RPNCE PRACTICE TEST 2 QUESTIONS & ANSWERS
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse reviews the dressing change order and is unfamiliar
with the type of dressing used. What is the RPN's best next step?
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 the wound care specialist - Answers- consult with the wound care
specialist
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse refuses to provide care due to feeling negatively about
Mr. Lopes' suicide attempt. They cannot understand how Mr. Lopes could cut his throat
in front of his child. What might the RPN be experiencing?
A). Moral distress
B). Moral uncertainty
C). Moral dissonance
D). Moral fatigue - Answers- moral distress
Mrs. Peterson, 35 years old, found her husband dead 6 months ago. He hanged himself
in the basement of their home. She has been diagnosed with post-traumatic stress
disorder (PTSD).
During the therapeutic relationship, which of the following is considered an appropriate
action by the registered psychiatric nurse?
A). Give details of their partner's death
B). Explain that they understand what the client is going though as they, too, have lost a
partner
C). Share that a bereavement support group was helpful for them after her partner's
death
D). Refer the client to their independent practice for counselling - Answers- share that a
bereavement support group was helpful for them after her partner's death
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
Susan has a great fear of weight gain and has many ways to avoid eating.
,She says to the RPN "I can't get weighed this morning, because I drank a glass of
juice." What is the best therapeutic response?
A). I'm pleased you drank some juice
B). We can get around this if you'll eat some fruit too
C). The rule is to get weighed before eating or drinking. We'll weigh you tomorrow
D). This is weight day so let's complete your weight. Please step on the scale -
Answers- this is weight day so let's complete your weight. Please step on the scale
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
The registered psychiatric nurse notices that Susan has vomited following a meal.
Which symptom would indicate the vomiting as a repetitive behaviour?
A). Unsteady gait
B). Muscle weakness
C). Body tremors
D). Dental enamel erosion - Answers- dental enamel erosion
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
Which symptom would indicate that Susan has not had a period for 4 months?
A). Parotid gland enlargement
B). Weight 15% below normal for her height
C). Lethargy and muscle weakness
D). Restrict food preferences and insist she finishes each meal - Answers- weight 15%
below normal for her height
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
What nursing action would facilitate achieving the daily required food intake?
A). Schedule breakfast, lunch and dinner at regular times
B). Provide snacks throughout the day
C). Allow Susan to take as long as she wants to eat
D). Restrict food preferences and insist she finishes each meal - Answers- Provide
snacks throughout the day
The RPN is responsible for facilitating a communication group for clients. The focus of
this group is to explore how effective communication skills are essential for developing
healthy interpersonal relationships.
, One of the group members frequently displays disruptive emotional outbursts. How
should the RPN respond?
A). Address the client individually outside of the group
B). Understand the behaviour is part of the group process
C). Reinforce the group boundaries with the client
D). Suggest 1:1 support and have the client leave the group - Answers- reinforce the
group boundaries with the client
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse observes slight swelling, redness, warmth and
tenderness to the touch when Mr. Lopes' calf is palpated. What should the RPN
suspect?
A). Muscle spasm
B). Cellulitis
C). Deep vein thrombosis
D). Peripheral artery disease - Answers- deep vein thrombosis
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
During the initial assessment, what presentation should the registered psychiatric nurse
most likely expect to see from Lily?
A). Excitable, highly energized and giving hugs to all the staff
B). Expresses her needs and does well regulating her emotions
C). Irritated, sad and withdraws from adults who try to engage with her
D). Crying, inconsolable and is asking for her mother - Answers- irritated, sad and
withdraws from adults who try to engage with her
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily is malnourished. What is she most at risk for?
A). Refeeding syndrome
B). Bulimia
C). Developmental delay
D). Stunted growth - Answers- refeeding syndrome
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse reviews the dressing change order and is unfamiliar
with the type of dressing used. What is the RPN's best next step?
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 the wound care specialist - Answers- consult with the wound care
specialist
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse refuses to provide care due to feeling negatively about
Mr. Lopes' suicide attempt. They cannot understand how Mr. Lopes could cut his throat
in front of his child. What might the RPN be experiencing?
A). Moral distress
B). Moral uncertainty
C). Moral dissonance
D). Moral fatigue - Answers- moral distress
Mrs. Peterson, 35 years old, found her husband dead 6 months ago. He hanged himself
in the basement of their home. She has been diagnosed with post-traumatic stress
disorder (PTSD).
During the therapeutic relationship, which of the following is considered an appropriate
action by the registered psychiatric nurse?
A). Give details of their partner's death
B). Explain that they understand what the client is going though as they, too, have lost a
partner
C). Share that a bereavement support group was helpful for them after her partner's
death
D). Refer the client to their independent practice for counselling - Answers- share that a
bereavement support group was helpful for them after her partner's death
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
Susan has a great fear of weight gain and has many ways to avoid eating.
,She says to the RPN "I can't get weighed this morning, because I drank a glass of
juice." What is the best therapeutic response?
A). I'm pleased you drank some juice
B). We can get around this if you'll eat some fruit too
C). The rule is to get weighed before eating or drinking. We'll weigh you tomorrow
D). This is weight day so let's complete your weight. Please step on the scale -
Answers- this is weight day so let's complete your weight. Please step on the scale
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
The registered psychiatric nurse notices that Susan has vomited following a meal.
Which symptom would indicate the vomiting as a repetitive behaviour?
A). Unsteady gait
B). Muscle weakness
C). Body tremors
D). Dental enamel erosion - Answers- dental enamel erosion
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
Which symptom would indicate that Susan has not had a period for 4 months?
A). Parotid gland enlargement
B). Weight 15% below normal for her height
C). Lethargy and muscle weakness
D). Restrict food preferences and insist she finishes each meal - Answers- weight 15%
below normal for her height
Susan, 17 years old, is admitted to an adolescent psychiatric unit. Within the past 6
months, Susan has lost 11 kg. Her current weight is 44 kg and her height is 170 cm. On
admission, Susan has been diagnosed with an eating disorder.
What nursing action would facilitate achieving the daily required food intake?
A). Schedule breakfast, lunch and dinner at regular times
B). Provide snacks throughout the day
C). Allow Susan to take as long as she wants to eat
D). Restrict food preferences and insist she finishes each meal - Answers- Provide
snacks throughout the day
The RPN is responsible for facilitating a communication group for clients. The focus of
this group is to explore how effective communication skills are essential for developing
healthy interpersonal relationships.
, One of the group members frequently displays disruptive emotional outbursts. How
should the RPN respond?
A). Address the client individually outside of the group
B). Understand the behaviour is part of the group process
C). Reinforce the group boundaries with the client
D). Suggest 1:1 support and have the client leave the group - Answers- reinforce the
group boundaries with the client
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse observes slight swelling, redness, warmth and
tenderness to the touch when Mr. Lopes' calf is palpated. What should the RPN
suspect?
A). Muscle spasm
B). Cellulitis
C). Deep vein thrombosis
D). Peripheral artery disease - Answers- deep vein thrombosis
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
During the initial assessment, what presentation should the registered psychiatric nurse
most likely expect to see from Lily?
A). Excitable, highly energized and giving hugs to all the staff
B). Expresses her needs and does well regulating her emotions
C). Irritated, sad and withdraws from adults who try to engage with her
D). Crying, inconsolable and is asking for her mother - Answers- irritated, sad and
withdraws from adults who try to engage with her
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily is malnourished. What is she most at risk for?
A). Refeeding syndrome
B). Bulimia
C). Developmental delay
D). Stunted growth - Answers- refeeding syndrome
