hospital for
stabilization.
Questions 6-10 refer to this case.
When Edgar was diagnosed at age 4, he exhibited the cardinal symptoms of the
three "polys." What are these manifestations?
1. Polycythemia, polyuria, polymyositis
2. Polydipsia, polyelectrolyte, polyneuropathy
3. Polyopia, polyarthritis, polyphagia
4. Polyphagia, polydipsia, polyuria ---------CORRECT ANSWER-----------------4.
Polyphagia, polydipsia, polyuria
The practical nurse reviews insulin action, dosage, and administration with Edgar.
What is the optimum insulin regimen for most children with diabetes?
1. Twice-daily injections of rapid-acting and intermediate-acting insulins
2. Multiple daily injections of rapid- and long-acting insulins
3. Total dosage and percentage of regular- to intermediate-acting insulins
determined individually
,4. Ratio and dose determined by weight in kilograms ---------CORRECT ANSWER----
-------------3. Total dosage and percentage of regular- to intermediate-acting
insulins determined individually
Edgar admits to the practical nurse he has been experimenting with alcohol and
binge drinking on the weekends. He states that his parents are "heavy drinkers"
and are not aware of his behaviour. What is the most critical issue concerning
Edgar's drinking of alcohol?
1. Alcohol causes a rise in blood sugar, leading to a sustained period of
hyperglycemia.
2. Binge drinking can lead to inappropriate and dangerous behaviour.
3. Alcohol causes a drop in blood sugar that could lead to severe hypoglycemia.
4. Because Edgar's parents are "heavy drinkers," he is more likely to develop a
dependency on alcohol. ---------CORRECT ANSWER-----------------3. Alcohol causes a
drop in blood sugar that could lead to severe hypoglycemia.
Edgar injects seven units of regular (Humulin R) insulin at 1600 hours. When
should the practical nurse caution him to be alert for a possible hypoglycemic
episode?
1. 1830 hours
2. 2030 hours
3. 2230 hours
4. 2400 hours ---------CORRECT ANSWER-----------------1. 1830 hours
, The practical nurse assesses that Edgar has been non-adherent to his diabetes
management. What is the most appropriate nursing action to address Edgar's
non-adherence?
1. Ask Edgar's parents to supervise him more closely.
2. Provide education to Edgar and his family about the potential dangers of poorly
controlled diabetes.
3. In private, explore Edgar's feelings about diabetes and the treatment regimen.
4. Suggest to Edgar that he join an adolescent diabetes support group. ---------
CORRECT ANSWER-----------------3. In private, explore Edgar's feelings about
diabetes and the treatment regimen.
Case 3
A practical nurse works on an orthopaedic surgery unit of a hospital. Many of the
clients are older adults with increased risk for hospital-acquired infections.
Questions 11-15 refer to this case.
Which of the following is the most important step for the practical nurse to
protect her clients from hospital-acquired infections?
1. Identify clients who are at risk.
2. Review hygiene practices with all clients.
3. Restrict visitors.
Review) | All Questions and Correct Answers |
Verified Answers | Just Released
Mrs. Wasson complains that her nipples are sore. What should the practical nurse
suggest for care of the breasts?
1. Air the nipples as much as possible.
2. Use a lanolin-based cream after every feeding.
3. Use plastic-lined breast pads.
4. Begin nursing with the breast that is most painful. ---------CORRECT ANSWER-----
------------1. Air the nipples as much as possible.
Mrs. Wasson plans to express breast milk for use when she has a babysitter. She
asks the practical nurse how she should instruct the babysitter to warm the
bottle. What should be the practical nurse's response?
1. Place the bottle in a pot of water and heat slowly on top of the stove.
2. Place the bottle in a microwave oven and heat at a low temperature.
3. Place the bottle in a bowl of lukewarm water.
4. Warming is not necessary, as the bottle can be used directly from the
refrigerator. ---------CORRECT ANSWER-----------------3. Place the bottle in a bowl of
lukewarm water.
,Case 2
Edgar is a 14-year-old boy who was diagnosed with type 1 diabetes at age 4 years.
His blood sugar control has been poorly maintained for the past 2 months. It is
suspected that the lack of control is related to an adolescent growth spurt and
possible poor adherence to blood glucose monitoring, nutrition, and insulin
administration. Edgar has been admitted to a short-stay unit in hospital for
stabilization.
Questions 6-10 refer to this case.
When Edgar was diagnosed at age 4, he exhibited the cardinal symptoms of the
three "polys." What are these manifestations?
1. Polycythemia, polyuria, polymyositis
2. Polydipsia, polyelectrolyte, polyneuropathy
3. Polyopia, polyarthritis, polyphagia
4. Polyphagia, polydipsia, polyuria ---------CORRECT ANSWER-----------------4.
Polyphagia, polydipsia, polyuria
The practical nurse reviews insulin action, dosage, and administration with Edgar.
What is the optimum insulin regimen for most children with diabetes?
1. Twice-daily injections of rapid-acting and intermediate-acting insulins
2. Multiple daily injections of rapid- and long-acting insulins
3. Total dosage and percentage of regular- to intermediate-acting insulins
determined individually
,4. Ratio and dose determined by weight in kilograms ---------CORRECT ANSWER----
-------------3. Total dosage and percentage of regular- to intermediate-acting
insulins determined individually
Edgar admits to the practical nurse he has been experimenting with alcohol and
binge drinking on the weekends. He states that his parents are "heavy drinkers"
and are not aware of his behaviour. What is the most critical issue concerning
Edgar's drinking of alcohol?
1. Alcohol causes a rise in blood sugar, leading to a sustained period of
hyperglycemia.
2. Binge drinking can lead to inappropriate and dangerous behaviour.
3. Alcohol causes a drop in blood sugar that could lead to severe hypoglycemia.
4. Because Edgar's parents are "heavy drinkers," he is more likely to develop a
dependency on alcohol. ---------CORRECT ANSWER-----------------3. Alcohol causes a
drop in blood sugar that could lead to severe hypoglycemia.
Edgar injects seven units of regular (Humulin R) insulin at 1600 hours. When
should the practical nurse caution him to be alert for a possible hypoglycemic
episode?
1. 1830 hours
2. 2030 hours
3. 2230 hours
4. 2400 hours ---------CORRECT ANSWER-----------------1. 1830 hours
, The practical nurse assesses that Edgar has been non-adherent to his diabetes
management. What is the most appropriate nursing action to address Edgar's
non-adherence?
1. Ask Edgar's parents to supervise him more closely.
2. Provide education to Edgar and his family about the potential dangers of poorly
controlled diabetes.
3. In private, explore Edgar's feelings about diabetes and the treatment regimen.
4. Suggest to Edgar that he join an adolescent diabetes support group. ---------
CORRECT ANSWER-----------------3. In private, explore Edgar's feelings about
diabetes and the treatment regimen.
Case 3
A practical nurse works on an orthopaedic surgery unit of a hospital. Many of the
clients are older adults with increased risk for hospital-acquired infections.
Questions 11-15 refer to this case.
Which of the following is the most important step for the practical nurse to
protect her clients from hospital-acquired infections?
1. Identify clients who are at risk.
2. Review hygiene practices with all clients.
3. Restrict visitors.
