CPRNRE Study Set 4 Exam Questions and Answers

CPRNRE Study Set 4 Exam Questions and Answers What is the correct method of administering ear drops for a 3 year old or younger? - Answer-- pull the earlobe down and back What is the correct method of administering ear drops for an adolescent/adult 8 years and above? -Answer-- pull the earlobe up and back What is the correct method to assist with ambulation of a weak patient? -Answer-- have patient stand on good side first, then put weak foot forward, followed by the good foot - the LPN should be on the weak side of the patient What intervention is necessary if family or friends call to ask about a patient condition? - Answer-- inform the family or friend that no information can be released without patient's knowledge - instruct them to ask the question directly to the patient What is Acrocyanosis? -Answer-- bluish extremities - very common in newborn infants How can a newborn nutrition be assessed? -Answer-- assess the newborn infant for frequent and timely urination and BM What is the most common prescribed laxative? -Answer-- Lactulose What dietary restrictions are important for ileostomy patient? -Answer-- no raw fruits, vegetables, or nuts What is the most effective method to apply vaginal cream? -Answer-- insert 5-7 cm inside the vagina? What is the most important precautionary method for burn victim patients? -Answer-- always wear sterile gloves What is the most effective method to administer a suppository? -Answer-- have the patient lie in SIM's position and push the suppository inside and to the side wall of the rectum - hold the gluteus maximus after administration to make sure suppository does not retract from rectum When is the most effective time to apply hemorrhoid cream? -Answer-- after the patient has a BM What is the most effective method to ensure proper care? -Answer-- assign the same patient to the same HCA as often as possible What is the most important teaching point before a patient has a bronchoscopy? - Answer-- instruct the patient to be NPO for 8 hours What is the most important intervention for a newborn infant who is cyanotic and has dyspnea? -Answer-- give oxygen therapy What is the most common first sign of Varicella Zoster infection? -Answer-- fever (vomiting is very common as well) What precaution is Rubella? -Answer-- airborne What precaution is Measles? -Answer-- airborne What is the most common symptom of Cystitis? -Answer-- frequent urination What is the most important intervention when a patient is confirmed to have STI or STD? -Answer-- instruct patient to contact all previous partners within 6 months What is the most effective method to dress a patient with left or right sided weakness? - Answer-- dress the weak side first and undress the strong side first What is the most effective method to take a wound culture? -Answer-- take the specimen from the middle of the wound If a patient asks a question pertinent to their recovery, what is the best responses? - Answer-- ask the patient what they have already been told in order to assess what they are currently aware of - often patients are looking for second opinion or to hear a certain answer to validate their concerns What is the best intervention if dealing with patients who is a high suicide risk when suddenly an emergency occurs? -Answer-- ask a health care assistant to watch the suicidal patient while dealing with the emergency What is the best intervention to recommend to a pregnant mother to take to avoid neural tube defects? -Answer-- teach the mother the importance of folic acid administration What is the best intervention for a community health care nurse who has been informed that Pertussis has been recognized at a local child facility? -Answer-- report the outbreak to the public health authority as all outbreak must be reported by law What is the best place to admit patient who has a fever of 39 degrees celsius if all rooms are full -Answer-- admit the patient to a single room and move patient with a less complicated disease process (e.g., broken arm), to a shared room - this will minimize the potential of cross infection between patients What is the best intervention for a patient who h as trouble hearing? -Answer-repeat any sentences the patient has difficulty hearing in a slower and lower pitched voice What is the best intervention (regarding conversation) upon meeting a patient recently diagnosed? -Answer-- assess the patient's knowledge of the diagnosis (this question appear on the CPNRE in many different ways, and many different times) - be mindful of this question and answer What is the best intervention for a patient who has been deemed to safely ambulate, but still complaining of foot, knee, or leg pain? -Answer-- refer the patient to a physiotherapist What is the best intervention for a patient unwilling to leave their room? -Answer-ask the patient if they would like to leave their room during the least busiest time of the day - many patients feel anxiety of interacting with others, but do not admit to this which leads the nurse to believe that leaving the room is the issue, and not an interpersonal phobia What is the best response to a patient asking about their upcoming surgery? -Answer-- ask the patient what the physician has told them about the surgery to establish what they already know and expand upon this knowledge base (within the LPN scope of practice) What is the most important teaching point of herbal medicine? -Answer-- herbal medicine concentration can vary drastically - pharmaceuticals must have exact doses but vitamins and herbal medicine have much lower standards upon manufacturing - this is one reason why medication (e.g., flu vaccination, antibiotics, etc.) often have shortages but vitamin and herbals do not