CPNRE Practice Questions || All Accurate 100%
Case:Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial
infarction. Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse
discovers her condition has changed.
Which data would best indicate to the practical nurse that Mrs. Smith's health status has
deteriorated and that her condition should be reported immediately?
A)Cold, clammy skin
B)Bounding pulse
C)Elevated blood pressure
D)Increased muscular activity correct answers A)Cold, clammy skin
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
Mrs. Smith becomes confused and responds inappropriately. Which question by the practical
nurse would best help in the assessment of Mrs. Smith's level of orientation?
A)What is your name?
B)What does two plus two equal?
C)When did your bowels last move?
D)What did you think about that television program? correct answers A)What is your name?
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
The physician has ordered an IV of normal saline to run at 100mls/hr what does the practical
nurse do when first initiating the IV?
A)Shave any hair from the selected site
B)Briskly tap and massage the selected vein
C)Select a proximal site in the non-dominant extremity
D)Apply a tourniquet 4 to 6 inches above the selected site correct answers D)Apply a
tourniquet 4 to 6 inches above the selected site
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
While assessing Mrs. Smith, the practical nurse would become concerned with which of the
following symptoms related to the IV infusion?"
A)Polyuria
B)Crackles in the lungs
C)Dry mucous membranes
D)Decreased blood pressure correct answers B)Crackles in the lungs
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
,Mrs. Smith is ordered Heparin subcutaneously every 12 hours. The practical nurse expects
the physician will decrease the dose when blood work indicates which of the following?
A)INR below therapeutic range
B)INR above therapeutic range
C)Potassium below therapeutic range
D)Potassium above therapeutic range correct answers B)INR above therapeutic range
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Which action by the practical nurse is most appropriate for encouraging Justin to participate
in his care?
A)Encourage Justin to help develop a plan of care
B)Tell Justin what he needs to do to help with his care
C)Ask Justin's parents to help draw up the plan of care
D)Request that the physician tell Justin how to care for himself correct answers A)Encourage
Justin to help develop a plan of care
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Which procedure, related to Justin's care after he has had a bowel movement, is most
important for the practical nurse to teach him to prevent the spread of bacteria?
A)Wash his hands with soap and water
B)Wear latex gloves when cleaning himself
C)Use a disinfectant to clean the toilet seat
D)Notify the practical nurse after each bowel movement correct answers A)Wash his hands
with soap and water
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Justin is on enteric precautions. Which suggestion by the practical nurse would provide an
appropriate diversion for Justin?
A)Encourage him to play video games
B)Encourage him to make a cake for his family
C)Encourage him to play cards with another patient on the unit
D)Encourage him to invite some of the players from his baseball team for a visit correct
answers A)Encourage him to play video games
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
When providing the client with instructions on how to collect a stool specimen for
Clostridium difficile (C. difficile) which of the following is important information to teach?
A)Use a clean container to collect stool
B)Use stick provided to smear stool on card
C)Ensure rectal swab comes in contact with stool
,D)Ensure stool collection container remains sterile correct answers A)Use a clean container
to collect stool
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Concerned about further dehydration after discharge, which of the symptoms should Justin or
his family seek further medical attention for?
A)Anuria
B)Pyrexia
C)Polyphagia
D)Diaphoresis correct answers A)Anuria
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
Which action by the practical nurse would be most helpful in establishing bladder and bowel
retraining for Mrs. Mitchell?
A)Ensure fluid intake, encourage daily activity, establish toileting routine.
B)Decrease fluid and fibre intake, leave call bell within reach at all times
C)Teach Kegel exercises, pour warm water over perineum, measure intake & output
D)Increase fibre in her diet, increase fluids, administer a laxative at bedtime correct answers
A)Ensure fluid intake, encourage daily activity, establish toileting routine.
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
When assisting Mrs. Mitchell to transfer into the wheelchair, which technique should the
practical nurse use?
A)Place the wheelchair on her left side. Guide her using a transfer belt to transfer to her left
side
B)Place the wheelchair on her right side. Guide her to transfer to the wheelchair while
bracing her right side.
C)Have another team member assist with the transfer by lifting under her axillae.
D)Brace the front of the wheelchair use a transfer board to assist with the transfer. correct
answers A)Place the wheelchair on her left side. Guide her using a transfer belt to transfer to
her left side
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
When communicating with Mrs. Mitchell, which of the techniques would the practical nurse
expect to find useful?
A)Ask the client yes or no questions
, B)Write all questions on a communication board
C)Refer to speech therapist for language therapy
D)Document client's communication abilities on care plan correct answers A)Ask the client
yes or no questions
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
Which method of collaboration by the practical nurse would be most beneficial to Mrs.
Mitchell in preparing for her discharge?
A)Refer Mrs. Mitchell to the charge nurse for discharge teaching
B)Arrange for speech therapist and physiotherapist to meet with Mrs. Mitchell
C)Participate in a team conference prior to discharge to determine priority needs
D)Arrange for each team member to review discharge needs the day before discharge correct
answers C)Participate in a team conference prior to discharge to determine priority needs
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Mr. Schwartz asks the practical nurse several questions about his post-operative deep
breathing exercises. Mr. Schwartz says - I still don't understand. Which statement by the
practical nurse would best help Mr. Schwartz meet his learning needs?
A)"I'll explain the exercises from beginning to end.
B)I can get a pamphlet that may explain it better.
C)Tell me what you understand about the exercises.
D)You can take the incentive spirometer home to practice. correct answers C)Tell me what
you understand about the exercises.
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Postoperatively, Mr. Schwartz has a urinary catheter. What should the practical nurse be
concerned about with regard to Mr. Schwartz' urinary output?
A)Catheter is anchored to the outer aspect of the thigh
B)Drainage bag is attached to the lowest bed rail hook
C)Urinary output is 200ml during the last 8 hour shift
D)Urine is clear, straw-coloured, faint odor correct answers C)Urinary output is 200ml during
the last 8 hour shift
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Mr. Schwartz has become slightly agitated and accidently disconnects the catheter from the
drainage system. What would be the best course of action for the practical nurse to take?
A)Irrigate the catheter and reattach it to the drainage system
B)Sterilize attachments and attach drainage system to the catheter
C)Tape the catheter securely to his leg and monitor urine output
D)Insert a new catheter and attach a drainage system correct answers B)Sterilize attachments
and attach drainage system to the catheter
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Case:Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial
infarction. Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse
discovers her condition has changed.
Which data would best indicate to the practical nurse that Mrs. Smith's health status has
deteriorated and that her condition should be reported immediately?
A)Cold, clammy skin
B)Bounding pulse
C)Elevated blood pressure
D)Increased muscular activity correct answers A)Cold, clammy skin
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
Mrs. Smith becomes confused and responds inappropriately. Which question by the practical
nurse would best help in the assessment of Mrs. Smith's level of orientation?
A)What is your name?
B)What does two plus two equal?
C)When did your bowels last move?
D)What did you think about that television program? correct answers A)What is your name?
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
The physician has ordered an IV of normal saline to run at 100mls/hr what does the practical
nurse do when first initiating the IV?
A)Shave any hair from the selected site
B)Briskly tap and massage the selected vein
C)Select a proximal site in the non-dominant extremity
D)Apply a tourniquet 4 to 6 inches above the selected site correct answers D)Apply a
tourniquet 4 to 6 inches above the selected site
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
While assessing Mrs. Smith, the practical nurse would become concerned with which of the
following symptoms related to the IV infusion?"
A)Polyuria
B)Crackles in the lungs
C)Dry mucous membranes
D)Decreased blood pressure correct answers B)Crackles in the lungs
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers
her condition has changed.
,Mrs. Smith is ordered Heparin subcutaneously every 12 hours. The practical nurse expects
the physician will decrease the dose when blood work indicates which of the following?
A)INR below therapeutic range
B)INR above therapeutic range
C)Potassium below therapeutic range
D)Potassium above therapeutic range correct answers B)INR above therapeutic range
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Which action by the practical nurse is most appropriate for encouraging Justin to participate
in his care?
A)Encourage Justin to help develop a plan of care
B)Tell Justin what he needs to do to help with his care
C)Ask Justin's parents to help draw up the plan of care
D)Request that the physician tell Justin how to care for himself correct answers A)Encourage
Justin to help develop a plan of care
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Which procedure, related to Justin's care after he has had a bowel movement, is most
important for the practical nurse to teach him to prevent the spread of bacteria?
A)Wash his hands with soap and water
B)Wear latex gloves when cleaning himself
C)Use a disinfectant to clean the toilet seat
D)Notify the practical nurse after each bowel movement correct answers A)Wash his hands
with soap and water
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Justin is on enteric precautions. Which suggestion by the practical nurse would provide an
appropriate diversion for Justin?
A)Encourage him to play video games
B)Encourage him to make a cake for his family
C)Encourage him to play cards with another patient on the unit
D)Encourage him to invite some of the players from his baseball team for a visit correct
answers A)Encourage him to play video games
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
When providing the client with instructions on how to collect a stool specimen for
Clostridium difficile (C. difficile) which of the following is important information to teach?
A)Use a clean container to collect stool
B)Use stick provided to smear stool on card
C)Ensure rectal swab comes in contact with stool
,D)Ensure stool collection container remains sterile correct answers A)Use a clean container
to collect stool
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and
angry about not being able to participate in a baseball tournament with his friends.
Concerned about further dehydration after discharge, which of the symptoms should Justin or
his family seek further medical attention for?
A)Anuria
B)Pyrexia
C)Polyphagia
D)Diaphoresis correct answers A)Anuria
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
Which action by the practical nurse would be most helpful in establishing bladder and bowel
retraining for Mrs. Mitchell?
A)Ensure fluid intake, encourage daily activity, establish toileting routine.
B)Decrease fluid and fibre intake, leave call bell within reach at all times
C)Teach Kegel exercises, pour warm water over perineum, measure intake & output
D)Increase fibre in her diet, increase fluids, administer a laxative at bedtime correct answers
A)Ensure fluid intake, encourage daily activity, establish toileting routine.
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
When assisting Mrs. Mitchell to transfer into the wheelchair, which technique should the
practical nurse use?
A)Place the wheelchair on her left side. Guide her using a transfer belt to transfer to her left
side
B)Place the wheelchair on her right side. Guide her to transfer to the wheelchair while
bracing her right side.
C)Have another team member assist with the transfer by lifting under her axillae.
D)Brace the front of the wheelchair use a transfer board to assist with the transfer. correct
answers A)Place the wheelchair on her left side. Guide her using a transfer belt to transfer to
her left side
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
When communicating with Mrs. Mitchell, which of the techniques would the practical nurse
expect to find useful?
A)Ask the client yes or no questions
, B)Write all questions on a communication board
C)Refer to speech therapist for language therapy
D)Document client's communication abilities on care plan correct answers A)Ask the client
yes or no questions
Mrs. Mitchell, 76 years old, has been recovering from a cerebrovascular accident (CVA), that
resulted in right-sided weakness, expressive aphasia and occasional bladder incontinence. She
wishes to maintain some independence and would like to continue to live alone once she is
discharged.
Which method of collaboration by the practical nurse would be most beneficial to Mrs.
Mitchell in preparing for her discharge?
A)Refer Mrs. Mitchell to the charge nurse for discharge teaching
B)Arrange for speech therapist and physiotherapist to meet with Mrs. Mitchell
C)Participate in a team conference prior to discharge to determine priority needs
D)Arrange for each team member to review discharge needs the day before discharge correct
answers C)Participate in a team conference prior to discharge to determine priority needs
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Mr. Schwartz asks the practical nurse several questions about his post-operative deep
breathing exercises. Mr. Schwartz says - I still don't understand. Which statement by the
practical nurse would best help Mr. Schwartz meet his learning needs?
A)"I'll explain the exercises from beginning to end.
B)I can get a pamphlet that may explain it better.
C)Tell me what you understand about the exercises.
D)You can take the incentive spirometer home to practice. correct answers C)Tell me what
you understand about the exercises.
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Postoperatively, Mr. Schwartz has a urinary catheter. What should the practical nurse be
concerned about with regard to Mr. Schwartz' urinary output?
A)Catheter is anchored to the outer aspect of the thigh
B)Drainage bag is attached to the lowest bed rail hook
C)Urinary output is 200ml during the last 8 hour shift
D)Urine is clear, straw-coloured, faint odor correct answers C)Urinary output is 200ml during
the last 8 hour shift
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
Mr. Schwartz has become slightly agitated and accidently disconnects the catheter from the
drainage system. What would be the best course of action for the practical nurse to take?
A)Irrigate the catheter and reattach it to the drainage system
B)Sterilize attachments and attach drainage system to the catheter
C)Tape the catheter securely to his leg and monitor urine output
D)Insert a new catheter and attach a drainage system correct answers B)Sterilize attachments
and attach drainage system to the catheter
Mr. Schwartz, 59 years old, is scheduled for abdominal surgery.
