Exam (elaborations) CPNRE (CANADIAN PRACTICAL NURSE REGISTRATION) PREP

CPNRE (CANADIAN PRACTICAL NURSE REGISTRATION) PREP EXAM COMPLETE TEST BANK EXAM LATEST VERSION WITH ALL QUESTIONS AND ACCURATE DETAILED ANSWERS VERIFIED ANSWERS GRADED A+ Practical nurse is helping orientate a new employee, an unregulated health worker. Practical nurse watches the UCP (unregulated care provider) helping a resident at mealtimes and notices she appears uncomfortable. What should the nurse do? 1. Suggest that the UCP share her concerns with other employees 2. Partner the UCP with a more experienced unregulated health worker 3. Invite the UCP to attend information sessions on Alzheimers disease 4. Ask the UCP how she feels about caring for clients with Alzheimer's disease 4. Ask the UCP how she feels about caring for clients with Alzheimer's disease 5/26/25, 4:40 AM CPNRE Exam Prep / 2/128 A 68 yr old in the medical unit following an MI has a history of type 2 diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort. While watching the pt's back during AM care the PN notices a reddened area on his sacrum. What is proper documentation of the PN's assessment finding? 1. Small reddened area noted over sacrum 2. Reddened area over sacrum the size of a grape 3. Reddened area over sacrum 3cm in diameter, skin intact 4. Skin over sacral area appears reddened 3. Reddened area over sacrum 3cm in diameter, skin intact 5/26/25, 4:40 AM CPNRE Exam Prep / 3/128 A 68 yr old in the medical unit following an MI has a history of type 2 diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort. When administering the oral hypoglycemic pill, he states " that doesn't look like the pill I take at home." What should the PN do? 1. Reassure the pt that this is the correct med order by the physician 2. Reassure the pt that this is the correct med although it may look different 3. Re-check the Dr's orders and the home medication history 4. RE-check the pharmacy label before giving the med 3. Re-check the Dr's orders and the home medication history 5/26/25, 4:40 AM CPNRE Exam Prep / 4/128 A 68 yr old in the medical unit following an MI has a history of type 2 diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort. The PN is preparing to admin the pt's nitroglycerin patch. What would be the best place to apply the patch? 1. Lower leg 2. Upper arm 3. Lumbar area 4. Upper thigh 2. Upper arm 5/26/25, 4:40 AM CPNRE Exam Prep / 5/128 A 68 yr old in the medical unit following an MI has a history of type 2 diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort. The 2nd day on the medical unit, the pt develop diarrhea and begins vomiting. The Dr orders the IV rate to increase to 150mL/h. 2 hrs later the PN notices that he is dyspneic and his RR is 32 breaths/min. The PN auscultates his chest and notes adventitious sounds throughout. What should the PN do? 1. Discontinue the IV infusion and notify the physician 2. Reassess the IV rate and encourage deep breathing and coughing exercises 3. Maintain the IV infusion at 150mL/h and notify the physician 4. Notify the physician and anticipate a decrease in 4. Notify the physician and anticipate a decrease in the IV rate 5/26/25, 4:40 AM CPNRE Exam Prep / 6/128 the IV rate A 68 yr old in the medical unit following an MI has a history of type 2 diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort. On the fourth day on the medical unit, the pt reports that he has chest discomfort and SOB. The PN notes that he is pale, and his skin is cool and clammy . Most appropriate sequence of interventions? 3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin 5/26/25, 4:40 AM CPNRE Exam Prep / 7/128 1. Assess vital signs & blood glucose, then apply oxygen 2. Apply oxygen, assess vital signs and then assess blood glucose 3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin 4. Apply oxygen, assess vital signs and provide a warm blanket 5/26/25, 4:40 AM CPNRE Exam Prep / 8/128 13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry about recent changes in behavior and depressed mood. Pt tells PN her stomach hurts because she is making herself vomit. Asks PN not to tell parents, how should PN respond? 1. Tell the pt that the PN is only obliged to report vomiting if it occurs during her hospitalization 2. Remind the pt that clients have the right to determine what information is documented and reported 3. Explain to the pt that information is shared with the health care team to provide appropriate care 4. Reassure the pt that her stomach pains will subside if she stops vomiting and her condition improves 3. Explain to the pt that information is shared with the