Master the CPNRE Exams Latest Updated Exam
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A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
Which is an adverse effect of digoxin? - ansbradycardia
What does TKVO mean? - ansTo keep vein open
Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first
thing you should do? - ansAdminister rescue inhaler
Which of the following is most important when performing a preoperative assessment? -
ansphysical assessment
Which of the following would be elicit the best information about a patients pain? -
ansDescribe your pain to me (open ended)
The practical nurses scope of practice is determined by - anslegislation and regulatory and
licensure requirments
Intentional torts - ansAssault
Battery
Invasion of privacy
False imprisonment
Battery - ansthe intentional touching of a person without his or her consent
Unintentional torts - ansNegligence is a failure to take the care that a reasonable nurse in
similar circumstances would have taken.
Examples of activities that nurses may be charged with - ans- theft of narcotics
- theft of client or agency property
- assisted suicide
- criminal negligence
Common negligence acts - ansmedication errors, intravenous therapy errors that result in
phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique,
failure to report, failure to monitor a patients condition, failure to notify a physician
Principles of accountability for nurses - ans- responsible and accountable for their decisions
and actions
- engage in self reflection and continuous learning to maintain and enhance competence
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between ethical
responsible and legal rights
Code of nursing ethics - ans- being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created through - ansthe nurses application of knowledge,
communication theory, understanding of human behaviour, and commitment to ethical
behaviour.
Four phases of the nurse client relationship - ans*Pre-interaction*: Gathering information;
assessing one's feelings, fears, and anxieties about working with a particular client
*Orientation*: nurse and client become acquainted. Goal is to establish trust.
*Working*: Goal is to promote client change
,Master the CPNRE Exams Latest Updated Exam
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
*Termination*: Evaluate goal attainment; and ensure therapeutic closure
-penia - ansreduced amount
Best approach to conflict resolution - anscollaboration
The repeat back method consists of - ansidentification, situation, background, assessment,
recommendations, repeat back
before consent, patients need to receive - ansfull disclosure of all details of the procedure.
Can practical nurses obtain consent for surgery? - ansno because they are not conducting the
surgery, but may be a witness
consent can be - ansverbal, written, and implicit
Example of implicit consent; - ansclient lifting leg for wound care
Cno practice standard for resuscitation is based on these ethical values - ans- respect for ones
well-being
- client choice
- privacy and confidentiality
- respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for - ansdx, treatment, cure, relief, and prevention
Idiosyncratic reactions - ansare unpredictable and occur when an individual overreaction
from the medication or has a different reaction from the norm.
After a medication is taken it breaks down in the body and is - ansabsorbed, distributed,
metabolized, and excreted
10 rights of medication administration - ansright medication, right dose, right client, right
route, right time, right documentation, right reason, right to refuse, right client education,
right evaluation
oral medications - ansgiven by mouth. easiest route , most common, and has the slowest,
most prolonged effect
sublingual medications - ansplaced under the tongue and should not be swallowed.
parenteral medications - ansinjected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
- intramuscular (for volumes up to 3ml)
- IV
inhalation route - ansused to administer medications through nasal passages, orally, by
endotracheal tube or via tracheostomy
The nursing process - ans1. assessment
2. analysis
3. planning
4. implementation
5. evaluation, outcome, and revision of care
During a documentation session in the hospital, one of the new practical nurses asks what
abbreviations can be used within the patients health record? what abbreviations can the nurse
use? - ansMust be approved by the agency (hospital)
,Master the CPNRE Exams Latest Updated Exam
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
Which is the most accurate information in regard to patient consent? - ansThe health care
provider proposing the procedure should be the one to obtain written consent.
In the sample clients health record , the new graduate practical nurses discovers that a nurse
has written "verbal order, acetaminophen" but there is no evidence of an emergency situation.
which of the following describes best practice in relation to verbal medication orders? -
ansVerbal orders are not telephone orders and should not be used, unless in an emergency
situation.
A correct medication order - ansThe dose is accurate, the route is identified, the frequency is
identified, and the qualifier is identified.
During orientation a nurse educator explains that the hospital uses evidence informed practice
to guide clinical decision making. which of the following statements best describes evidence
informed practice? - ansEvidence informed care is the transfer of current research into
practice
which of the following is true in relation to the learning process? - ansLearning occurs best
when the learner identifies a learning need
A manager explains the effective interpersonal communication with clients and team
members and includes - ansWhen genuine and warmth are utilized communication is
enhanced
A facility follows a "least restraint policy" what is the most important consideration with a
"least restraint policy"? - ansAll possible alternative interventions have been exhausted
before a restraint is used
The practical nurse charts the behaviour of a client, which statement would be the most
appropriate documentation? - ansThe client was "shaking his fist as the nurse @ 1100" *must
be factual
12: The practical nurse consults the provincial or territorial standards of nursing practice
when contemplating the use of restraints. What is the most important purpose for using
standards of nursing practice? - ansStandards of nursing practice define the expectation for
practical nurses in various practice settings and situations and generally guide nursing
practice
13: The practical nurses knows that she must be able to articulate the differences and
similiarities between various nursing organizations. The mandate of nursing regulatory
organizations is which of the following? - ansThe primary mandate of a health regulatory
agency is protection of the public
14: The practical nurse is trying to distinguish the differences and similarities between
standards of nursing practice and the nursing best practice guidelines. what are the best
practice guidelines? - ansEvidence informed guidelines are tools that improve client, practical
nurse, and organizational outcomes. They involve care that is based on actual observed and
proven outcomes, not traditional based care.
What does DNR mean? - ansdo not perform cardiopulmonary resuscitation
16: Which member of the interprofessional team would be a beneficial resources for the rpn
to contact regarding a patient who is having difficulty communicating and eating after a
cerebrovascular accident? - ansThe speech pathologist helps people improve their speech and
, Master the CPNRE Exams Latest Updated Exam
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
learn different strategies and ways to communicate. The speech language pathologist also
assists people with swallowing problems.
20: A resident in a long term care facility tells the practical nurses that his legs hurts from the
fall he had an hour ago. The practical nurse was unaware of the fall and obtains details from
the UCP who cared for the resident at the time of the fall. Which statement related to
accountability is correct? - ansUCP's are accountable for their care, including any actions or
inactions taken that relate to the resident falling.
21: A practical nurse has been asked by his manager to work an extra of 4 hours after his 12
hour shift because three nurses have called in sick. The practical nurse has worked four 12
hour shifts in a row. He admits he is tired and not sure whether he is too fatigued to work an
extra 4 hours. Which statement is correct? - ansThe practical nurses first priority is to provide
high quality client-care. He must determine if he is too tired to complete competent care.
22: Joe aged 42, has Lou Gehrig disease. He is married and has two school aged children. He
has consented to have MAID. What is the practical nurses role in providing MAID, in
accordance with the law? - ansInserting and IV line with the doctors order, that will be used
to administer the medication that will cause death of the client.
23:A second year practical nursing student obtains an apical heart rate of 140bpm on Cara, a
6 year old child. The student practical nurse assumes that she has made an error in counting
the beats. She did not take any action in relation to her findings, and did not report the
elevated HR to anyone. Who is responsible for this error in care? - ansThe student nurse
because she did not report and take any action.
24: A client is ordered 325mg of acetlysalicylic acid (ASA) prn for headache. The practical
nurse is aware that this is also a client that is receiving warfarin (Coumadin). Which of the
following is the most important action to be taken by the practical nurse? - ansContact the
pharmacist of the potential drug interaction
A second year practical nursing student has asked the preceptor about the use of restraints.
Which of the following is not considered a restraint category? - ansHazardous
A student nurse has forgotten her computer password. She asks a staff nurse to share her
password in order to access a clients chart. What should the staff nurse do? - ansDo not share
the password and direct the student nurse to the policy of retrieving forgotten passwords.
27: A client is ordered venlafaxine (Effexor) for depression. The client refuses to take the
medications, stating that it causes headaches. What should the practical nurse do? - ansThe
client has withdrawn consent, therefore the rpn must not force treatment.
28: In a hospital setting, what is the priority practice by a practical nurse to ensure
administration of the correct medication, to the correct client? - ansChecking the clients
identification bracelet is the safest method to ensure the "right client".
29: The practical nurse is not able to read the obstetricians handwriting for postpartum orders
for a client. The obstetrician has returned to his office outside of the hospital. what should the
nurse do? - ansPractical nurses must have the original prescriber to clarify the order.
30: In which of the following situations would the nurse use a code of ethics to guide their
situation? - ansConfidentiality and privacy are included in ethical behaviour.
Open ended questions - ans- how are you feeling today?
- tell me about your health concerns?
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
Which is an adverse effect of digoxin? - ansbradycardia
What does TKVO mean? - ansTo keep vein open
Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first
thing you should do? - ansAdminister rescue inhaler
Which of the following is most important when performing a preoperative assessment? -
ansphysical assessment
Which of the following would be elicit the best information about a patients pain? -
ansDescribe your pain to me (open ended)
The practical nurses scope of practice is determined by - anslegislation and regulatory and
licensure requirments
Intentional torts - ansAssault
Battery
Invasion of privacy
False imprisonment
Battery - ansthe intentional touching of a person without his or her consent
Unintentional torts - ansNegligence is a failure to take the care that a reasonable nurse in
similar circumstances would have taken.
Examples of activities that nurses may be charged with - ans- theft of narcotics
- theft of client or agency property
- assisted suicide
- criminal negligence
Common negligence acts - ansmedication errors, intravenous therapy errors that result in
phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique,
failure to report, failure to monitor a patients condition, failure to notify a physician
Principles of accountability for nurses - ans- responsible and accountable for their decisions
and actions
- engage in self reflection and continuous learning to maintain and enhance competence
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between ethical
responsible and legal rights
Code of nursing ethics - ans- being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created through - ansthe nurses application of knowledge,
communication theory, understanding of human behaviour, and commitment to ethical
behaviour.
Four phases of the nurse client relationship - ans*Pre-interaction*: Gathering information;
assessing one's feelings, fears, and anxieties about working with a particular client
*Orientation*: nurse and client become acquainted. Goal is to establish trust.
*Working*: Goal is to promote client change
,Master the CPNRE Exams Latest Updated Exam
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
*Termination*: Evaluate goal attainment; and ensure therapeutic closure
-penia - ansreduced amount
Best approach to conflict resolution - anscollaboration
The repeat back method consists of - ansidentification, situation, background, assessment,
recommendations, repeat back
before consent, patients need to receive - ansfull disclosure of all details of the procedure.
Can practical nurses obtain consent for surgery? - ansno because they are not conducting the
surgery, but may be a witness
consent can be - ansverbal, written, and implicit
Example of implicit consent; - ansclient lifting leg for wound care
Cno practice standard for resuscitation is based on these ethical values - ans- respect for ones
well-being
- client choice
- privacy and confidentiality
- respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for - ansdx, treatment, cure, relief, and prevention
Idiosyncratic reactions - ansare unpredictable and occur when an individual overreaction
from the medication or has a different reaction from the norm.
After a medication is taken it breaks down in the body and is - ansabsorbed, distributed,
metabolized, and excreted
10 rights of medication administration - ansright medication, right dose, right client, right
route, right time, right documentation, right reason, right to refuse, right client education,
right evaluation
oral medications - ansgiven by mouth. easiest route , most common, and has the slowest,
most prolonged effect
sublingual medications - ansplaced under the tongue and should not be swallowed.
parenteral medications - ansinjected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
- intramuscular (for volumes up to 3ml)
- IV
inhalation route - ansused to administer medications through nasal passages, orally, by
endotracheal tube or via tracheostomy
The nursing process - ans1. assessment
2. analysis
3. planning
4. implementation
5. evaluation, outcome, and revision of care
During a documentation session in the hospital, one of the new practical nurses asks what
abbreviations can be used within the patients health record? what abbreviations can the nurse
use? - ansMust be approved by the agency (hospital)
,Master the CPNRE Exams Latest Updated Exam
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
Which is the most accurate information in regard to patient consent? - ansThe health care
provider proposing the procedure should be the one to obtain written consent.
In the sample clients health record , the new graduate practical nurses discovers that a nurse
has written "verbal order, acetaminophen" but there is no evidence of an emergency situation.
which of the following describes best practice in relation to verbal medication orders? -
ansVerbal orders are not telephone orders and should not be used, unless in an emergency
situation.
A correct medication order - ansThe dose is accurate, the route is identified, the frequency is
identified, and the qualifier is identified.
During orientation a nurse educator explains that the hospital uses evidence informed practice
to guide clinical decision making. which of the following statements best describes evidence
informed practice? - ansEvidence informed care is the transfer of current research into
practice
which of the following is true in relation to the learning process? - ansLearning occurs best
when the learner identifies a learning need
A manager explains the effective interpersonal communication with clients and team
members and includes - ansWhen genuine and warmth are utilized communication is
enhanced
A facility follows a "least restraint policy" what is the most important consideration with a
"least restraint policy"? - ansAll possible alternative interventions have been exhausted
before a restraint is used
The practical nurse charts the behaviour of a client, which statement would be the most
appropriate documentation? - ansThe client was "shaking his fist as the nurse @ 1100" *must
be factual
12: The practical nurse consults the provincial or territorial standards of nursing practice
when contemplating the use of restraints. What is the most important purpose for using
standards of nursing practice? - ansStandards of nursing practice define the expectation for
practical nurses in various practice settings and situations and generally guide nursing
practice
13: The practical nurses knows that she must be able to articulate the differences and
similiarities between various nursing organizations. The mandate of nursing regulatory
organizations is which of the following? - ansThe primary mandate of a health regulatory
agency is protection of the public
14: The practical nurse is trying to distinguish the differences and similarities between
standards of nursing practice and the nursing best practice guidelines. what are the best
practice guidelines? - ansEvidence informed guidelines are tools that improve client, practical
nurse, and organizational outcomes. They involve care that is based on actual observed and
proven outcomes, not traditional based care.
What does DNR mean? - ansdo not perform cardiopulmonary resuscitation
16: Which member of the interprofessional team would be a beneficial resources for the rpn
to contact regarding a patient who is having difficulty communicating and eating after a
cerebrovascular accident? - ansThe speech pathologist helps people improve their speech and
, Master the CPNRE Exams Latest Updated Exam
Prep for 2025-2026.
A Comprehensive Exam Study Guide with 100%
Certified and Verified.
Latest Updated 2025/2026 already Graded A+
learn different strategies and ways to communicate. The speech language pathologist also
assists people with swallowing problems.
20: A resident in a long term care facility tells the practical nurses that his legs hurts from the
fall he had an hour ago. The practical nurse was unaware of the fall and obtains details from
the UCP who cared for the resident at the time of the fall. Which statement related to
accountability is correct? - ansUCP's are accountable for their care, including any actions or
inactions taken that relate to the resident falling.
21: A practical nurse has been asked by his manager to work an extra of 4 hours after his 12
hour shift because three nurses have called in sick. The practical nurse has worked four 12
hour shifts in a row. He admits he is tired and not sure whether he is too fatigued to work an
extra 4 hours. Which statement is correct? - ansThe practical nurses first priority is to provide
high quality client-care. He must determine if he is too tired to complete competent care.
22: Joe aged 42, has Lou Gehrig disease. He is married and has two school aged children. He
has consented to have MAID. What is the practical nurses role in providing MAID, in
accordance with the law? - ansInserting and IV line with the doctors order, that will be used
to administer the medication that will cause death of the client.
23:A second year practical nursing student obtains an apical heart rate of 140bpm on Cara, a
6 year old child. The student practical nurse assumes that she has made an error in counting
the beats. She did not take any action in relation to her findings, and did not report the
elevated HR to anyone. Who is responsible for this error in care? - ansThe student nurse
because she did not report and take any action.
24: A client is ordered 325mg of acetlysalicylic acid (ASA) prn for headache. The practical
nurse is aware that this is also a client that is receiving warfarin (Coumadin). Which of the
following is the most important action to be taken by the practical nurse? - ansContact the
pharmacist of the potential drug interaction
A second year practical nursing student has asked the preceptor about the use of restraints.
Which of the following is not considered a restraint category? - ansHazardous
A student nurse has forgotten her computer password. She asks a staff nurse to share her
password in order to access a clients chart. What should the staff nurse do? - ansDo not share
the password and direct the student nurse to the policy of retrieving forgotten passwords.
27: A client is ordered venlafaxine (Effexor) for depression. The client refuses to take the
medications, stating that it causes headaches. What should the practical nurse do? - ansThe
client has withdrawn consent, therefore the rpn must not force treatment.
28: In a hospital setting, what is the priority practice by a practical nurse to ensure
administration of the correct medication, to the correct client? - ansChecking the clients
identification bracelet is the safest method to ensure the "right client".
29: The practical nurse is not able to read the obstetricians handwriting for postpartum orders
for a client. The obstetrician has returned to his office outside of the hospital. what should the
nurse do? - ansPractical nurses must have the original prescriber to clarify the order.
30: In which of the following situations would the nurse use a code of ethics to guide their
situation? - ansConfidentiality and privacy are included in ethical behaviour.
Open ended questions - ans- how are you feeling today?
- tell me about your health concerns?
