RPNCE Exam Questions With Accurate
Answers 2025\2026 A+ Grade.
MR. lopez, 39 yr, recently transferred to inpatient MH from intensive care
after a serious suicide attempt. Mr. Lopes cut his throat and requires a daily
dressing change that the nurse is unfamiliar with. What is the best practice?
a.) request education from the unit nurse in charge
b.) ask a colleague to perform the dressing change
c.) search types of dressings and techniques online
d.) consult with wound care specialist
- accurate answers-d.) consult with wound care specialist - (this is the best
resource in this situation)
The RPN refuses to provide care due to feeling negative about Mr. lopez
suicide attempt. What might the RPN be experiencing?
a.) Moral distress
b.) moral uncertainty
c.) moral dissonance
d.) moral fatigue
- accurate answers-a.) moral distress - goes against her personal morals,
refusing care exemplifies her moral distress
the RPN notices slight swelling, redness and warmth to a patient's calf when
palpitated - what would the rpn suspect?
a. muscle spasm
b. cellulitis
c. deep vein thrombosis
d. peripheral artery disease
- accurate answers-c. deep vein thrombosis - common after a surgical
procedure where the patient spends days in bed.
4 yr old Lilly was taken to hospital after being removed from her mothers
care, they lived in a park where Lilly's mom struggled with alcohol abuse. Lilly
is malnourished and diagnosed with reactive attachment disorder .
The nurse would expect to see what presentation from Lilly?
a. exciteable, high energy, and giving hugs
b. expresses her needs and regulates her emotions well
c. irritated, sad, and withdrawn from adults that engage with her
,d. crying, inconsolable and asking for her mother
- accurate answers-c. irritated, sad, and withdrawn from adults that engage
with her
- irritability, sadness, depression, and withdraw are DSM criteria for reactive
attachment disorder
4 year old lilly is malnourished, what is she most at risk for?
a. refeeding syndrome
b. bulimia
c. developmental delay
d. stunted growth
- accurate answers-a. refeeding syndrome
this is a risk factor when reinitiating nutritional support after a period of
underfeeding
Lilly's mom discloses a new incident of abuse to the psychologist who tells you
it does not need to be reported as social services is already involved. what is
the best action?
a. chart the discussion
b. phone social services
c. document the verbal order
d. consult another psychiatrist
- accurate answers-b. phone social services
you are obligated to report all incidences of child abuse
4 yr old lilly approaches the nursing station a day before discharge and asks if
she will be okay and asks what will happen to her. The best response is ?
a. tell lilly she will be safe with the people who care for her
b. validate lilly's fears and concerns
c. consult the team so everyone delivers a united response
d. reassure lilly that her mom is working hard on herself.
- accurate answers-b. validate lilly's fears and concerns
this addresses her current concerns and needs and does not give her false
hope
,Mr. Mar was currently prescribed antidepressants. He is off work and gets
into frequent arguments with his supportive partner. He drinks alochol
frequently and reports being under a lot of stress.
The rpn smells alcohol on his breath, and Mr. Mar reports that the medication
is useless and hes been taking it for 3 weeks. After addressing his alcohol use,
the rpn should do what?
a. refer mr. Mar for a medication review
b. instruct him to discontinue the medication
c. discuss cbt techniques
d. provide information on alcoholics annonymous
- accurate answers-c. discuss cbt techniques
this technique is often used in conjunction with medication treatment
Mr. Mar states he had an affair and asks the rpn to support him to disclose this
information to his partner. what should the rpn do?
a. share her own relationship story
b. suggest this information not be shared
c. help mr. mar plan to inform his partner
d. offer to speak to his partner on his behalf.
- accurate answers-c. help mr. mar plan to inform his partner
honour the client's desire to disclose such information and support the
initiation of conversation
a client who is being discharged presents the rpn with a box of chocolates,
what is the best action?
a. inform the patient you are unable to accept gifts from clients
b. suggest that the client parter would appreicate the gift instead
c. state how nice it is to be appreciated for once
d. Thank the client and inform him the gift will be shared with the other staff.
- accurate answers-d. Thank the client and inform him the gift will be shared
with the other staff.
gift is small, and its the end of the nurse-client relationship so it is appropriate
, Mrs. P found her husband dead 6 months ago due to suicide and now has
PTSD. during a conversation with the RPN she begins to describe the incident.
what is the best response?
a. change the subject as its upsetting the client
b. encourage her to share her experience in a group meeting
c. allow her to describe the event
d. reassure her that as time passes it will be less upsetting
- accurate answers-c. allow her to describe the event
this allows her to process the event in a safe environment
what is Mrs. P most likely to exhibit when assessing her?
a. auditory hallucinations
b. intrusive thoughts
c. inability to recall the event
d. mood instability
- accurate answers-b. intrusive thoughts
this is a common symptom of ptsd
During the therapeutic relationship with Mrs. P, what is an appropriate
action?
a. give details of the rpns partners death
b. explain that they understand what the client is going through as they too
have lost a partner
c. share that a bereavement support group was helpful after their partners
death
d. refer the client to independent practice counselling
- accurate answers-c. share that a bereavement support group was helpful
after their partners death
this is appropriate as it provides additional resources but does not disclose
personal details related to the RPNS personal experience
17 year old susan is admitted after losing 11kg in 6 months. her weight is
44kg and height is 108 cm. she is diagnosed with an eating disorder.
susan fears being weight and states that she doesn't want to be weighed this
morning as she had a glass of juice. What is the best response?
a. I'm pleased you drank some juice
Answers 2025\2026 A+ Grade.
MR. lopez, 39 yr, recently transferred to inpatient MH from intensive care
after a serious suicide attempt. Mr. Lopes cut his throat and requires a daily
dressing change that the nurse is unfamiliar with. What is the best practice?
a.) request education from the unit nurse in charge
b.) ask a colleague to perform the dressing change
c.) search types of dressings and techniques online
d.) consult with wound care specialist
- accurate answers-d.) consult with wound care specialist - (this is the best
resource in this situation)
The RPN refuses to provide care due to feeling negative about Mr. lopez
suicide attempt. What might the RPN be experiencing?
a.) Moral distress
b.) moral uncertainty
c.) moral dissonance
d.) moral fatigue
- accurate answers-a.) moral distress - goes against her personal morals,
refusing care exemplifies her moral distress
the RPN notices slight swelling, redness and warmth to a patient's calf when
palpitated - what would the rpn suspect?
a. muscle spasm
b. cellulitis
c. deep vein thrombosis
d. peripheral artery disease
- accurate answers-c. deep vein thrombosis - common after a surgical
procedure where the patient spends days in bed.
4 yr old Lilly was taken to hospital after being removed from her mothers
care, they lived in a park where Lilly's mom struggled with alcohol abuse. Lilly
is malnourished and diagnosed with reactive attachment disorder .
The nurse would expect to see what presentation from Lilly?
a. exciteable, high energy, and giving hugs
b. expresses her needs and regulates her emotions well
c. irritated, sad, and withdrawn from adults that engage with her
,d. crying, inconsolable and asking for her mother
- accurate answers-c. irritated, sad, and withdrawn from adults that engage
with her
- irritability, sadness, depression, and withdraw are DSM criteria for reactive
attachment disorder
4 year old lilly is malnourished, what is she most at risk for?
a. refeeding syndrome
b. bulimia
c. developmental delay
d. stunted growth
- accurate answers-a. refeeding syndrome
this is a risk factor when reinitiating nutritional support after a period of
underfeeding
Lilly's mom discloses a new incident of abuse to the psychologist who tells you
it does not need to be reported as social services is already involved. what is
the best action?
a. chart the discussion
b. phone social services
c. document the verbal order
d. consult another psychiatrist
- accurate answers-b. phone social services
you are obligated to report all incidences of child abuse
4 yr old lilly approaches the nursing station a day before discharge and asks if
she will be okay and asks what will happen to her. The best response is ?
a. tell lilly she will be safe with the people who care for her
b. validate lilly's fears and concerns
c. consult the team so everyone delivers a united response
d. reassure lilly that her mom is working hard on herself.
- accurate answers-b. validate lilly's fears and concerns
this addresses her current concerns and needs and does not give her false
hope
,Mr. Mar was currently prescribed antidepressants. He is off work and gets
into frequent arguments with his supportive partner. He drinks alochol
frequently and reports being under a lot of stress.
The rpn smells alcohol on his breath, and Mr. Mar reports that the medication
is useless and hes been taking it for 3 weeks. After addressing his alcohol use,
the rpn should do what?
a. refer mr. Mar for a medication review
b. instruct him to discontinue the medication
c. discuss cbt techniques
d. provide information on alcoholics annonymous
- accurate answers-c. discuss cbt techniques
this technique is often used in conjunction with medication treatment
Mr. Mar states he had an affair and asks the rpn to support him to disclose this
information to his partner. what should the rpn do?
a. share her own relationship story
b. suggest this information not be shared
c. help mr. mar plan to inform his partner
d. offer to speak to his partner on his behalf.
- accurate answers-c. help mr. mar plan to inform his partner
honour the client's desire to disclose such information and support the
initiation of conversation
a client who is being discharged presents the rpn with a box of chocolates,
what is the best action?
a. inform the patient you are unable to accept gifts from clients
b. suggest that the client parter would appreicate the gift instead
c. state how nice it is to be appreciated for once
d. Thank the client and inform him the gift will be shared with the other staff.
- accurate answers-d. Thank the client and inform him the gift will be shared
with the other staff.
gift is small, and its the end of the nurse-client relationship so it is appropriate
, Mrs. P found her husband dead 6 months ago due to suicide and now has
PTSD. during a conversation with the RPN she begins to describe the incident.
what is the best response?
a. change the subject as its upsetting the client
b. encourage her to share her experience in a group meeting
c. allow her to describe the event
d. reassure her that as time passes it will be less upsetting
- accurate answers-c. allow her to describe the event
this allows her to process the event in a safe environment
what is Mrs. P most likely to exhibit when assessing her?
a. auditory hallucinations
b. intrusive thoughts
c. inability to recall the event
d. mood instability
- accurate answers-b. intrusive thoughts
this is a common symptom of ptsd
During the therapeutic relationship with Mrs. P, what is an appropriate
action?
a. give details of the rpns partners death
b. explain that they understand what the client is going through as they too
have lost a partner
c. share that a bereavement support group was helpful after their partners
death
d. refer the client to independent practice counselling
- accurate answers-c. share that a bereavement support group was helpful
after their partners death
this is appropriate as it provides additional resources but does not disclose
personal details related to the RPNS personal experience
17 year old susan is admitted after losing 11kg in 6 months. her weight is
44kg and height is 108 cm. she is diagnosed with an eating disorder.
susan fears being weight and states that she doesn't want to be weighed this
morning as she had a glass of juice. What is the best response?
a. I'm pleased you drank some juice
