CPNRE EXAM 1 |ACTUAL QUESTIONS AND
VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
Three months later, Mrs. Worth is moved to a special care unit. Her granddaughter Sara
visits, but Mrs. Worth does not recognize her. Sara begins to cry. What should the practical
nurse do?
A) Tell Sara that her grandmother likes to talk about living on the farm.
B) Tell Sara that this is part of the disease process and is to be expected.
C) Ask Sara if she would like to walk with her grandmother.
D) Ask Sara if she would like to talk and offer her support.
ANSWER
D) Ask Sara if she would like to talk and offer her support.
This response is empathetic and supportive, acknowledging Sara's feelings and offering
her the opportunity to express them. It also provides an opening for the practical nurse to
offer further assistance or information about Mrs. Worth's condition and how to cope with
the changes it brings. It's important for family members to understand the disease process
and to have their feelings validated, but this should be done in a way that is sensitive to
their emotional state at the moment.
Question 2
1
@THE STUDY VAULT
,Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
Mrs. Worth is becoming increasingly agitated by another client. She begins to behave
aggressively. After calling for help, what should the practical nurse do?
Question 3
A) Assess both clients for injury and encourage Mrs. Worth to calm down.
B) Assess Mrs. Worth's needs in a calm manner and review the situation for possible
triggers.
C) Administer p.r.n. medication and assess both clients for injury.
D) Administer p.r.n. medication and obtain an order to restrain Mrs. Worth until she calms
down.
ANSWER
B) Assess Mrs. Worth's needs in a calm manner and review the situation for possible
triggers.
This response is appropriate because it focuses on understanding and addressing the
underlying cause of Mrs. Worth's agitation and aggressive behavior. It is important to
assess her needs and the situation calmly to identify any triggers that may have caused her
reaction. This approach is more proactive and therapeutic than immediately resorting to
medication or restraint, which should be considered only if the situation poses an
immediate risk to Mrs. Worth or others and all other de-escalation techniques have been
exhausted.
Question 4
Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
2
@THE STUDY VAULT
,While Mrs. Worth's son is visiting his mother, he notices that she is trying to make phone
calls on her TV remote control. Which term best describes this?
Question 5
A) Apraxia
B) Akinesia
C) Aphasia
D) Aphagia
ANSWER
A) Apraxia
Apraxia is a neurological disorder characterized by an inability to perform purposeful
movements despite having the physical ability to do so. It is often associated with brain
damage or neurodegenerative diseases. In this case, Mrs. Worth's attempt to make phone
calls on her TV remote control could be an example of ideational apraxia, where she has
difficulty understanding the concept of using objects correctly.
The other terms are less fitting for the described behavior:
B) Akinesia - This refers to an absence of movement, often seen in disorders like
Parkinson's disease.
C) Aphasia - This is a language disorder that affects a person's ability to communicate,
which is not directly related to the described behavior.
D) Aphagia - This is a disorder characterized by difficulty swallowing, which is unrelated to
the described behavior.
Question 6
Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
What medication would most likely be ordered for Mrs. Worth's Alzheimer's disease?
3
@THE STUDY VAULT
, Question 7
A) Citalopram (Celexa)
B) Lorazepam (Ativan)
C) Donepezil (Aricept)
D) Olanzapine (Zyprexa)
ANSWER
C) Donepezil (Aricept)
Donepezil (Aricept) is a cholinesterase inhibitor that is commonly used in the treatment of
Alzheimer's disease. It works by increasing the levels of acetylcholine, a neurotransmitter
that is important for memory and learning, in the brain. This can help improve cognitive
function and slow the progression of symptoms in some individuals with Alzheimer's
disease.
The other medications listed are used for different purposes:
A) Citalopram (Celexa) - This is an antidepressant of the selective serotonin reuptake
inhibitor (SSRI) class, used to treat depression and anxiety disorders.
B) Lorazepam (Ativan) - This is a benzodiazepine used to treat anxiety, insomnia, and
seizures. It is not a first-line treatment for Alzheimer's disease.
D) Olanzapine (Zyprexa) - This is an antipsychotic medication used to treat schizophrenia
and bipolar disorder. It may be used off-label for agitation in Alzheimer's disease but is not
a primary treatment for the cognitive symptoms of the disease.
Question 8
Sammy, 6 years old, has been diagnosed with cystic fibrosis. He is continuing on his daily
regimen for chest physiotherapy and medications. Sammy does not like taking all the
medications; it is a daily struggle for his family. Sammy has had several hospital admissions.
Six months later, Sammy is readmitted to the unit with a respiratory infection. Sammy's
mother needs to go home, and a close friend of the family will stay with Sammy. How should
the practical nurse proceed?
4
@THE STUDY VAULT
VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
Three months later, Mrs. Worth is moved to a special care unit. Her granddaughter Sara
visits, but Mrs. Worth does not recognize her. Sara begins to cry. What should the practical
nurse do?
A) Tell Sara that her grandmother likes to talk about living on the farm.
B) Tell Sara that this is part of the disease process and is to be expected.
C) Ask Sara if she would like to walk with her grandmother.
D) Ask Sara if she would like to talk and offer her support.
ANSWER
D) Ask Sara if she would like to talk and offer her support.
This response is empathetic and supportive, acknowledging Sara's feelings and offering
her the opportunity to express them. It also provides an opening for the practical nurse to
offer further assistance or information about Mrs. Worth's condition and how to cope with
the changes it brings. It's important for family members to understand the disease process
and to have their feelings validated, but this should be done in a way that is sensitive to
their emotional state at the moment.
Question 2
1
@THE STUDY VAULT
,Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
Mrs. Worth is becoming increasingly agitated by another client. She begins to behave
aggressively. After calling for help, what should the practical nurse do?
Question 3
A) Assess both clients for injury and encourage Mrs. Worth to calm down.
B) Assess Mrs. Worth's needs in a calm manner and review the situation for possible
triggers.
C) Administer p.r.n. medication and assess both clients for injury.
D) Administer p.r.n. medication and obtain an order to restrain Mrs. Worth until she calms
down.
ANSWER
B) Assess Mrs. Worth's needs in a calm manner and review the situation for possible
triggers.
This response is appropriate because it focuses on understanding and addressing the
underlying cause of Mrs. Worth's agitation and aggressive behavior. It is important to
assess her needs and the situation calmly to identify any triggers that may have caused her
reaction. This approach is more proactive and therapeutic than immediately resorting to
medication or restraint, which should be considered only if the situation poses an
immediate risk to Mrs. Worth or others and all other de-escalation techniques have been
exhausted.
Question 4
Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
2
@THE STUDY VAULT
,While Mrs. Worth's son is visiting his mother, he notices that she is trying to make phone
calls on her TV remote control. Which term best describes this?
Question 5
A) Apraxia
B) Akinesia
C) Aphasia
D) Aphagia
ANSWER
A) Apraxia
Apraxia is a neurological disorder characterized by an inability to perform purposeful
movements despite having the physical ability to do so. It is often associated with brain
damage or neurodegenerative diseases. In this case, Mrs. Worth's attempt to make phone
calls on her TV remote control could be an example of ideational apraxia, where she has
difficulty understanding the concept of using objects correctly.
The other terms are less fitting for the described behavior:
B) Akinesia - This refers to an absence of movement, often seen in disorders like
Parkinson's disease.
C) Aphasia - This is a language disorder that affects a person's ability to communicate,
which is not directly related to the described behavior.
D) Aphagia - This is a disorder characterized by difficulty swallowing, which is unrelated to
the described behavior.
Question 6
Mrs. Worth, 78 years old, is a resident in an apartment complex for older adults. She has an
adult son. Over the past several months, Mrs. Worth has begun to forget days of the week
and forget to pay her bills. She often wears her night clothing during the day.
What medication would most likely be ordered for Mrs. Worth's Alzheimer's disease?
3
@THE STUDY VAULT
, Question 7
A) Citalopram (Celexa)
B) Lorazepam (Ativan)
C) Donepezil (Aricept)
D) Olanzapine (Zyprexa)
ANSWER
C) Donepezil (Aricept)
Donepezil (Aricept) is a cholinesterase inhibitor that is commonly used in the treatment of
Alzheimer's disease. It works by increasing the levels of acetylcholine, a neurotransmitter
that is important for memory and learning, in the brain. This can help improve cognitive
function and slow the progression of symptoms in some individuals with Alzheimer's
disease.
The other medications listed are used for different purposes:
A) Citalopram (Celexa) - This is an antidepressant of the selective serotonin reuptake
inhibitor (SSRI) class, used to treat depression and anxiety disorders.
B) Lorazepam (Ativan) - This is a benzodiazepine used to treat anxiety, insomnia, and
seizures. It is not a first-line treatment for Alzheimer's disease.
D) Olanzapine (Zyprexa) - This is an antipsychotic medication used to treat schizophrenia
and bipolar disorder. It may be used off-label for agitation in Alzheimer's disease but is not
a primary treatment for the cognitive symptoms of the disease.
Question 8
Sammy, 6 years old, has been diagnosed with cystic fibrosis. He is continuing on his daily
regimen for chest physiotherapy and medications. Sammy does not like taking all the
medications; it is a daily struggle for his family. Sammy has had several hospital admissions.
Six months later, Sammy is readmitted to the unit with a respiratory infection. Sammy's
mother needs to go home, and a close friend of the family will stay with Sammy. How should
the practical nurse proceed?
4
@THE STUDY VAULT
