CPNRE PROCTORED EXAM |ACTUAL QUESTIONS
AND VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
Mr. Hazel, 72 years old with a history of dementia, was admitted to a long-term care centre 3
weeks ago following a cerebrovascular accident (CVA).
Mrs. Hazel comes to the long-term care centre to visit her husband. She sees her husband
walking hand-in-hand with another female client. She shouts at her husband to stop his
inappropriate behaviour. How should the practical nurse respond?
0A) Invite Mrs. Hazel into the family care room to discuss the issue and her concerns.
OB) Approach Mr. Hazel and redirect his new female friend to another area of
the unit.
Oc) Apologize to Mrs. Hazel and promise that it will not happen in the future.
OD) Advise Mrs. Hazel that shouting is inappropriate and is upsetting the
other clients.
ANSWER
A) Invite Mrs. Hazel Into the Family Care Room to Discuss the Issue and Her Concerns.
When Mrs. Hazel, the wife of Mr. Hazel who has dementia and was recently admitted to a
long-term care centre following a cerebrovascular accident (CVA), sees her husband
walking hand-in-hand with another female client and shouts at him to stop his
inappropriate behavior, the practical nurse should respond by:
1. **Invite Mrs. Hazel Into the Family Care Room to Discuss the Issue and Her Concerns**:
This approach provides a private and supportive environment for Mrs. Hazel to express her
feelings and concerns. It allows the practical nurse to listen empathetically, provide
information about Mr. Hazel's condition and behavior, and discuss appropriate ways to
address the situation.
1
@THE STUDY VAULT
,The other options may not be as effective or appropriate:
B) Approach Mr. Hazel and Redirect His New Female Friend to Another Area of the Unit -
While it may be necessary to redirect Mr. Hazel and the other client to ensure their safety
and comfort, this action alone does not address Mrs. Hazel's concerns or provide her with
the support she needs.
C) Apologize to Mrs. Hazel and Promise That It Will Not Happen in the Future - Apologizing
may be part of the response, but making promises about future behavior without a plan to
address the underlying issues is not sufficient. It is important to work with Mrs. Hazel to
develop a plan that addresses her concerns and supports Mr. Hazel's needs.
D) Advise Mrs. Hazel That Shouting Is Inappropriate and Is Upsetting the Other Clients -
While it is important to maintain a calm and respectful environment, addressing Mrs.
Hazel's behavior without acknowledging her feelings and concerns may alienate her and
fail to provide the support she needs.
By inviting Mrs. Hazel into the family care room to discuss the issue and
Question 2
Mr. Hazel, 72 years old with a history of dementia, was admitted to a long-term care centre 3
weeks ago following a cerebrovascular accident (CVA).
A colleague, who is caring for Mr. Hazel today, advises the practical nurse that Mr. Hazel is
tired and angrily refused his morning care. What should the practical nurse do?
OA) Allow Mr. Hazel to sleep and assist with his care when he awakes.
OB) Advise the colleague to speak louder and slower to ensure that Mr. Hazel
understands.
Oc) Prepare ordered p.r.n. medication for Mr. Hazel's aggressive episodes.
OD) Assist Mr. Hazel and allow the colleague to help someone else.
ANSWER
2
@THE STUDY VAULT
,A) Allow Mr. Hazel to Sleep and Assist with His Care When He Awakes.
When Mr. Hazel, a 72-year-old with a history of dementia who was admitted to a long-
term care centre following a cerebrovascular accident (CVA), is tired and angrily refuses his
morning care, the practical nurse should:
1. **Allow Mr. Hazel to Sleep and Assist with His Care When He Awakes**: This approach
respects Mr. Hazel's need for rest and can help prevent agitation and aggressive behavior.
It is important to approach care in a manner that is considerate of the client's physical and
emotional state.
The other options may not be as appropriate or effective:
B) Advise the Colleague to Speak Louder and Slower to Ensure That Mr. Hazel Understands
- While clear communication is important, speaking louder and slower may not be
effective if Mr. Hazel is tired and not receptive to care at the moment. It could potentially
exacerbate his agitation.
C) Prepare Ordered p.r.n. Medication for Mr. Hazel's Aggressive Episodes - Administering
medication for aggressive episodes should be considered if Mr. Hazel's behavior poses a
risk to himself or others. However, if the aggression is a response to being tired and not
wanting care at that moment, it may be more appropriate to address the underlying cause
(i.e., allowing him to rest) rather than immediately resorting to medication.
D) Assist Mr. Hazel and Allow the Colleague to Help Someone Else - While offering to assist
Mr. Hazel is commendable, if he is tired and angrily refusing care, it may be best to
postpone the care until he is more receptive. Forcing care upon him when he is in this
state could lead to increased agitation and distress.
By allowing Mr. Hazel to sleep and assisting with his care when he awakes, the practical
nurse can provide care in a manner that is respectful and considerate of his
3
@THE STUDY VAULT
, Question 3
Mr. Hazel, 72 years old with a history of dementia, was admitted to a long-term care centre 3
weeks ago following a cerebrovascular accident (CVA).
Mr. Hazel is exhibiting signs of late day confusion. What are some nursing interventions that
the practical nurse can implement for Mr. Hazel?
OA) Provide activities in the late afternoon, ensure less noise in the evening and ensure that
all the lights are turned off at bedtime.
OB) Provide activities in the early afternoon, ensure less noise in the evening and provide a
calm environment and a night light in the room.
00) Provide activities after supper, have Mrs. Hazel visit in the evenings and provide a night
light in his room.
OD) Provide activities in the morning, dim the lights after supper and keep
his room dark throughout the night.
ANSWER
B) Provide Activities in the Early Afternoon, Ensure Less Noise in the Evening, and Provide
a Calm Environment and a Night Light in the Room.
When Mr. Hazel, a 72-year-old with a history of dementia who was admitted to a long-
term care centre following a cerebrovascular accident (CVA), is exhibiting signs of late-day
confusion (often referred to as "sundowning"), the practical nurse can implement several
nursing interventions to help manage this condition:
1. **Provide Activities in the Early Afternoon**: Engaging Mr. Hazel in activities earlier in
the day can help prevent excessive daytime napping, which can contribute to nighttime
confusion. Activities should be tailored to his interests and abilities.
2. **Ensure Less Noise in the Evening**: Reducing noise levels in the evening can help
create a more restful environment, making it easier for Mr. Hazel to relax and prepare for
sleep.
4
@THE STUDY VAULT
AND VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
Mr. Hazel, 72 years old with a history of dementia, was admitted to a long-term care centre 3
weeks ago following a cerebrovascular accident (CVA).
Mrs. Hazel comes to the long-term care centre to visit her husband. She sees her husband
walking hand-in-hand with another female client. She shouts at her husband to stop his
inappropriate behaviour. How should the practical nurse respond?
0A) Invite Mrs. Hazel into the family care room to discuss the issue and her concerns.
OB) Approach Mr. Hazel and redirect his new female friend to another area of
the unit.
Oc) Apologize to Mrs. Hazel and promise that it will not happen in the future.
OD) Advise Mrs. Hazel that shouting is inappropriate and is upsetting the
other clients.
ANSWER
A) Invite Mrs. Hazel Into the Family Care Room to Discuss the Issue and Her Concerns.
When Mrs. Hazel, the wife of Mr. Hazel who has dementia and was recently admitted to a
long-term care centre following a cerebrovascular accident (CVA), sees her husband
walking hand-in-hand with another female client and shouts at him to stop his
inappropriate behavior, the practical nurse should respond by:
1. **Invite Mrs. Hazel Into the Family Care Room to Discuss the Issue and Her Concerns**:
This approach provides a private and supportive environment for Mrs. Hazel to express her
feelings and concerns. It allows the practical nurse to listen empathetically, provide
information about Mr. Hazel's condition and behavior, and discuss appropriate ways to
address the situation.
1
@THE STUDY VAULT
,The other options may not be as effective or appropriate:
B) Approach Mr. Hazel and Redirect His New Female Friend to Another Area of the Unit -
While it may be necessary to redirect Mr. Hazel and the other client to ensure their safety
and comfort, this action alone does not address Mrs. Hazel's concerns or provide her with
the support she needs.
C) Apologize to Mrs. Hazel and Promise That It Will Not Happen in the Future - Apologizing
may be part of the response, but making promises about future behavior without a plan to
address the underlying issues is not sufficient. It is important to work with Mrs. Hazel to
develop a plan that addresses her concerns and supports Mr. Hazel's needs.
D) Advise Mrs. Hazel That Shouting Is Inappropriate and Is Upsetting the Other Clients -
While it is important to maintain a calm and respectful environment, addressing Mrs.
Hazel's behavior without acknowledging her feelings and concerns may alienate her and
fail to provide the support she needs.
By inviting Mrs. Hazel into the family care room to discuss the issue and
Question 2
Mr. Hazel, 72 years old with a history of dementia, was admitted to a long-term care centre 3
weeks ago following a cerebrovascular accident (CVA).
A colleague, who is caring for Mr. Hazel today, advises the practical nurse that Mr. Hazel is
tired and angrily refused his morning care. What should the practical nurse do?
OA) Allow Mr. Hazel to sleep and assist with his care when he awakes.
OB) Advise the colleague to speak louder and slower to ensure that Mr. Hazel
understands.
Oc) Prepare ordered p.r.n. medication for Mr. Hazel's aggressive episodes.
OD) Assist Mr. Hazel and allow the colleague to help someone else.
ANSWER
2
@THE STUDY VAULT
,A) Allow Mr. Hazel to Sleep and Assist with His Care When He Awakes.
When Mr. Hazel, a 72-year-old with a history of dementia who was admitted to a long-
term care centre following a cerebrovascular accident (CVA), is tired and angrily refuses his
morning care, the practical nurse should:
1. **Allow Mr. Hazel to Sleep and Assist with His Care When He Awakes**: This approach
respects Mr. Hazel's need for rest and can help prevent agitation and aggressive behavior.
It is important to approach care in a manner that is considerate of the client's physical and
emotional state.
The other options may not be as appropriate or effective:
B) Advise the Colleague to Speak Louder and Slower to Ensure That Mr. Hazel Understands
- While clear communication is important, speaking louder and slower may not be
effective if Mr. Hazel is tired and not receptive to care at the moment. It could potentially
exacerbate his agitation.
C) Prepare Ordered p.r.n. Medication for Mr. Hazel's Aggressive Episodes - Administering
medication for aggressive episodes should be considered if Mr. Hazel's behavior poses a
risk to himself or others. However, if the aggression is a response to being tired and not
wanting care at that moment, it may be more appropriate to address the underlying cause
(i.e., allowing him to rest) rather than immediately resorting to medication.
D) Assist Mr. Hazel and Allow the Colleague to Help Someone Else - While offering to assist
Mr. Hazel is commendable, if he is tired and angrily refusing care, it may be best to
postpone the care until he is more receptive. Forcing care upon him when he is in this
state could lead to increased agitation and distress.
By allowing Mr. Hazel to sleep and assisting with his care when he awakes, the practical
nurse can provide care in a manner that is respectful and considerate of his
3
@THE STUDY VAULT
, Question 3
Mr. Hazel, 72 years old with a history of dementia, was admitted to a long-term care centre 3
weeks ago following a cerebrovascular accident (CVA).
Mr. Hazel is exhibiting signs of late day confusion. What are some nursing interventions that
the practical nurse can implement for Mr. Hazel?
OA) Provide activities in the late afternoon, ensure less noise in the evening and ensure that
all the lights are turned off at bedtime.
OB) Provide activities in the early afternoon, ensure less noise in the evening and provide a
calm environment and a night light in the room.
00) Provide activities after supper, have Mrs. Hazel visit in the evenings and provide a night
light in his room.
OD) Provide activities in the morning, dim the lights after supper and keep
his room dark throughout the night.
ANSWER
B) Provide Activities in the Early Afternoon, Ensure Less Noise in the Evening, and Provide
a Calm Environment and a Night Light in the Room.
When Mr. Hazel, a 72-year-old with a history of dementia who was admitted to a long-
term care centre following a cerebrovascular accident (CVA), is exhibiting signs of late-day
confusion (often referred to as "sundowning"), the practical nurse can implement several
nursing interventions to help manage this condition:
1. **Provide Activities in the Early Afternoon**: Engaging Mr. Hazel in activities earlier in
the day can help prevent excessive daytime napping, which can contribute to nighttime
confusion. Activities should be tailored to his interests and abilities.
2. **Ensure Less Noise in the Evening**: Reducing noise levels in the evening can help
create a more restful environment, making it easier for Mr. Hazel to relax and prepare for
sleep.
4
@THE STUDY VAULT
