CPNRE EXAM 1
1. Mrs. Worth, 78 years D) Ask Sara if she would like to talk and offer her support.
old, is a resident in
an apartment com- This response is empathetic and supportive, acknowledging Sara's feelings
plex for older adults. and offering her the opportunity to express them. It also provides an opening
She has an adult for the practical nurse to offer further assistance or information about Mrs.
son. Over the past Worth's condition and how to cope with the changes it brings. It's important
several months, Mrs. for family members to understand the disease process and to have their
Worth has begun to feelings validated, but this should be done in a way that is sensitive to their
forget days of the emotional state at the moment.
week and forget to
pay her bills. She of-
ten wears her night
clothing during the
day.
Three months later,
Mrs. Worth is moved
to a special care unit.
Her granddaughter
Sara visits, but Mrs.
Worth does not rec-
ognize her. Sara be-
gins to cry. What
should the practical
nurse do?
A) Tell Sara that her
grandmother likes to
talk about living on
the farm.
B) Tell Sara that this
is part of the disease
process and is to be
, CPNRE EXAM 1
expected.
C) Ask Sara if she
would like to walk
with her grandmoth-
er.
D) Ask Sara if she
would like to talk and
offer her support.
2. Mrs. Worth, 78 years B) Assess Mrs. Worth's needs in a calm manner and review the situation for
old, is a resident in possible triggers.
an apartment com-
plex for older adults. This response is appropriate because it focuses on understanding and
She has an adult addressing the underlying cause of Mrs. Worth's agitation and aggressive
son. Over the past behavior. It is important to assess her needs and the situation calmly to
several months, Mrs. identify any triggers that may have caused her reaction. This approach is
Worth has begun to more proactive and therapeutic than immediately resorting to medication or
forget days of the restraint, which should be considered only if the situation poses an immedi-
week and forget to ate risk to Mrs. Worth or others and all other de-escalation techniques have
pay her bills. She of- been exhausted.
ten wears her night
clothing during the
day.
Mrs. Worth is be-
coming increasingly
agitated by anoth-
er client. She be-
gins to behave ag-
gressively. After call-
ing for help, what
should the practical
nurse do?
, CPNRE EXAM 1
A) Assess both clients
for injury and en-
courage Mrs. Worth
to calm down.
B) Assess Mrs.
Worth's needs in a
calm manner and re-
view the situation for
possible triggers.
C) Administer p.r.n.
medication and as-
sess both clients for
injury.
D) Administer p.r.n.
medication and ob-
tain an order to re-
strain Mrs. Worth un-
til she calms down.
3. Mrs. Worth, 78 years A) Apraxia
old, is a resident in
an apartment com- Apraxia is a neurological disorder characterized by an inability to perform
plex for older adults. purposeful movements despite having the physical ability to do so. It is often
She has an adult associated with brain damage or neurodegenerative diseases. In this case,
son. Over the past Mrs. Worth's attempt to make phone calls on her TV remote control could be
several months, Mrs. an example of ideational apraxia, where she has difficulty understanding the
Worth has begun to concept of using objects correctly.
forget days of the The other terms are less fitting for the described behavior:
week and forget to B) Akinesia - This refers to an absence of movement, often seen in disorders
pay her bills. She of- like Parkinson's disease.
, CPNRE EXAM 1
ten wears her night C) Aphasia - This is a language disorder that affects a person's ability to
clothing during the communicate, which is not directly related to the described behavior.
day. D) Aphagia - This is a disorder characterized by difficulty swallowing, which
While Mrs. Worth's is unrelated to the described behavior.
son is visiting his
mother, he notices
that she is trying to
make phone calls on
her TV remote con-
trol. Which term best
describes this?
A) Apraxia
B) Akinesia
C) Aphasia
D) Aphagia
4. Mrs. Worth, 78 years C) Donepezil (Aricept)
old, is a resident in Donepezil (Aricept) is a cholinesterase inhibitor that is commonly used in the
an apartment com- treatment of Alzheimer's disease. It works by increasing the levels of acetyl-
plex for older adults. choline, a neurotransmitter that is important for memory and learning, in the
She has an adult brain. This can help improve cognitive function and slow the progression of
son. Over the past symptoms in some individuals with Alzheimer's disease.
several months, Mrs. The other medications listed are used for different purposes:
Worth has begun to A) Citalopram (Celexa) - This is an antidepressant of the selective serotonin
forget days of the reuptake inhibitor (SSRI) class, used to treat depression and anxiety disor-
week and forget to ders.
pay her bills. She of- B) Lorazepam (Ativan) - This is a benzodiazepine used to treat anxiety, insom-
ten wears her night nia, and seizures. It is not a first-line treatment for Alzheimer's disease.
clothing during the D) Olanzapine (Zyprexa) - This is an antipsychotic medication used to treat
day. schizophrenia and bipolar disorder. It may be used off-label for agitation in
1. Mrs. Worth, 78 years D) Ask Sara if she would like to talk and offer her support.
old, is a resident in
an apartment com- This response is empathetic and supportive, acknowledging Sara's feelings
plex for older adults. and offering her the opportunity to express them. It also provides an opening
She has an adult for the practical nurse to offer further assistance or information about Mrs.
son. Over the past Worth's condition and how to cope with the changes it brings. It's important
several months, Mrs. for family members to understand the disease process and to have their
Worth has begun to feelings validated, but this should be done in a way that is sensitive to their
forget days of the emotional state at the moment.
week and forget to
pay her bills. She of-
ten wears her night
clothing during the
day.
Three months later,
Mrs. Worth is moved
to a special care unit.
Her granddaughter
Sara visits, but Mrs.
Worth does not rec-
ognize her. Sara be-
gins to cry. What
should the practical
nurse do?
A) Tell Sara that her
grandmother likes to
talk about living on
the farm.
B) Tell Sara that this
is part of the disease
process and is to be
, CPNRE EXAM 1
expected.
C) Ask Sara if she
would like to walk
with her grandmoth-
er.
D) Ask Sara if she
would like to talk and
offer her support.
2. Mrs. Worth, 78 years B) Assess Mrs. Worth's needs in a calm manner and review the situation for
old, is a resident in possible triggers.
an apartment com-
plex for older adults. This response is appropriate because it focuses on understanding and
She has an adult addressing the underlying cause of Mrs. Worth's agitation and aggressive
son. Over the past behavior. It is important to assess her needs and the situation calmly to
several months, Mrs. identify any triggers that may have caused her reaction. This approach is
Worth has begun to more proactive and therapeutic than immediately resorting to medication or
forget days of the restraint, which should be considered only if the situation poses an immedi-
week and forget to ate risk to Mrs. Worth or others and all other de-escalation techniques have
pay her bills. She of- been exhausted.
ten wears her night
clothing during the
day.
Mrs. Worth is be-
coming increasingly
agitated by anoth-
er client. She be-
gins to behave ag-
gressively. After call-
ing for help, what
should the practical
nurse do?
, CPNRE EXAM 1
A) Assess both clients
for injury and en-
courage Mrs. Worth
to calm down.
B) Assess Mrs.
Worth's needs in a
calm manner and re-
view the situation for
possible triggers.
C) Administer p.r.n.
medication and as-
sess both clients for
injury.
D) Administer p.r.n.
medication and ob-
tain an order to re-
strain Mrs. Worth un-
til she calms down.
3. Mrs. Worth, 78 years A) Apraxia
old, is a resident in
an apartment com- Apraxia is a neurological disorder characterized by an inability to perform
plex for older adults. purposeful movements despite having the physical ability to do so. It is often
She has an adult associated with brain damage or neurodegenerative diseases. In this case,
son. Over the past Mrs. Worth's attempt to make phone calls on her TV remote control could be
several months, Mrs. an example of ideational apraxia, where she has difficulty understanding the
Worth has begun to concept of using objects correctly.
forget days of the The other terms are less fitting for the described behavior:
week and forget to B) Akinesia - This refers to an absence of movement, often seen in disorders
pay her bills. She of- like Parkinson's disease.
, CPNRE EXAM 1
ten wears her night C) Aphasia - This is a language disorder that affects a person's ability to
clothing during the communicate, which is not directly related to the described behavior.
day. D) Aphagia - This is a disorder characterized by difficulty swallowing, which
While Mrs. Worth's is unrelated to the described behavior.
son is visiting his
mother, he notices
that she is trying to
make phone calls on
her TV remote con-
trol. Which term best
describes this?
A) Apraxia
B) Akinesia
C) Aphasia
D) Aphagia
4. Mrs. Worth, 78 years C) Donepezil (Aricept)
old, is a resident in Donepezil (Aricept) is a cholinesterase inhibitor that is commonly used in the
an apartment com- treatment of Alzheimer's disease. It works by increasing the levels of acetyl-
plex for older adults. choline, a neurotransmitter that is important for memory and learning, in the
She has an adult brain. This can help improve cognitive function and slow the progression of
son. Over the past symptoms in some individuals with Alzheimer's disease.
several months, Mrs. The other medications listed are used for different purposes:
Worth has begun to A) Citalopram (Celexa) - This is an antidepressant of the selective serotonin
forget days of the reuptake inhibitor (SSRI) class, used to treat depression and anxiety disor-
week and forget to ders.
pay her bills. She of- B) Lorazepam (Ativan) - This is a benzodiazepine used to treat anxiety, insom-
ten wears her night nia, and seizures. It is not a first-line treatment for Alzheimer's disease.
clothing during the D) Olanzapine (Zyprexa) - This is an antipsychotic medication used to treat
day. schizophrenia and bipolar disorder. It may be used off-label for agitation in
