CPNRE LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔A nurse observes all wounds closely. At what time is the risk of hemorrhage the
greatest for surgical wounds?
A) Between 48 and 60 hours after surgery X
B) Between 60 and 72 hours after surgery
C) During the first 24 to 48 hours after surgery
D) Seven days after surgery, when the client is more active - ✔✔
✔✔Placement of a binder around a surgical client with a new abdominal wound is
indicated for which of the following?
A) Collection of wound drainage
B) Reduction of abdominal swelling
C) Reduction of stress on the abdominal incision
D) Stimulation of peristalsis (return of bowel function) from direct pressure - ✔✔C)
Reduction of stress on the abdominal incision
Response Feedback:
The binder helps to support the abdominal muscles and prevent stress on the incision. It
should be used with proper dressings that will collect wound drainage. A binder will not
reduce swelling and will not stimulate peristalsis.
✔✔Which three common conditions affect cognitive function in older adults?
A) Blindness, hearing loss, and stroke
B) Delirium, depression, and dementia
C) Cancer, Alzheimer's disease, and stroke
D) Stroke, heart attack, and cancer of the brain - ✔✔B) Delirium, depression, and
dementia
Response Feedback:
Three common conditions that affect cognitive function in older adults are delirium,
depression, and dementia. Cancer, stroke, heart attack, blindness, and hearing loss do
not typically affect cognition.
✔✔If a client who is receiving intravenous (IV) fluids develops tenderness, warmth,
erythema, and pain at the site, what does the nurse suspect?
A) Sepsis
B) Phlebitis
C) Infiltration
D) Fluid overload - ✔✔B) Phlebitis
, Response Feedback:
Warmth, redness, and tenderness of an IV site indicate phlebitis. Infiltration usually
presents as a cool, swollen, and pale IV site. Sepsis is an infection, and signs of sepsis
may or may not be present at the site. Fluid overload will not produce specific changes
at the IV site.
✔✔When repositioning an immobile client, the nurse notices redness over a bony
prominence. When the area is assessed, the red spot blanches with fingertip touch,
indicating which of the following?
A) A local skin infection requiring antibiotics
B) A stage III pressure ulcer needing the appropriate dressing
C) Sensitive skin that calls for the use of special bed linen
D) Reactive hyperemia, a reaction that causes the blood vessels to dilate in the injured
area - ✔✔D) Reactive hyperemia, a reaction that causes the blood vessels to dilate in
the injured area
Response Feedback:
This observation is indicative of reactive hyperemia. This is not a local skin infection or a
stage III pressure ulcer. Not enough information is given to determine whether the client
has sensitive skin.
✔✔The nurse is administering an intramuscular (IM) injection. Why is the Z-track
method a suggested method for IM injections?
A) It is easier for the nurse to use.
B) It allows for repeated injections into the same site.
C) It does not require the nurse to aspirate before injecting the medication.
D) It minimizes local skin irritation by sealing the medication in muscle tissue. - ✔✔D) It
minimizes local skin irritation by sealing the medication in muscle tissue.
Response Feedback:
The Z-track method minimizes local skin irritation, providing more comfort for the client.
Repeated injections in the same muscle can cause severe discomfort and poor
absorption. The Z-track method of injection is not easier but requires practice by the
nurse to achieve a smooth injection technique because of the increased number of
steps in the method. Aspiration is still required when the Z-track method is used.
✔✔The client has an order for 2 tablespoons of milk of magnesia. The nurse converts
this dose to the metric system. How much should the nurse give the client?
A) 2 mL
B) 5 mL
C) 16 mL
D) 30 mL - ✔✔D) 30 mL
ANSWERS GRADED A+
✔✔A nurse observes all wounds closely. At what time is the risk of hemorrhage the
greatest for surgical wounds?
A) Between 48 and 60 hours after surgery X
B) Between 60 and 72 hours after surgery
C) During the first 24 to 48 hours after surgery
D) Seven days after surgery, when the client is more active - ✔✔
✔✔Placement of a binder around a surgical client with a new abdominal wound is
indicated for which of the following?
A) Collection of wound drainage
B) Reduction of abdominal swelling
C) Reduction of stress on the abdominal incision
D) Stimulation of peristalsis (return of bowel function) from direct pressure - ✔✔C)
Reduction of stress on the abdominal incision
Response Feedback:
The binder helps to support the abdominal muscles and prevent stress on the incision. It
should be used with proper dressings that will collect wound drainage. A binder will not
reduce swelling and will not stimulate peristalsis.
✔✔Which three common conditions affect cognitive function in older adults?
A) Blindness, hearing loss, and stroke
B) Delirium, depression, and dementia
C) Cancer, Alzheimer's disease, and stroke
D) Stroke, heart attack, and cancer of the brain - ✔✔B) Delirium, depression, and
dementia
Response Feedback:
Three common conditions that affect cognitive function in older adults are delirium,
depression, and dementia. Cancer, stroke, heart attack, blindness, and hearing loss do
not typically affect cognition.
✔✔If a client who is receiving intravenous (IV) fluids develops tenderness, warmth,
erythema, and pain at the site, what does the nurse suspect?
A) Sepsis
B) Phlebitis
C) Infiltration
D) Fluid overload - ✔✔B) Phlebitis
, Response Feedback:
Warmth, redness, and tenderness of an IV site indicate phlebitis. Infiltration usually
presents as a cool, swollen, and pale IV site. Sepsis is an infection, and signs of sepsis
may or may not be present at the site. Fluid overload will not produce specific changes
at the IV site.
✔✔When repositioning an immobile client, the nurse notices redness over a bony
prominence. When the area is assessed, the red spot blanches with fingertip touch,
indicating which of the following?
A) A local skin infection requiring antibiotics
B) A stage III pressure ulcer needing the appropriate dressing
C) Sensitive skin that calls for the use of special bed linen
D) Reactive hyperemia, a reaction that causes the blood vessels to dilate in the injured
area - ✔✔D) Reactive hyperemia, a reaction that causes the blood vessels to dilate in
the injured area
Response Feedback:
This observation is indicative of reactive hyperemia. This is not a local skin infection or a
stage III pressure ulcer. Not enough information is given to determine whether the client
has sensitive skin.
✔✔The nurse is administering an intramuscular (IM) injection. Why is the Z-track
method a suggested method for IM injections?
A) It is easier for the nurse to use.
B) It allows for repeated injections into the same site.
C) It does not require the nurse to aspirate before injecting the medication.
D) It minimizes local skin irritation by sealing the medication in muscle tissue. - ✔✔D) It
minimizes local skin irritation by sealing the medication in muscle tissue.
Response Feedback:
The Z-track method minimizes local skin irritation, providing more comfort for the client.
Repeated injections in the same muscle can cause severe discomfort and poor
absorption. The Z-track method of injection is not easier but requires practice by the
nurse to achieve a smooth injection technique because of the increased number of
steps in the method. Aspiration is still required when the Z-track method is used.
✔✔The client has an order for 2 tablespoons of milk of magnesia. The nurse converts
this dose to the metric system. How much should the nurse give the client?
A) 2 mL
B) 5 mL
C) 16 mL
D) 30 mL - ✔✔D) 30 mL
