CPNRE Exam Questions And Correct Verified Answers
6
With Rationales New Updated Version 2026
2
20
A 16-year-old young woman comes into the sexual health clinic and asks the nurse for condoms.
She asks the nurse not to tell her mother that she was there. What is the appropriate response
by the nurse?
am
a. "I am bound by confidentiality not to tell anyone about your visit."
b. "If you were my daughter, I would want to know."
Ex
c. "Are you embarrassed that you are sexually active?"
d. "The doctor will need to speak to your mother before you get this prescription."
s
a. "I am bound by confidentiality not to tell anyone about your visit."
rt
In Canada, a 16-year-old client is old enough to make an informed decision and consent to
pe
engaging in sexual activity. The nurse is bound by confidentiality and cannot by law tell the client’s
mother about her request for condoms. As per Professional Practice guidelines
Ex
,A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family
members about infectious precautions. Which of the following statements by family members
indicates that the family needs more education?
a. We will bring in books and magazines for entertainment.
b. We will bring in personal care items for comfort.
c. We will bring in fresh flowers to brighten the room.
6
d. We will bring in family pictures and get well cards.
2
c. We will bring in fresh flowers to brighten the room.
During induction chemotherapy, the leukemia patient is severely immunocompromised and at risk
20
of serious infection. Fresh flowers, fruit, and plants can carry microbes and should be avoided. Books,
pictures, and other personal items can be cleaned with antimicrobials before being brought into the
room to minimize the risk of contamination
am
Etta Nichols is a 79-year-old woman recently admitted to the surgical unit with a fractured hip.She
has a history of Alzheimer's disease associated wwith severe cognitive impairment. Can Etta give
informed consent for the surgical repair of her hip?
Ex
a. She may give informed consent
b. She may not have the capacity to give consent
c. Her presence at the hospital implies consent
d. Her children must give consent
ts
b. She may not have the capacity to give consent
Due to her diagnosis, she will not have the capacity to give consent.The rest of the responses are not
r
correct responses/or illegal
pe
The nurse prepares to change a surgical dressing on a patient who had hip surgery. When obtaining
the supplies, the nurse reviews the sterile procedure to be followed. At what step in the procedure
should the nurse don sterile gloves?
Ex
a. Prior to removing the dressing on the client's hip.
b. Before opening the new sterile dressing package.
c. Before cleansing the client's hip incision.
d. After cleansing the client's hip incision.
a. Prior to removing the dressing on the client's hip. INCORRECT
Removing the old dressing will result in contamination of the sterile gloves.
,b. Before opening the new sterile dressing package.INCORRECT
Opening the dressing package will result in contamination of the sterile gloves.
c. Before cleansing the client's hip incision.CORRECT
When using surgical asepsis for wound care, the sterile gloves should be donned prior to
cleansing the wound and applying the new sterile dressing.
6
d. After cleansing the client's hip incision.INCORRECT
2
This is not the correct time to apply sterile gloves.
While cleansing the incision, the nurse observes that the staples are intact, but a small gap has opened
20
at the bottom of the incision. How should the nurse document this finding?
a. Bottom edges of incision approximated.
am
b.2 cm area of dehiscence at bottom of incision.
c. Evisceration of incision noted at bottom edge.
d. Wound healing via secondary intention.
a. Bottom edges of incision approximated.INCORRECT
Ex
The upper edges are well approximated, or closed; the bottom edge is not.
b. 2 cm area of dehiscence at bottom of incision.CORRECT
An unintentional opening in a surgical wound prior to healing is referred to as dehiscence.
s
c. Evisceration of incision noted at bottom edge.INCORRECT
rt
Evisceration refers to the protrusion of internal tissues through an open wound.
pe
d. Wound healing via secondary intention.INCORRECT
This is not correct documentation.
A patient receiving head and neck radiation and systemic chemotherapy has ulcerations over the oral
Ex
mucosa and tongue and thick, ropey saliva. An appropriate intervention for the nurse to teach the
patient is to:
a. remove food debris from the teeth and oral mucosa with a stiff toothbrush.
b. use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
c. gargle and rinse the mouth several times a day with an antiseptic mouthwash.
d. rinse the mouth before and after each meal and at bedtime with a saline solution.
d. rinse the mouth before and after each meal and at bedtime with a saline solution.
, Rationale: The patient should rinse the mouth with a saline solution frequently. A soft
toothbrush is used for oral care. Hydrogen peroxide may damage tissues. Antiseptic
mouthwashes may irritate the oral mucosa and are not recommended
6
As part of your clinical education, you are working on 6 East, a surgical floor. A client's spouse asks
2
to read her husband's chart. What must you do?
20
a. Inform the wife that the record is confidential and you are unable to grant permission for her to
read the chart.
b. Inform her that she may read the chart as long as the record remains at the nursing station
department
am
c. Inform her that she must request permission from the physician and medical records
d. Inform her that under no circumstances may any persons other than direct health-care
providers read the chart
a. Inform the wife that the record is confidential and you are unable to grant permission for her to
Ex
read the chart.
Correct response based on standards of practice-confidentiality
Your client refuses to allow you to perform a prescribed wound care treatment. How should you chart
ts
this?
r
a. You must only chart care that has already been given; since the client refused the care, there is
pe
nothing to chart
b. You must document that the client refused wound care and any reason offered for refusal as well
as who was notified of this refusal
Ex
c. You must convince the client to undergo the prescribed would treatment
d. The client's refusal of wound care should be documented on the Kardex but never on the
client chart.
b. You must document that the client refused wound care and any reason offered for refusal as
well as who was notified of this refusal
Standards of practice-documentation and client's right to refuse treatment.Option a-does not follow
standards of practice.Option c and d does not follow guidelines of safe practice
6
With Rationales New Updated Version 2026
2
20
A 16-year-old young woman comes into the sexual health clinic and asks the nurse for condoms.
She asks the nurse not to tell her mother that she was there. What is the appropriate response
by the nurse?
am
a. "I am bound by confidentiality not to tell anyone about your visit."
b. "If you were my daughter, I would want to know."
Ex
c. "Are you embarrassed that you are sexually active?"
d. "The doctor will need to speak to your mother before you get this prescription."
s
a. "I am bound by confidentiality not to tell anyone about your visit."
rt
In Canada, a 16-year-old client is old enough to make an informed decision and consent to
pe
engaging in sexual activity. The nurse is bound by confidentiality and cannot by law tell the client’s
mother about her request for condoms. As per Professional Practice guidelines
Ex
,A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family
members about infectious precautions. Which of the following statements by family members
indicates that the family needs more education?
a. We will bring in books and magazines for entertainment.
b. We will bring in personal care items for comfort.
c. We will bring in fresh flowers to brighten the room.
6
d. We will bring in family pictures and get well cards.
2
c. We will bring in fresh flowers to brighten the room.
During induction chemotherapy, the leukemia patient is severely immunocompromised and at risk
20
of serious infection. Fresh flowers, fruit, and plants can carry microbes and should be avoided. Books,
pictures, and other personal items can be cleaned with antimicrobials before being brought into the
room to minimize the risk of contamination
am
Etta Nichols is a 79-year-old woman recently admitted to the surgical unit with a fractured hip.She
has a history of Alzheimer's disease associated wwith severe cognitive impairment. Can Etta give
informed consent for the surgical repair of her hip?
Ex
a. She may give informed consent
b. She may not have the capacity to give consent
c. Her presence at the hospital implies consent
d. Her children must give consent
ts
b. She may not have the capacity to give consent
Due to her diagnosis, she will not have the capacity to give consent.The rest of the responses are not
r
correct responses/or illegal
pe
The nurse prepares to change a surgical dressing on a patient who had hip surgery. When obtaining
the supplies, the nurse reviews the sterile procedure to be followed. At what step in the procedure
should the nurse don sterile gloves?
Ex
a. Prior to removing the dressing on the client's hip.
b. Before opening the new sterile dressing package.
c. Before cleansing the client's hip incision.
d. After cleansing the client's hip incision.
a. Prior to removing the dressing on the client's hip. INCORRECT
Removing the old dressing will result in contamination of the sterile gloves.
,b. Before opening the new sterile dressing package.INCORRECT
Opening the dressing package will result in contamination of the sterile gloves.
c. Before cleansing the client's hip incision.CORRECT
When using surgical asepsis for wound care, the sterile gloves should be donned prior to
cleansing the wound and applying the new sterile dressing.
6
d. After cleansing the client's hip incision.INCORRECT
2
This is not the correct time to apply sterile gloves.
While cleansing the incision, the nurse observes that the staples are intact, but a small gap has opened
20
at the bottom of the incision. How should the nurse document this finding?
a. Bottom edges of incision approximated.
am
b.2 cm area of dehiscence at bottom of incision.
c. Evisceration of incision noted at bottom edge.
d. Wound healing via secondary intention.
a. Bottom edges of incision approximated.INCORRECT
Ex
The upper edges are well approximated, or closed; the bottom edge is not.
b. 2 cm area of dehiscence at bottom of incision.CORRECT
An unintentional opening in a surgical wound prior to healing is referred to as dehiscence.
s
c. Evisceration of incision noted at bottom edge.INCORRECT
rt
Evisceration refers to the protrusion of internal tissues through an open wound.
pe
d. Wound healing via secondary intention.INCORRECT
This is not correct documentation.
A patient receiving head and neck radiation and systemic chemotherapy has ulcerations over the oral
Ex
mucosa and tongue and thick, ropey saliva. An appropriate intervention for the nurse to teach the
patient is to:
a. remove food debris from the teeth and oral mucosa with a stiff toothbrush.
b. use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
c. gargle and rinse the mouth several times a day with an antiseptic mouthwash.
d. rinse the mouth before and after each meal and at bedtime with a saline solution.
d. rinse the mouth before and after each meal and at bedtime with a saline solution.
, Rationale: The patient should rinse the mouth with a saline solution frequently. A soft
toothbrush is used for oral care. Hydrogen peroxide may damage tissues. Antiseptic
mouthwashes may irritate the oral mucosa and are not recommended
6
As part of your clinical education, you are working on 6 East, a surgical floor. A client's spouse asks
2
to read her husband's chart. What must you do?
20
a. Inform the wife that the record is confidential and you are unable to grant permission for her to
read the chart.
b. Inform her that she may read the chart as long as the record remains at the nursing station
department
am
c. Inform her that she must request permission from the physician and medical records
d. Inform her that under no circumstances may any persons other than direct health-care
providers read the chart
a. Inform the wife that the record is confidential and you are unable to grant permission for her to
Ex
read the chart.
Correct response based on standards of practice-confidentiality
Your client refuses to allow you to perform a prescribed wound care treatment. How should you chart
ts
this?
r
a. You must only chart care that has already been given; since the client refused the care, there is
pe
nothing to chart
b. You must document that the client refused wound care and any reason offered for refusal as well
as who was notified of this refusal
Ex
c. You must convince the client to undergo the prescribed would treatment
d. The client's refusal of wound care should be documented on the Kardex but never on the
client chart.
b. You must document that the client refused wound care and any reason offered for refusal as
well as who was notified of this refusal
Standards of practice-documentation and client's right to refuse treatment.Option a-does not follow
standards of practice.Option c and d does not follow guidelines of safe practice
