CPNRE 5th EDITION EXAM |ACTUAL QUESTIONS
AND VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
The next THREE (3) questions refer to this case.
Question 2
1. Which of the following indicates that the client is an active participant in his care?
1. The client reads the care plan thoroughly.
2. The client demonstrates an indifference to changes in his care.
3. The client asks questions about his care.
4. The client follows the directions of his family.
ANSWER
1. Correct answer: 3
1. This demonstrates an ability to read, but does not reflect active participation.
2. Indifference does not demonstrate interest or participation.
3. This demonstrates participation in the care plan by asking questions.
4. Following directions does not demonstrate active participation.
1
@THE STUDY VAULT
,Question 3
A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
1. The client was provided with preoperative teaching on deep breathing and coughing. How
should the practical nurse best evaluate the outcomes of the teaching?
1. Have the client explain deep breathing and coughing.
2. Have the client identify barriers to performing these exercises.
3. Ask the client to demonstrate deep breathing and coughing.
4. Demonstrate deep breathing and coughing to the client.
ANSWER
1. Correct answer: 3
1. This is part of the evaluation, but it does not measure application of the technique.
2. This does not measure that the client has learned the skill.
3. Client action demonstrates learning. This provides an opportunity for the practical nurse
to evaluate client learning.
4. This does not measure client learning.
Classification
Question 4
A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
1. What is the primary objective for the practical nurse using aseptic technique when
changing a postoperative dressing?
1. It allows the practical nurse to maintain a sterile field.
2. It helps to prevent the spread of HIV.
2
@THE STUDY VAULT
,3. It reduces the risk of contamination and wound infection.
4. It promotes the repair of abdominal tissues.
ANSWER
1. Correct answer: 3
1. This does not explain the primary outcome of aseptic technique.
2. The practical nurse may or may not dispose of the dressings correctly. Aseptic technique
may not minimize the spread of HIV.
3. The primary objective of aseptic technique is to prevent microorganisms from being
introduced to the surgical wound, therefore reducing the risk of contamination and
infection.
4. Aseptic technique helps prevent infection and does not directly impact tissue integrity.
Question 5
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
1. Since the initial assessment and his admission to the unit, Mr. Bell's abdominal girth has
increased by 14 cm. What order should the practical nurse anticipate first?
1. Decrease his IV therapy to keep the vein open.
2. Apply oxygen at 2 L per minute via nasal cannula.
3. Apply antiembolic stockings to his legs.
Decreasehiscaloricintaketo1,400calories daily
ANSWER
1. Correct answer: 1
1. Fluid accumulation can be increased by IV therapy.
2. Oxygen is only applied when oxygen saturation is decreased.
3. This will not have any effect on the abdomen.
4. Weight gain in liver failure is due to fluid accumulation, not caloric intake.
3
@THE STUDY VAULT
, Question 6
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
1. What manifestation associated with liver failure should the practical nurse report first?
1. Yellowing of sclerae
2. Decreased appetite
3. Increased respirations
4. Decreased consciousness
ANSWER
1. Correct answer: 4
1. This is suggestive of disease decompensation and early liver failure.
2. Decrease appetite is a manifestation of many diseases and would require further
investigation but is not life-threatening.
3. Increased respirations are related to increased pressure on the diaphragm due to
ascites. This would require further intervention; however, this is not life threatening
compared to decreased consciousness.
4. Hepatic encephalopathy is a central nervous system manifestation that often leads to
coma and death.
Question 7
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
1. Mr. Bell's family has arranged for a meeting with the transplant coordinator. Mr. Bell does
not agree with this consultation and yells at his family. What should the practical nurse do
first?
4
@THE STUDY VAULT
AND VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
The next THREE (3) questions refer to this case.
Question 2
1. Which of the following indicates that the client is an active participant in his care?
1. The client reads the care plan thoroughly.
2. The client demonstrates an indifference to changes in his care.
3. The client asks questions about his care.
4. The client follows the directions of his family.
ANSWER
1. Correct answer: 3
1. This demonstrates an ability to read, but does not reflect active participation.
2. Indifference does not demonstrate interest or participation.
3. This demonstrates participation in the care plan by asking questions.
4. Following directions does not demonstrate active participation.
1
@THE STUDY VAULT
,Question 3
A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
1. The client was provided with preoperative teaching on deep breathing and coughing. How
should the practical nurse best evaluate the outcomes of the teaching?
1. Have the client explain deep breathing and coughing.
2. Have the client identify barriers to performing these exercises.
3. Ask the client to demonstrate deep breathing and coughing.
4. Demonstrate deep breathing and coughing to the client.
ANSWER
1. Correct answer: 3
1. This is part of the evaluation, but it does not measure application of the technique.
2. This does not measure that the client has learned the skill.
3. Client action demonstrates learning. This provides an opportunity for the practical nurse
to evaluate client learning.
4. This does not measure client learning.
Classification
Question 4
A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
1. What is the primary objective for the practical nurse using aseptic technique when
changing a postoperative dressing?
1. It allows the practical nurse to maintain a sterile field.
2. It helps to prevent the spread of HIV.
2
@THE STUDY VAULT
,3. It reduces the risk of contamination and wound infection.
4. It promotes the repair of abdominal tissues.
ANSWER
1. Correct answer: 3
1. This does not explain the primary outcome of aseptic technique.
2. The practical nurse may or may not dispose of the dressings correctly. Aseptic technique
may not minimize the spread of HIV.
3. The primary objective of aseptic technique is to prevent microorganisms from being
introduced to the surgical wound, therefore reducing the risk of contamination and
infection.
4. Aseptic technique helps prevent infection and does not directly impact tissue integrity.
Question 5
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
1. Since the initial assessment and his admission to the unit, Mr. Bell's abdominal girth has
increased by 14 cm. What order should the practical nurse anticipate first?
1. Decrease his IV therapy to keep the vein open.
2. Apply oxygen at 2 L per minute via nasal cannula.
3. Apply antiembolic stockings to his legs.
Decreasehiscaloricintaketo1,400calories daily
ANSWER
1. Correct answer: 1
1. Fluid accumulation can be increased by IV therapy.
2. Oxygen is only applied when oxygen saturation is decreased.
3. This will not have any effect on the abdomen.
4. Weight gain in liver failure is due to fluid accumulation, not caloric intake.
3
@THE STUDY VAULT
, Question 6
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
1. What manifestation associated with liver failure should the practical nurse report first?
1. Yellowing of sclerae
2. Decreased appetite
3. Increased respirations
4. Decreased consciousness
ANSWER
1. Correct answer: 4
1. This is suggestive of disease decompensation and early liver failure.
2. Decrease appetite is a manifestation of many diseases and would require further
investigation but is not life-threatening.
3. Increased respirations are related to increased pressure on the diaphragm due to
ascites. This would require further intervention; however, this is not life threatening
compared to decreased consciousness.
4. Hepatic encephalopathy is a central nervous system manifestation that often leads to
coma and death.
Question 7
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
1. Mr. Bell's family has arranged for a meeting with the transplant coordinator. Mr. Bell does
not agree with this consultation and yells at his family. What should the practical nurse do
first?
4
@THE STUDY VAULT
