MOSBY'S COMPREHENSIVE REVIEW
QUESTIONS FOR THE CANADIAN PN
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Systemic opioid analgesics, such as morphine sulphate, may be used for maternal pain
management. Which statement best describes the nursing considerations for administering
systemic opiate analgesics?
1. Systemic opioids are often administered up to the second stage of labour.
2. An opioid antagonist such as naloxone (Narcan) should be administered to the mother to
reverse the effects if birth is imminent.
3. An opioid antagonist such as naloxone (Narcan) should be administered to the newborn if
signs of central nervous system (CNS) depression are present.
4. Systemic opioids should not be used for postpartum pain management, as these drugs cross
into breast milk and may cause CNS depression in the newborn. - ANS
How would the action and effect of a drug that is metabolized by the liver be affected in a client
with severe cirrhosis of the liver?
1. The rate of the excretion of the drug will increase.
2. The duration of the action of the drug will decrease.
1 @COPYRIGHT 2025/2026.
,3. The action and effects of the drug on body c4. The action and effects of the drug on the body
will be prolonged.ells will be blocked—hence no effect. - ANS 4. The action and effects of the
drug on the body will be prolonged.
A nurse educator has revised the hospital's orientation program in anticipation of the hospital
orientating many new graduate practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of professional practice. He
conducts his first education session with the new graduates.
Questions 1-5 refer to this case.
During the documentation session, one of the new practical nurses asks what abbreviations can
be used within the client's health record. What abbreviations should the practical nurse use?
1. Abbreviations learned in nursing school
2. Abbreviations that have been approved by the Canadian Nurses Association
3. Abbreviations that have been approved by the hospital
4. Abbreviations that are in common use on specific units within the hospital - ANS 3.
Abbreviations that have been approved by the hospital
Which of the following statements is the most accurate information with regard to client
consent?
1. Practical nurses are responsible for ensuring that clients sign all consent forms on the health
record.
2. The healthcare provider proposing the procedure requiring written consent is the person
who must ensure that written client consent is obtained.
3. Verbal consent for an operative procedure is acceptable, and signed consents are not always
necessary.
2 @COPYRIGHT 2025/2026.
,4. When a client is admitted to the hospital, the client signs a written consent that covers all
treatments. - ANS 2. The healthcare provider proposing the procedure requiring written
consent is the person who must ensure that written client consent is obtained.
In the sample client's health record, the new graduate practical nurses discover that a nurse has
written "Verbal Order, acetaminophen (Tylenol), 325 mg, PO, prn, for pain." There is no
evidence that this was an emergency situation. Which of the following describes best practice
in relation to verbal medication orders?
1. Verbal orders are to be avoided, except in an emergency situation.
2. Practical nurses should follow the same practice for verbal orders as for telephone orders.
3. Verbal orders should never be accepted, including in emergency situations.
4. Only registered nurses may receive verbal orders for medications from a physician. -
ANS 1. Verbal orders are to be avoided, except in an emergency situation.
The new graduate practical nurses review a variety of orders on the sample health records.
Which of the following is a correct medication order?
1. Acetaminophen 325 mg PO for pain
2. Acetaminophen 325-650 mg PO for pain q4-6h prn
3. Acetaminophen 325-650 mg PO for pain as needed
4. Acetaminophen 325 or 650 mg q4-6h prn - ANS 2. Acetaminophen 325-650 mg PO for pain
q4-6h prn
(The dose is accurate, the route is identified, the frequency is identified, and the qualifier is
identified).
During the orientation, the 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?
1. An opportunity to obtain funding from the government
3 @COPYRIGHT 2025/2026.
, 2. An opportunity to transfer research findings into practice
3. A chance for professionals to trial untested research findings
4. A way to promote enhanced assessment skills - ANS 2. An opportunity to transfer research
findings into practice
Case 2
A manager of home care nurses has noticed over the past 3 months a lack of clarity about the
roles of the team members, poor team morale, increasing negative communication, and team
conflict. The manager decides to support her staff by providing an education session.
Questions 6-9 refer to this case.
One of the new team members is a nurse practitioner (NP). How should the manager describe
the level of education for the NP?
1. A nurse who has specialty certification from the Canadian Nurses Association
2. A nurse who has taken a special interest course in a unique field
3. A nurse who has an undergraduate degree in a discipline other than nursing
4. A nurse educated at the master's level with a specialization in a particular practice area -
ANS 4. A nurse educated at the master's level with a specialization in a particular practice
area
The manager is preparing the education session for her staff group. Which of the following is
true in relation to the teaching and learning process?
1. It is important to use the same approach with all types of learners.
2. It is better to introduce all new knowledge instead of connecting it to previously learned
knowledge.
3. Learning occurs best when the individual has an identified need to learn.
4 @COPYRIGHT 2025/2026.
QUESTIONS FOR THE CANADIAN PN
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Systemic opioid analgesics, such as morphine sulphate, may be used for maternal pain
management. Which statement best describes the nursing considerations for administering
systemic opiate analgesics?
1. Systemic opioids are often administered up to the second stage of labour.
2. An opioid antagonist such as naloxone (Narcan) should be administered to the mother to
reverse the effects if birth is imminent.
3. An opioid antagonist such as naloxone (Narcan) should be administered to the newborn if
signs of central nervous system (CNS) depression are present.
4. Systemic opioids should not be used for postpartum pain management, as these drugs cross
into breast milk and may cause CNS depression in the newborn. - ANS
How would the action and effect of a drug that is metabolized by the liver be affected in a client
with severe cirrhosis of the liver?
1. The rate of the excretion of the drug will increase.
2. The duration of the action of the drug will decrease.
1 @COPYRIGHT 2025/2026.
,3. The action and effects of the drug on body c4. The action and effects of the drug on the body
will be prolonged.ells will be blocked—hence no effect. - ANS 4. The action and effects of the
drug on the body will be prolonged.
A nurse educator has revised the hospital's orientation program in anticipation of the hospital
orientating many new graduate practical nurses within the next 3 months. The nurse educator
decides to use sample client health records to highlight areas of professional practice. He
conducts his first education session with the new graduates.
Questions 1-5 refer to this case.
During the documentation session, one of the new practical nurses asks what abbreviations can
be used within the client's health record. What abbreviations should the practical nurse use?
1. Abbreviations learned in nursing school
2. Abbreviations that have been approved by the Canadian Nurses Association
3. Abbreviations that have been approved by the hospital
4. Abbreviations that are in common use on specific units within the hospital - ANS 3.
Abbreviations that have been approved by the hospital
Which of the following statements is the most accurate information with regard to client
consent?
1. Practical nurses are responsible for ensuring that clients sign all consent forms on the health
record.
2. The healthcare provider proposing the procedure requiring written consent is the person
who must ensure that written client consent is obtained.
3. Verbal consent for an operative procedure is acceptable, and signed consents are not always
necessary.
2 @COPYRIGHT 2025/2026.
,4. When a client is admitted to the hospital, the client signs a written consent that covers all
treatments. - ANS 2. The healthcare provider proposing the procedure requiring written
consent is the person who must ensure that written client consent is obtained.
In the sample client's health record, the new graduate practical nurses discover that a nurse has
written "Verbal Order, acetaminophen (Tylenol), 325 mg, PO, prn, for pain." There is no
evidence that this was an emergency situation. Which of the following describes best practice
in relation to verbal medication orders?
1. Verbal orders are to be avoided, except in an emergency situation.
2. Practical nurses should follow the same practice for verbal orders as for telephone orders.
3. Verbal orders should never be accepted, including in emergency situations.
4. Only registered nurses may receive verbal orders for medications from a physician. -
ANS 1. Verbal orders are to be avoided, except in an emergency situation.
The new graduate practical nurses review a variety of orders on the sample health records.
Which of the following is a correct medication order?
1. Acetaminophen 325 mg PO for pain
2. Acetaminophen 325-650 mg PO for pain q4-6h prn
3. Acetaminophen 325-650 mg PO for pain as needed
4. Acetaminophen 325 or 650 mg q4-6h prn - ANS 2. Acetaminophen 325-650 mg PO for pain
q4-6h prn
(The dose is accurate, the route is identified, the frequency is identified, and the qualifier is
identified).
During the orientation, the 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?
1. An opportunity to obtain funding from the government
3 @COPYRIGHT 2025/2026.
, 2. An opportunity to transfer research findings into practice
3. A chance for professionals to trial untested research findings
4. A way to promote enhanced assessment skills - ANS 2. An opportunity to transfer research
findings into practice
Case 2
A manager of home care nurses has noticed over the past 3 months a lack of clarity about the
roles of the team members, poor team morale, increasing negative communication, and team
conflict. The manager decides to support her staff by providing an education session.
Questions 6-9 refer to this case.
One of the new team members is a nurse practitioner (NP). How should the manager describe
the level of education for the NP?
1. A nurse who has specialty certification from the Canadian Nurses Association
2. A nurse who has taken a special interest course in a unique field
3. A nurse who has an undergraduate degree in a discipline other than nursing
4. A nurse educated at the master's level with a specialization in a particular practice area -
ANS 4. A nurse educated at the master's level with a specialization in a particular practice
area
The manager is preparing the education session for her staff group. Which of the following is
true in relation to the teaching and learning process?
1. It is important to use the same approach with all types of learners.
2. It is better to introduce all new knowledge instead of connecting it to previously learned
knowledge.
3. Learning occurs best when the individual has an identified need to learn.
4 @COPYRIGHT 2025/2026.
